ACL重建术后康复中的患者心理障碍：一项质性访谈研究
简介
一项来自挪威与荷兰的定性访谈研究，纳入9例ACL重建术后5～9个月患者，通过半结构化访谈分析其康复期心理障碍及应对过程。结果显示，心理准备度是随身体功能进步、情绪波动及治疗师支持而动态变化的非静态过程，专业和社会支持有助于克服恐惧并建立信心。提示ACL术后康复应重视心理障碍，采取涵盖心理支持的个体化策略，必要时转介心理专科。
英文摘要
BACKGROUND: Recovery after anterior cruciate ligament reconstruction (ACLR) involves both physical and psychological challenges. Although psychological readiness for return to sport (RTS) is increasingly recognized as important, less is known about how patients experience psychological barriers during rehabilitation and how interactions with physiotherapists (PTs) may shape this process. PURPOSE: To explore how patients recovering from ACLR navigate potential psychological barriers, what helps them overcome these barriers, and how they experience the role of PTs in enhancing their psychological readiness. STUDY DESIGN: Qualitative interview. METHODS: Nine patients (5 women, 4 men), aged 19-45 years, from Norway and the Netherlands, 5-9 months post-ACLR, were recruited for individual semi-structured interviews. Data were analyzed using systematic text condensation. RESULTS: Three themes emerged: (1) The Mental Landscape of Rehabilitation - confidence builds through physical progress amidst emotional setbacks; (2) Pillars of Support - professional and social support, especially from PTs, helps manage fear and build trust; (3) Lessons Learned Along the Way - patients develop insight, resilience, and personalized strategies for mental recovery. Psychological readiness was experienced as a dynamic process shaped by physical progress, emotional responses, support systems, and interactions with PTs. CONCLUSION: Psychological readiness should be viewed as an evolving component of ACLR recovery, shaped by patients' experiences, support systems, and interactions with PTs. These findings highlight the importance of a holistic and individualized rehabilitation approach that acknowledges mental barriers, supports confidence-building, and considers referral to mental health professionals when needed. LEVEL OF EVIDENCE: 5 (Qualitative Study).