Pushing and guiding me towards home; patients' perspectives of person-centred physiotherapy in Intensive Care.

Carruthers, Helen; Derry, David; Astin, Felicity

Abstract

Person-centred physiotherapy in Intensive Care Units (ICU) supports patients' early rehabilitation. Yet little is known about the activity required to enable person-centred physiotherapy in this setting. This study explores the experiences and interpretations of people who received physiotherapy. A qualitative study using Interpretative Phenomenological Analysis was conducted. Eight participants, recruited from a Ventilation Unit in Northwest England, were interviewed. Data were transcribed and managed using NVivo 12 software. Participants described being "pushed" and guided by physiotherapists. The "emotional" pushing through motivation and encouragement, and "physical" pushing through setting goals, were perceived as person-centred activities, despite physiotherapists initially directing them. Other important aspects of individualised care were feeling safe and understanding how their body had changed. Patients viewed physiotherapist led rehabilitation in ICU as being person-centred, despite the lack of collaboration during early recovery, because they were too ill. Models of person-centred physiotherapy could be made more applicable to clinical settings by fully integrating the patient perspective.

• Journal Article Type: Article
• Acceptance Date: Feb 8, 2025
• Online Publication Date: Feb 22, 2025
• Deposit Date: Feb 26, 2025
• Publicly Available Date: Feb 26, 2025
• Journal: Disability and rehabilitation
• Print ISSN: 0963-8288
• Electronic ISSN: 1464-5165
• Publisher: Taylor and Francis
• Peer Reviewed: Peer Reviewed
• Pages: 1-9
• DOI: https://doi.org/10.1080/09638288.2025.2466724
• Keywords: qualitative, Intensive Care, rehabilitation, physiotherapy, Person-centred
• Additional Information: Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=idre20; Received: 2024-06-21; Revised: 2025-02-07; Accepted: 2025-02-08; Published: 2025-02-22