da Silva Tatiane Mota, Costa Lucíola da Cunha Menezes, Garcia Alessandra Narciso, Costa Leonardo Oliveira Pena
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Brazil.
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Brazil; Musculoskeletal Division, The George Institute for Global Health, Australia.
Man Ther. 2015 Jun;20(3):388-401. doi: 10.1016/j.math.2014.10.009. Epub 2014 Oct 24.
Evidence-Based Practice (EBP) has been widely implemented in different health-related areas. Several studies investigated important characteristics in EBP by physiotherapists and systematic review is needed. Therefore the aim of this study is to describe the current evidence on EBP knowledge, skills, behaviour, opinions and barriers by physiotherapists. Searches were conducted on MEDLINE, EMBASE, CINAHL, PSYCINFO, LILACS, and SciELO in September 2014. We retrieved quantitative cross-sectional studies that investigated EBP knowledge, skills, behaviour, opinions, and barriers in physiotherapy. Risk of bias was assessed using a scale to evaluate representativeness of the sample, response rate, the accuracy of the data, evidence of power calculation and the instrument used. The search yielded 12,392 potentially eligible studies. Of these, 12 studies were included in the review (pooled sample = 6411 participants). In 3 studies that analysed knowledge, approximately 21-82% of respondents claimed to have received prior information on EBP. In 2 studies that reported skills and behaviour, nearly half of the sample had used databases to support clinical decision-making. In 6 studies that investigated opinions, the majority of the samples considered EBP necessary or important. The barriers most frequently reported were: lack of time, inability to understand statistics, lack of support from employer, lack of resources, lack of interest and lack of generalisation of results. Although the majority of physiotherapists have a positive opinion about EBP, they consider that they need to improve their knowledge, skills and behaviour towards EBP. They also faced barriers that might hinder the implementation of EBP.
循证实践（EBP）已在不同的健康相关领域广泛实施。多项研究调查了物理治疗师在循证实践中的重要特征，因此需要进行系统综述。因此，本研究的目的是描述物理治疗师在循证实践知识、技能、行为、观点和障碍方面的现有证据。2014年9月在MEDLINE、EMBASE、CINAHL、PSYCINFO、LILACS和SciELO上进行了检索。我们检索了调查物理治疗中循证实践知识、技能、行为、观点和障碍的定量横断面研究。使用一个量表评估偏倚风险，以评估样本的代表性、应答率、数据准确性、功效计算证据和所使用的工具。检索产生了12392项潜在符合条件的研究。其中，12项研究纳入综述（合并样本=6411名参与者）。在3项分析知识的研究中，约21%-82%的受访者声称曾收到过循证实践的相关信息。在2项报告技能和行为的研究中，近一半的样本使用数据库支持临床决策。在6项调查观点的研究中，大多数样本认为循证实践是必要的或重要的。最常报告的障碍有：时间不足、无法理解统计学、缺乏雇主支持、资源匮乏、缺乏兴趣以及结果缺乏普遍性。尽管大多数物理治疗师对循证实践持积极态度，但他们认为自己需要提高在循证实践方面的知识、技能和行为。他们还面临可能阻碍循证实践实施的障碍。
