一项探讨大都市和区域前列腺癌物理治疗实践影响因素的定性研究

IF 3 3区医学 Q1 REHABILITATION

Physiotherapy Pub Date : 2025-06-10 DOI:10.1016/j.physio.2025.101811

Alesha M. Sayner , Clarice Y. Tang , Kellie Toohey , Chennelle Mendoza , Irmina Nahon

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引用次数: 0

摘要

物理治疗师在管理前列腺癌治疗引起的症状方面起着至关重要的作用。尽管有这些好处，但关于物理治疗师在服务提供中的自我感知能力、促成因素和障碍的证据有限。本定性研究采用现象学方法探讨物理治疗师在澳大利亚维多利亚州大都会和地区为前列腺癌患者提供支持性护理的经验。进行了两个在线焦点小组，一个是大都市物理治疗师，另一个是地区物理治疗师。反思性专题分析确定了三个关键主题：1)无障碍专业发展的必要性；2)公共系统运营限制对服务获取的影响；3)在多学科团队内部和与患者建立关系的重要性。积极的促成因素包括在线学习机会和有效的多学科合作。建议强调了加强专业发展机会，促进指导计划和消除系统障碍以提高获得物理治疗服务的重要性。本研究确定了物理治疗师在为不同地理背景的前列腺癌患者提供最佳护理时提供有针对性支持的必要性。•本研究为物理治疗师为前列腺癌（PCa）患者提供支持性护理的经验提供了有价值的见解。•它突出了需要关注的关键领域，例如加强专业发展，系统操作的限制，多学科合作的价值以及区域物理治疗师面临的独特挑战。•解决这些挑战将增强为PCa患者提供可获得的循证护理的能力，最终改善治疗效果和生活质量。

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A qualitative study exploring influencers on metropolitan and regional physiotherapy practice in prostate cancer

Physiotherapists play a crucial role in managing symptoms that can arise from treatments for prostate cancer. Despite the benefits, limited evidence exists on physiotherapists’ self-perceived capabilities, enablers, and barriers in service provision. This qualitative study employed a phenomenological approach to explore the experiences of physiotherapists providing supportive care to patients with prostate cancer in metropolitan and regional Victoria, Australia. Two online focus groups were conducted, one with metropolitan and the other with regional physiotherapists. Reflexive thematic analysis identified three key themes: 1) the need for accessible professional development, 2) the impact of public system operational constraints on service access, and 3) the importance of rapport building within the multidisciplinary team and with patients. Positive enablers included online learning opportunities and effective multidisciplinary collaboration. Recommendations highlight the importance of bolstering professional development opportunities, fostering mentorship programs, and dismantling systemic barriers to enhance access to physiotherapy services. This study identifies the necessity for targeted support for physiotherapists in delivering optimal care for patients with prostate cancer across different geographical contexts.

Contribution of the Paper

•
This study provides valuable insights into the experiences of physiotherapists providing supportive care to people with prostate cancer (PCa).
•
It highlights critical areas requiring attention, such as enhancing professional development, the constraints of systems operations, the value of multi-disciplinary collaboration and unique challenges faced by regionally located physiotherapists.
•
Addressing these challenges will enhance the ability to provide accessible and evidence-based care to patients with PCa, ultimately improving treatment outcomes and quality of life.

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来源期刊

Physiotherapy 医学-康复医学

CiteScore

6.40

自引率

3.00%

发文量

377

审稿时长

82 days

期刊介绍： Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic reviews or meta-analyses, theoretical or debate articles, brief reports and technical reports. All papers should demonstrate methodological rigour.