Department of Thoracic Surgery, Heart of England NHS Foundation Trust, Birmingham Heartlands Hospital, Birmingham, UK.
Physiotherapy. 2013 Mar;99(1):56-62. doi: 10.1016/j.physio.2011.11.001. Epub 2012 Mar 21.
Evaluation of physiotherapeutic provision for patients undergoing open thoracotomy and lung surgery in the U.K. Timing of physiotherapy, modalities used and factors influencing practice were also investigated.
Survey.
Tertiary centres performing thoracic surgery.
Forty U.K. centres were identified, and senior physiotherapists were invited to participate.
A postal survey was distributed to identified centres in August 2008, with further follow-up of non-responders. This was adapted from a similar study conducted in Australia and New Zealand.
Thirty-one responses were received (78%). Pre-operative physiotherapy was provided by 87% of respondents: 10% provided physiotherapy for all patients and 77% only provided physiotherapy for high-risk patients. Pre-operative pulmonary rehabilitation was reported in 13% of centres. Postoperative physiotherapeutic assessment was undertaken routinely by 97% of respondents: 81% provided physiotherapy to all patients, and 16% only provided physiotherapy when a specific problem was identified. The treatments given were relatively standardised. The provision of physiotherapy following hospital discharge was generally very sparse.
This study provides a guide for physiotherapists working with patients undergoing thoracic surgery to use to compare their current practices. Postoperative physiotherapy is provided extensively to UK patients undergoing open thoracotomy. However, pre-operative provision is more variable and is mainly provided for high-risk patients. Despite the subsequent publication of pre- and postoperative pulmonary rehabilitation studies, UK physiotherapy practice remained similar to that reported in Australia and New Zealand. Further research in this field is necessary to investigate the role of pre-operative physiotherapy, the role of pre- and postoperative pulmonary rehabilitation, and the effectiveness of routine postoperative physiotherapy.
评估英国开胸和肺手术患者的物理治疗服务。还调查了物理治疗的时间、使用的方式以及影响实践的因素。
调查。
进行胸外科手术的三级中心。
确定了 40 个英国中心，并邀请资深物理治疗师参与。
2008 年 8 月向确定的中心分发了邮政调查，并对未回复者进行了进一步跟进。这是根据在澳大利亚和新西兰进行的类似研究改编的。
收到 31 份回复（78%）。87%的受访者提供术前物理治疗：10%为所有患者提供物理治疗，77%仅为高风险患者提供物理治疗。13%的中心报告了术前肺康复。97%的受访者常规进行术后物理治疗评估：81%为所有患者提供物理治疗，16%仅在发现特定问题时提供物理治疗。所给予的治疗相对标准化。患者出院后的物理治疗服务通常非常稀少。
这项研究为与接受开胸手术的患者合作的物理治疗师提供了一个指南，以用于比较他们当前的实践。术后物理治疗广泛提供给英国接受开胸手术的患者。然而，术前的服务更为多样化，主要提供给高风险患者。尽管随后发表了术前和术后肺康复研究，但英国的物理治疗实践仍与澳大利亚和新西兰的报告相似。需要进一步研究这一领域，以调查术前物理治疗的作用、术前和术后肺康复的作用以及常规术后物理治疗的效果。
