Hayward Simon, Smith Mike, Innes Sue
Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Ultrasound. 2020 Feb;28(1):14-22. doi: 10.1177/1742271X19861131. Epub 2019 Jul 16.
Physiotherapists are learning to perform diagnostic thoracic ultrasound but it is currently unknown how they are learning, how they are using thoracic ultrasound in their practice, or any factors affecting the implementation of thoracic ultrasound into practice. The aim of this survey was to explore the use of thoracic ultrasound by physiotherapists. This information could be used to aid training and implementation strategies to assist physiotherapists to integrate thoracic ultrasound safely into their practice.
A questionnaire comprising of open/closed questions was distributed to respiratory physiotherapist. Distribution was at three national study days and via a specialist newsletter containing a link to a SurveyMonkey™ questionnaire.
A total of 133 questionnaires were returned with 31 reported that they used thoracic ultrasound imaging and 101 reporting they did not. The most common roles of thoracic ultrasound in practice were to: enhance the ability to differentially diagnose respiratory pathologies, aid respiratory assessment and support clinical reasoning. Of the 133 respondents, 58 reported that they had undertaken training in thoracic ultrasound imaging and 75 had not. The most common factors identified regarding thoracic ultrasound implementation were team support, ultrasound machine availability/cost, time pressures and mentor availability.
This survey has provided an understanding of thoracic ultrasound practice amongst respiratory physiotherapists in the UK. The survey results demonstrated the barriers that inhibit current practice and highlighted the importance of mentor support. There was a good understanding by all respondents regarding the clinical application of thoracic ultrasound. These findings are being used to develop professional guidance and ensure safe practice of thoracic ultrasound.
物理治疗师正在学习进行胸部超声诊断，但目前尚不清楚他们是如何学习的，在实践中如何使用胸部超声，或者有哪些因素影响胸部超声在实践中的应用。本次调查的目的是探讨物理治疗师对胸部超声的使用情况。这些信息可用于辅助培训和实施策略，以帮助物理治疗师将胸部超声安全地融入其实践中。
向呼吸科物理治疗师发放了一份包含开放式/封闭式问题的问卷。发放方式为在三个全国性研究日进行，以及通过一份专业时事通讯，其中包含指向SurveyMonkey™问卷的链接。
共回收133份问卷，其中31份报告称他们使用胸部超声成像，101份报告未使用。胸部超声在实践中最常见的作用是：提高鉴别诊断呼吸道疾病的能力、辅助呼吸评估以及支持临床推理。在133名受访者中，58人报告他们接受过胸部超声成像培训，75人未接受过。关于胸部超声应用所确定的最常见因素是团队支持、超声设备的可用性/成本、时间压力和导师的可用性。
本次调查提供了对英国呼吸科物理治疗师胸部超声实践情况的了解。调查结果表明了阻碍当前实践的障碍，并突出了导师支持的重要性。所有受访者对胸部超声的临床应用都有很好的理解。这些发现正被用于制定专业指南，并确保胸部超声的安全应用。
