Renteria Cristian, Berg Katherine
Working Condition Program, Sunnybrook Health Sciences Centre.
Department of Physical Therapy, University of Toronto, Toronto.
Physiother Can. 2019 Summer;71(3):239-249. doi: 10.3138/ptc.2018-31.
We examined physiotherapists' use of functional outcome measures in their practice to compare the frequency of use of functional outcome measures and impairment-based measures and to explore policies and practices related to the use of functional outcome measures in Colombia. Eligible participants were licensed physiotherapists actively practising in Colombia. They were recruited by means of a survey link sent via email by a continuing education organization to all the physiotherapists in its database and through snowball sampling. The survey was adapted from questionnaires previously used in similar research in other countries. We used descriptive statistics to describe the use of 14 functional outcome measures and 4 impairment-based measures that have been translated into Spanish and to compare the demographics of the participants who used and did not use the listed functional outcome measures. Of the 606 respondents, 87% used 1-14 of the listed functional outcome measures regularly or sometimes in their practice. The most commonly used functional outcome measures were the Borg Rating of Perceived Exertion (59%), the Barthel Index (56%), and the Berg Balance Scale (53%). In addition, 60% of respondents reported their workplace does charting electronically, 66% stated that their practice mandates or regularly uses functional outcome measures, and 59% indicated that they can independently select which outcome measures to use. The majority of Colombian physiotherapists surveyed are using outcome measures in their practice, which indicates that they are engaged in evidence-based practice. Study findings may stimulate more sharing of information on patient outcomes among Colombian physiotherapists, promote further research, and contribute to advancing practice in Colombia.
我们研究了物理治疗师在其临床实践中对功能结局测量指标的使用情况,以比较功能结局测量指标和基于损伤的测量指标的使用频率,并探索哥伦比亚与功能结局测量指标使用相关的政策和实践。符合条件的参与者是在哥伦比亚积极执业的持牌物理治疗师。他们是通过一个继续教育组织通过电子邮件发送给其数据库中所有物理治疗师的调查链接,并通过滚雪球抽样的方式招募的。该调查改编自先前在其他国家类似研究中使用的问卷。我们使用描述性统计来描述14种已翻译成西班牙语的功能结局测量指标和4种基于损伤的测量指标的使用情况,并比较使用和未使用所列功能结局测量指标的参与者的人口统计学特征。在606名受访者中,87%在其临床实践中经常或有时使用所列功能结局测量指标中的1 - 14种。最常用的功能结局测量指标是博格自觉用力评分法(59%)、巴氏指数(56%)和伯格平衡量表(53%)。此外,60%的受访者表示他们的工作场所以电子方式进行记录,66%表示他们的临床实践要求或经常使用功能结局测量指标,59%表示他们可以独立选择使用哪些结局测量指标。接受调查的大多数哥伦比亚物理治疗师在其临床实践中使用结局测量指标,这表明他们从事基于证据的实践。研究结果可能会促使哥伦比亚物理治疗师之间更多地分享关于患者结局的信息,促进进一步的研究,并有助于推动哥伦比亚的临床实践发展。