循证实践：巴西皮肤科物理治疗师的调查。
Evidence-Based Practice: a survey of Brazilian physical therapists from the dermatology subdiscipline.
机构信息
Centro Universitário Estácio de Santa Catarina, São José, Santa Catarina, Brazil.
Instituto Brasileiro de Terapias e Ensino (IBRATE), Curitiba, Paraná, Brazil.
出版信息
Braz J Phys Ther. 2019 Sep-Oct;23(5):395-401. doi: 10.1016/j.bjpt.2018.10.002. Epub 2018 Oct 12.
BACKGROUND
Dermatology is a relatively new subdiscipline of physical therapy with growth potential. Therefore, it is important to identify whether professionals from this area have the knowledge and skills required to offer the best available service based on evidence-based practice.
OBJECTIVES
To describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the evidence-based practice of Brazilian physical therapists from the dermatology subdiscipline.
METHODS
An adapted electronic questionnaire was sent by the Brazilian Association of Dermatology Physical Therapy via email to all registered members. The data were analyzed descriptively.
RESULTS
The response rate was 40.4% (101/250). Brazilian physical therapists from the dermatology subdiscipline reported that they update themselves equally through scientific papers and courses, and access preferentially databases that offer scientific papers in the Portuguese language. Respondents believe they have sufficient knowledge to use evidence-based practice, inform patients about treatment options and consider their choices in the decision-making process. However, there were inconsistencies in responses regarding the experience with evidence-based practice during undergraduate or postgraduate degree, as well as having discussions about evidence-based practice in the workplace. The barriers most frequently reported were difficulty to obtain full-text papers, lack of quality of the scientific papers, applicability of the findings into clinical practice, lack of evidence-based practice training and difficulty to understand the statistics.
CONCLUSION
Brazilian physical therapists from the dermatology subdiscipline have positive perceived behavior, believe that they have sufficient knowledge and skills, and have favorable opinion related to evidence-based practice. However, there are inconsistencies related to some aspects of knowledge and skills set.
背景
皮肤病学是物理治疗学中一个相对较新的分支领域，具有发展潜力。因此，重要的是要确定该领域的专业人员是否具备基于循证实践提供最佳服务所需的知识和技能。
目的
描述巴西皮肤科物理治疗师自我报告的行为、知识、技能、意见和循证实践障碍。
方法
巴西皮肤病物理治疗师协会通过电子邮件向所有注册成员发送了一份经过改编的电子问卷。对数据进行描述性分析。
结果
响应率为 40.4%（101/250）。巴西皮肤科物理治疗师报告说，他们通过科学论文和课程同等地更新自己的知识，并且优先访问提供葡萄牙语科学论文的数据库。受访者认为他们有足够的知识来使用循证实践，向患者介绍治疗选择，并在决策过程中考虑他们的选择。然而，在本科或研究生阶段的循证实践经验以及在工作场所讨论循证实践方面，存在不一致的回答。报告最多的障碍是难以获取全文论文、缺乏科学论文的质量、研究结果在临床实践中的适用性、缺乏循证实践培训以及难以理解统计学。
结论
巴西皮肤科物理治疗师具有积极的感知行为，认为他们具有足够的知识和技能，并且对循证实践有良好的意见。然而，在知识和技能方面存在一些不一致的地方。
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