AUT University, Health & Rehabilitation Research Institute and School of Podiatry, 90 Akoranga Drive, Auckland, 1142 New Zealand.
J Foot Ankle Res. 2015 Apr 14;8:14. doi: 10.1186/s13047-015-0071-z. eCollection 2015.
Rheumatic conditions can have a significant impact on the feet and requires effective management. Podiatric involvement in the management of rheumatic conditions has previously been found to be inadequate in a hospital-setting and no study has examined current trends across New Zealand. The aim was to evaluate the perceived barriers of New Zealand podiatrists in the management of rheumatic conditions.
A cross-sectional observational design using a web-based survey. The self-administered survey, comprising of thirteen questions, was made available to podiatrists currently practicing in New Zealand.
Fifty-six podiatrists responded and the results demonstrated poor integration of podiatrists into multidisciplinary teams caring for patients with arthritic conditions in New Zealand. Dedicated clinical sessions were seldom offered (16%) and few podiatrists reported being part of an established multidisciplinary team (16%). A poor uptake of clinical guidelines was reported (27%) with limited use of patient reported outcome measures (39%). The majority of podiatrists expressed an interest in professional development for the podiatric management of arthritic conditions (95%). All surveyed podiatrists (100%) agreed that there should be nationally developed clinical guidelines for foot care relating to arthritis.
The results suggest that there are barriers in the involvement of podiatrists in the management of people with rheumatic conditions in New Zealand. Future studies may provide an in-depth exploration into these findings to identify and provide solutions to overcome potential barriers.
风湿性疾病会对足部产生重大影响，需要进行有效的管理。以前发现，在医院环境中，足病医生在风湿性疾病的管理中参与不足，而且没有研究检查过新西兰目前的趋势。目的是评估新西兰足病医生在管理风湿性疾病方面的认知障碍。
采用横断面观察设计，使用基于网络的调查。这项自我管理调查包括 13 个问题，提供给目前在新西兰执业的足病医生。
56 名足病医生做出了回应，结果表明，新西兰的足病医生在多学科团队中整合较差，难以照顾患有关节炎的患者。很少提供专门的临床课程（16%），很少有足病医生报告说他们是既定多学科团队的一部分（16%）。报告称，临床指南的采用率很低（27%），很少使用患者报告的结果测量（39%）。大多数足病医生对关节炎的足病管理的专业发展表示有兴趣（95%）。所有接受调查的足病医生（100%）都认为应该为关节炎的足部护理制定全国性的临床指南。
结果表明，在新西兰，足病医生参与风湿性疾病患者的管理存在障碍。未来的研究可能会深入探讨这些发现，以确定和提供解决方案来克服潜在的障碍。
