提高物理治疗师的知识和技能,以促进慢性肌肉骨骼疼痛病人的自我管理:最佳实践实施计划

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Lukas Kühn, Kyung-Eun Choi, Jitka Klugarová, Małgorzata Bała, Tina Poklepović Peričić, Miloslav Klugar, Robert Prill
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引用次数: 0

摘要

慢性疾病管理中的循证自我管理策略与自我效能感的增强和健康相关生活质量的改善相关。物理治疗师觉得在慢性肌肉骨骼疼痛患者中推广这些策略是毫无准备的。目的:本最佳实践实施项目的目的是评估和促进以运动为中心的自我管理策略在物理治疗护理中的应用。方法:采用JBI的《证据实施框架》、《临床证据系统的实际应用》(pace)审核工具和《将研究付诸实践》(GRiP)方法。该项目是在德国勃兰登堡医学院大学医院物理治疗系进行的。通过对团队中肌肉骨骼疼痛专家(N = 5)的定性访谈,确定了实施的障碍和促进因素。所有团队成员(N = 16)完成了一份31项标准化问卷,以确定是否符合7项审计标准。基线审计的结果为执行战略提供了信息。进行了执行后审计,以衡量实践方面的改进。结果:审计标准的基线符合性从0%到89%不等。实施的障碍包括缺乏促进自我管理的知识(例如,评估患者能力、疼痛教育、目标设定、自我监测、行动计划制定)和没有标准化文件。执行战略将互动式教育培训与采用两种标准化评估和文件形式结合起来。此外,还创建了一份简短的运动日记,以方便患者自我监控。在后续审计中,七项审计标准中有五项得到改进。结论:结合互动式教育培训、标准化物理治疗评估和记录以及简短的运动日记可能是提高运动相关自我管理便利性的适当策略。西班牙文摘要:http://links.lww.com/IJEBH/A345。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing physiotherapists' knowledge and skills in facilitating self-management of patients with chronic musculoskeletal pain conditions: a best practice implementation project.

Introduction: Evidence-based self-management strategies in chronic disease management are associated with increased self-efficacy and improved health-related quality of life. Physiotherapists feel unprepared to promote these strategies in patients with chronic musculoskeletal pain conditions.

Objective: The objective of this best practice implementation project was to assess and promote exercise-centered self-management strategies in physiotherapy care.

Methods: JBI's Evidence Implementation Framework, Practical Application of Clinical Evidence System (PACES) audit tool, and Getting Research into Practice (GRiP) method were used. The project was conducted in Germany at the University Hospital of the Brandenburg Medical School in the Department of Physiotherapy. Barriers and facilitators to implementation were identified through qualitative interviews with musculoskeletal pain experts in the team (N  =  5). All team members (N  =  16) completed a 31-item standardized questionnaire to determine compliance with seven audit criteria. The results of the baseline audit informed the implementation strategy. A post-implementation audit was conducted to measure improvements in practice.

Results: Baseline compliance with audit criteria ranged from 0% to 89%. Barriers to implementation included lack of knowledge on self-management facilitation (e.g., assessment of patient capabilities, pain education, goal-setting, self-monitoring, action plan development) and no standardized documentation. The implementation strategy combined interactive educational training with the introduction of two standardized assessment and documentation forms. Moreover, a short-form exercise diary was created to facilitate patient self-monitoring. In the follow-up audit, five of the seven audit criteria improved.

Conclusions: A combination of interactive educational training, standardized physiotherapy assessment and documentation, and a short-form exercise diary may be appropriate strategies to increase compliance for exercise-related self-management facilitation.

Spanish abstract: http://links.lww.com/IJEBH/A345.

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CiteScore
3.20
自引率
13.00%
发文量
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