关于在临床实践中实施《脊髓损伤物理治疗临床指南》的障碍和促进因素的混合方法研究。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Leanne Rees, Mark McDonald, David Berlowitz, Marnie Graco
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引用次数: 0

摘要

物理治疗是治疗脊髓损伤(SCI)患者不可或缺的一部分。然而,由于脊髓损伤的低患病率、表现的复杂性和物理治疗干预的广泛范围,脊髓损伤的物理治疗管理具有潜在的挑战性。目的:本研究旨在探讨在当地医疗机构为脊髓损伤患者提供物理治疗的治疗师所认为的使用物理治疗临床指南的障碍和促进因素。方法:在指南发布后,邀请治疗师参与调查。该调查调查了遵循物理治疗指南中建议的障碍和促进因素。在理论领域框架的指导下,调查要求参与者对18个陈述的同意程度进行评分,并回答有关障碍和促成因素的自由文本问题。数据分析采用了混合方法的方法,包括定量和定性数据的三角测量。结果:53名治疗师回应了调查,代表了地区和都市卫生保健机构,以及公共和私营部门。所有应答者都认为根据指南提供干预是值得的。定量和定性的研究结果强调了治疗师可能难以遵循指南建议的几种情况。其中包括患者对治疗的期望与指南推荐的护理之间的潜在冲突。结论:研究结果为如何支持治疗师在康复环境中为脊髓损伤患者提供循证物理治疗提供了见解。建议包括针对那些很少见到脊髓损伤患者的治疗师,比如那些在地区工作的治疗师;在提供脊髓损伤心理社会护理的同时提供教育;让脊髓损伤患者成为共同教育者。西班牙文摘要:http://links.lww.com/IJEBH/A363。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A mixed methods study on the barriers and enablers of implementing the Spinal Cord Injury Physiotherapy Clinical Guideline in clinical practice.

Introduction: Physiotherapy is integral in the care of people with spinal cord injury (SCI). However, physiotherapy management in SCI is potentially challenging due to the low prevalence of SCI, complexity of presentations, and broad scope of physiotherapy interventions.

Objective: This study aimed to explore barriers and enablers of using a physiotherapy clinical guideline as perceived by therapists who deliver physical therapies to people with SCI in local health care settings.

Method: Following guideline dissemination, therapists were invited to participate in a survey. The survey examined barriers and enablers of following the recommendations in the physiotherapy guideline. Guided by the Theoretical Domains Framework, the survey asked participants to rate their agreement with 18 statements and to answer free-text questions about barriers and enablers. Data analysis adopted a mixed methods approach, including triangulation of quantitative and qualitative data.

Results: Fifty-three therapists responded to the survey, representing regional and metropolitan health care settings, as well as public and private sectors. All respondents believed that delivering an intervention according to the guideline was worthwhile. The quantitative and qualitative findings highlighted several conditions under which therapists may find it difficult to follow guideline recommendations. These included potential conflict between patient expectations of therapy and care recommended by the guideline.

Conclusion: The findings offer insights into how therapists can be supported to provide evidence-based physical therapies to people with SCI in rehabilitation settings. Recommendations include targeting therapists who see few people with SCI, such as those who work in regional settings; delivering education alongside that of SCI psychosocial care; and including people with SCI as co-educators.

Spanish abstract: http://links.lww.com/IJEBH/A363.

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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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