安大略省脊椎按摩师调查：他们对最大限度提高患者对规定家庭锻炼的依从性的看法。
A survey of Ontario chiropractors: their views on maximizing patient compliance to prescribed home exercise.
作者信息
Ainsworth Kelly Donkers, Hagino Carol C
机构信息
McMaster University, Hamilton, ON, Canada.
出版信息
J Can Chiropr Assoc. 2006 Jun;50(2):140-55.
OBJECTIVE
The objective of this study was to compile an inventory of the strategies most frequently used by Ontario chiropractors in their efforts to maximize patient compliance to prescribed home exercise.
DESIGN
The design consisted of a cross-sectional self-report web-based survey of Ontario chiropractors.
PARTICIPANTS
Eligible participants consisted of chiropractors in active practice in Ontario (treating, on average, at least 1 patient per week) and prescribing home exercises at least once in the last 30 days.
RESULTS
The compliance strategies used most frequently by Ontario chiropractors were: keeping instructions simple (82%, 95% CI = 75-90%); motivating patients by explaining exercises in a positive and enthusiastic manner (81%, 95% CI = 74-89%); giving patients encouragement, support and praise (80%, 95% CI = 72-88%); prescribing exercises that require low-cost equipment (70%, 95% CI = 61-78%); and supplying patients with material that helps demonstrate the exercises (62%, 95% CI = 53-71%) and educating patients by discussing the importance of and benefits to exercise (62%, 95% CI = 53-71%).
CONCLUSION
There appeared to be respondent consensus on the main compliance strategies used by Ontario chiropractors. Now that we have a current listing.
目的
本研究的目的是编制一份安大略省脊椎按摩师为使患者最大程度地遵守规定的家庭锻炼而最常使用的策略清单。
设计
该设计包括对安大略省脊椎按摩师进行的基于网络的横断面自我报告调查。
参与者
符合条件的参与者包括安大略省正在执业的脊椎按摩师（平均每周至少治疗1名患者）且在过去30天内至少开具过一次家庭锻炼处方。
结果
安大略省脊椎按摩师最常使用的依从性策略为：使说明简单明了（82%，95%置信区间=75 - 90%）；以积极热情的方式解释锻炼来激励患者（81%，95%置信区间=74 - 89%）；给予患者鼓励、支持和赞扬（80%，95%置信区间=72 - 88%）；开具需要低成本设备的锻炼处方（70%，95%置信区间=61 - 78%）；为患者提供有助于演示锻炼的材料（62%，95%置信区间=53 - 71%）以及通过讨论锻炼的重要性和益处来教育患者（62%，95%置信区间=53 - 71%）。
结论
安大略省脊椎按摩师使用的主要依从性策略似乎存在受访者共识。既然我们有了当前的清单。
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