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加拿大物理治疗师在预防和管理糖尿病方面的知识、态度及当前实践

Knowledge, Attitudes, and Current Practices of Canadian Physiotherapists in Preventing and Managing Diabetes.

作者信息

Doehring Karly, Durno Scott, Pakenham Catherine, Versi Bashir, DePaul Vincent G

机构信息

School of Rehabilitation Science, McMaster University (at time of study); Vestibular and Orthopaedic Rehabilitation, Waterloo.

School of Rehabilitation Science, McMaster University (at time of study); Toronto Rehabilitation Institute-University Health Network.

出版信息

Physiother Can. 2016;68(3):298-306. doi: 10.3138/ptc.2015-63.

Abstract

To describe the knowledge, attitudes, and current practices of Canadian physiotherapists in preventing and managing diabetes. Members of the Canadian Physiotherapy Association were recruited by email to participate in a Web-based survey. The survey contained 40 items in four domains: demographics and education, attitudes and beliefs, current practices, and knowledge of diabetes. A descriptive analysis was completed for all the response variables from the survey. A total of 401 physiotherapists from 10 provinces and 2 territories participated. Respondents were most confident in providing education about exercise and had decreasing confidence in providing education about managing secondary complications, weight management, blood sugar control, and nutrition, respectively. Only 32.4% of participants offered diabetes management counselling, citing lack of training. Knowledge was generally good, except for activity guidelines. A significant proportion of physiotherapists lack confidence in providing key aspects of care to patients with diabetes. Gaps in clinical practice and knowledge of activity guidelines were also observed. This study highlights the need to review entry-level physiotherapy training and to develop continuing educational opportunities in this area.

摘要

描述加拿大物理治疗师在预防和管理糖尿病方面的知识、态度和当前做法。通过电子邮件招募加拿大物理治疗师协会成员参与一项基于网络的调查。该调查包含四个领域的40个项目:人口统计学与教育、态度与信念、当前做法以及糖尿病知识。对调查中的所有响应变量进行了描述性分析。来自10个省和2个地区的401名物理治疗师参与了调查。受访者在提供运动教育方面最有信心,而在提供关于管理继发性并发症、体重管理、血糖控制和营养方面的教育时,信心依次降低。只有32.4%的参与者提供糖尿病管理咨询,理由是缺乏培训。除了活动指南外,知识总体良好。相当一部分物理治疗师在为糖尿病患者提供关键护理方面缺乏信心。还观察到临床实践和活动指南知识方面的差距。本研究强调需要审查物理治疗入门培训,并在该领域开发继续教育机会。

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