a Department of Physiotherapy, Melbourne School of Health Sciences , The University of Melbourne , Melbourne , Victoria , Australia.
b Department of Cardiothoracic Surgery , Royal Melbourne Hospital, Royal Parade , Parkville , Australia.
Expert Rev Respir Med. 2018 Mar;12(3):203-215. doi: 10.1080/17476348.2018.1433034. Epub 2018 Feb 1.
Cardiorespiratory physiotherapy is an evidence-based practice that has evolved alongside changes in medical and surgical management, analgesia, the ageing society and increasing comorbidities of our patient populations. Continued research provides the profession with the ability to adapt to meet the changing patient and community needs. Areas covered: This review focuses on surgical, respiratory and critical care settings discussing the most significant changes over the past decade with an increased focus on rehabilitation across the care continuum and a shift away from providing predominately airway clearance in established disease populations but also providing this in emerging groups. Further important changes are identification and emphases on patient self-management including changing their behaviour to more positively embrace wellness, particularly increasing physical activity levels. This paper outlines these changes and offers speculation on factors that may impact the profession in the future. Expert commentary: The increasing focus on new technologies, physical activity levels, changes to the health systems in different countries and an increasingly comorbid and ageing society will shape the next steps in the evolution of cardiorespiratory physiotherapy. Continued research is vital to keep pace with these changes so that physiotherapists can provide the most effective treatments to improve patient outcomes.
心肺物理治疗是一种循证实践，随着医疗和手术管理、镇痛、老龄化社会以及患者人群合并症的增加而不断发展。持续的研究为该专业提供了适应不断变化的患者和社区需求的能力。涵盖领域：本篇综述重点讨论了外科、呼吸和重症监护环境，讨论了过去十年中最重要的变化，越来越注重康复治疗贯穿整个护理过程，不仅在已建立的疾病人群中提供主要的气道清除治疗，而且也为新兴群体提供该治疗。进一步的重要变化是确定并强调患者自我管理，包括改变他们的行为以更积极地拥抱健康，特别是提高身体活动水平。本文概述了这些变化，并对未来可能影响该专业的因素进行了推测。专家评论：对新技术、身体活动水平、不同国家医疗体系变化以及日益增多的合并症和老龄化社会的日益关注，将塑造心肺物理治疗的下一步发展。持续的研究对于跟上这些变化至关重要，以便物理治疗师能够提供最有效的治疗方法，改善患者的治疗效果。
