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培训物理治疗专业学生对患者进行教育:一项随机对照试验。

Training physiotherapy students to educate patients: A randomised controlled trial.

作者信息

Forbes R, Mandrusiak A, Smith M, Russell T

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, Australia.

School of Health and Rehabilitation Sciences, The University of Queensland, Australia.

出版信息

Patient Educ Couns. 2018 Feb;101(2):295-303. doi: 10.1016/j.pec.2017.08.009. Epub 2017 Aug 19.

DOI:10.1016/j.pec.2017.08.009
PMID:28847438
Abstract

OBJECTIVE

To determine the effect of a training intervention on physiotherapy students' self-efficacy and skills in the area of patient education.

METHODS

Final year physiotherapy students were randomised to an intervention group or a wait-list control group. The intervention group participated in a 3.5h training intervention about patient education that included video observation, simulated patient practice and structured feedback. The control group did not receive any training. Self-efficacy was assessed at baseline (T1) and after the intervention (or no intervention for the control group) (T2). Patient education performance was assessed by a blinded rater from a video-recorded standardised clinical examination.

RESULTS

83 students were randomised to the intervention group and 81 students to the control group. There were no differences in demographic variables or self-efficacy between groups at baseline. There was significant improvement in self-efficacy for the intervention group, but no change for the control group. The intervention group performed significantly better than the control group for nine of the eleven performance items, with significantly higher scores overall.

CONCLUSION

A training intervention enhances physiotherapy student self-efficacy and performance in patient education.

PRACTICE IMPLICATION

Use of patient education training is recommended to enhance student self-efficacy and performance.

摘要

目的

确定一项培训干预措施对物理治疗专业学生在患者教育领域的自我效能感和技能的影响。

方法

将物理治疗专业最后一年的学生随机分为干预组或等待名单对照组。干预组参加了一次为期3.5小时的关于患者教育的培训干预,包括视频观察、模拟患者实践和结构化反馈。对照组未接受任何培训。在基线时(T1)以及干预后(对照组无干预)(T2)评估自我效能感。由一名不知情的评分者通过视频记录的标准化临床检查对患者教育表现进行评估。

结果

83名学生被随机分配到干预组,81名学生被分配到对照组。两组在基线时的人口统计学变量或自我效能感方面没有差异。干预组的自我效能感有显著提高,而对照组没有变化。在11项表现项目中的9项上,干预组的表现明显优于对照组,总体得分显著更高。

结论

一项培训干预可提高物理治疗专业学生在患者教育方面的自我效能感和表现。

实践意义

建议采用患者教育培训来提高学生的自我效能感和表现。

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