Department of Physiotherapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, La Trobe University, Bundoora, Australia.
Neurourol Urodyn. 2018 Nov;37(8):2658-2668. doi: 10.1002/nau.23716. Epub 2018 May 24.
The experiences and information needs of clinicians who use pelvic floor muscle training to manage urinary incontinence were explored.
Qualitative methods were used to conduct thematic analysis of data collected from clinician focus groups and interviews. Participants were registered physiotherapists and continence nurses in Melbourne, Australia. Recruitment was through a combination of purposive and "snowball" sampling and continued until data adequacy was reached.
Twenty-eight physiotherapists and one continence nurse participated in seven focus groups and one interview. The main finding communicated by the participants was that pelvic floor muscle training requires comprehensive descriptions of program details in order for clinicians to implement evidence-based interventions. The following themes were identified: (1) pelvic floor muscle training tailored to the needs of each individual is essential; (2) training-specific cues and verbal prompts assist patients to learn and engage with exercises; and (3) clinicians can benefit from research summaries and reports that provide explicit and comprehensive descriptions and decision rules about intervention content and progression. The data indicated that some clinicians can have difficulty interpreting and applying research findings because it is not always well reported.
Clinicians who use pelvic floor muscle training to treat urinary incontinence advised can benefit from accessing explicit details of interventions tested in research and reported as effective. They viewed tailoring therapy to individual goals and the use of verbal prompts and visualization cues as important engagement strategies for effective exercise performance. Explicit reporting could be facilitated by using an exercise guideline template, such as the Consensus on Exercise Reporting Template (CERT).
探讨使用盆底肌训练治疗尿失禁的临床医生的经验和信息需求。
采用定性方法对来自临床医生焦点小组和访谈中收集的数据进行主题分析。参与者为澳大利亚墨尔本的注册物理治疗师和尿失禁护士。通过有目的和“滚雪球”抽样相结合进行招募，直到达到数据充足性。
28 名物理治疗师和 1 名尿失禁护士参加了 7 个焦点小组和 1 次访谈。参与者传达的主要发现是，为了使临床医生实施基于证据的干预措施，盆底肌训练需要全面描述方案细节。确定了以下主题：（1）针对每个个体的需求进行个性化的盆底肌训练至关重要；（2）训练特定的提示和口头提示有助于患者学习和参与锻炼；（3）临床医生可以从研究摘要和报告中受益，这些报告提供了关于干预内容和进展的明确和全面的描述和决策规则。数据表明，由于研究报告不总是清晰明了，一些临床医生可能难以解释和应用研究结果。
使用盆底肌训练治疗尿失禁的临床医生建议可以从获取经过研究测试并报告有效的干预措施的明确细节中受益。他们认为，根据个人目标调整治疗和使用口头提示和可视化提示是实现有效锻炼的重要参与策略。通过使用锻炼指南模板（如共识锻炼报告模板（CERT））可以促进明确报告。
