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“Once you have the physical activity started. Then you can begin to feel that you are not in this prison anymore”. Refugee experience of post-traumatic stress physiotherapy
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
2020 (English)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
” När du har den fysiska aktiviteten på gång då kan du börja känna av att du inte är i det där fängelset”. Flyktingars upplevelse av posttraumatisk stress-fysioterapi (Swedish)
Abstract [en]

Abstract

Background

There is limited research and guidelines regarding physiotherapy as a treatment approach      for post-traumatic stress (PTS). Refugee experience of physiotherapy interventions is hoped                      to contribute to awareness of the subject and to give insight into this developing field of the         profession.

Purpose

The purpose of the study was to investigate and describe refugees experience of post-             traumatic stress physiotherapy. The study was interested in both refugee experience of          treatment itself and of possible effects.

Design and Method

Qualitative explorative design. The study was based on five semi-structured interviews. A        qualitative, content analysis was used to process the data.

Results         

The analysis showed that the refugees faced many physical and psychological barriers to         treatment, especially relating to pain and somatisation, however they were able to                    experience increased bodily comfort during treatment itself. The relationship to         physiotherapist, the psychological impact of the treatment environment and other social      factors were also described as important to experience.

Physiotherapy was described as positively affecting patient outcomes both in physical and mental health, despite certain uncontrollable/unmanageable symptoms making this difficult. The refugees were able to achieve generalisation of physiotherapy into their day-to-                     day life enabling them to self-manage to some extent and feel liberated from PTS symptoms.

Conclusion

The study agrees with the available literature on the effectiveness of treating refugee              patients suffering from post-traumatic stress with physiotherapy, not just to improve            physical health outcomes but even to give holistic improvements. 

Keywords

Post-traumatic stress, refugee, physiotherapy, experiences

Abstract [sv]

Abstrakt

Bakgrund

Det finns begränsad forskning och riktlinjer gällande fysioterapeutisk behandling mot post-traumatisk stress (PTS). Flyktingars upplevelse av fysioterapeutisk behandling förväntas sprida kunskap och bidra till insikt i denna del av det fysioterapeutiska området som fortfarande är under utveckling.

Syfte

Syftet av studien var att utforska och beskriva flyktingars upplevelse av posttraumatisk stress-fysioterapi. Studiens intresse var av flyktingars upplevelse och effekt av den fysioterapeutiska behandlingen.

Design och Metod

Studien är av kvalitativ utforskande design baserat på användandet av 5 semi-strukturerade intervjuer. En kvalitativ innehållsanalys användes för att bearbeta informationen.

Resultat

Analysen visade att flyktingar möter många fysiska och psykiska hinder i behandlingen, mest gällande smärta och somatisering men att de kunde uppleva en viss grad av bekvämlighet under behandlingen ändå. Förhållandet till fysioterapeuten, den psykologiska effekten av behandlingsmiljön och andra sociala faktorer var också viktiga.

Fysioterapi beskrevs ge positiv påverkan i resultatet av patienternas fysiska och mentala hälsa efter behandling trots utmaning från icke-hanterbara symptom. Flyktingarna kunde uppnå generalisering av deras fysioterapi till det dagliga livet som gjorde att de kunde hantera situationen själva till en viss grad och känna frihet från sina PTS symptom.

Konklusion

Studiens resultat går i samma linje som den tillgängliga litteraturen på effekten av att behandla flyktingar som lider av posttraumatisk stress med fysioterapi, inte bara för att öka den fysiska hälsan utan även för att ge mer vidgående holistiska förbättringar och livskvalitet.

Nyckelord

Post-traumatic stress, refugee, physiotherapy, experiences

Place, publisher, year, edition, pages
2020. , p. 25
Keywords [en]
Post-traumatic stress, refugee, physiotherapy, experiences
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-402367OAI: oai:DiVA.org:uu-402367DiVA, id: diva2:1385552
Educational program
Physiotherapy programme
Supervisors
Examiners
Available from: 2020-01-14 Created: 2020-01-14 Last updated: 2020-01-14Bibliographically approved

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