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物理治疗师对慢性下腰痛的电子健康治疗的看法。

Physical Therapists' Opinion of E-Health Treatment of Chronic Low Back Pain.

机构信息

Department of Nursing, Physiotherapy and Medicine, Almeria University, 04120 Almeria, Spain.

Malaga Health District, Andalusian Health Service, 29009 Málaga, Spain.

出版信息

Int J Environ Res Public Health. 2021 Feb 16;18(4):1889. doi: 10.3390/ijerph18041889.

Abstract

(1) Background: Using new technologies to manage home exercise programmes is an approach that allows more patients to benefit from therapy. The objective of this study is to explore physical therapists' opinions of the efficacy and disadvantages of implementing a web-based telerehabilitation programme for treating chronic low back pain (CLBP). (2) Methods: Nineteen physical therapists from academic and healthcare fields in both the public and private sector participated in the qualitative study. Texts extracted from a transcript of semi-structured, individual, in-depth interviews with each consenting participant were analysed to obtain the participants' prevailing opinions. The interviews lasted approximately 40 min each. The participants' responses were recorded. (3) Results: The results suggest that telerehabilitation can only be successful if patients become actively involved in their own treatment. However, exercise programmes for LBP are not always adapted to patient preferences. New technologies allow physical therapists to provide their patients with the follow-up and remote contact they demand, but long-term adherence to treatment stems from knowledge of the exercises and the correct techniques employed by the patients themselves. (4) Conclusions: Physical therapists treating patients with chronic non-specific low back pain believe that new technologies can provide highly effective means of reaching a greater number of patients and achieving significant savings in healthcare costs, despite the limitations of a telerehabilitation approach in developing an appropriate and effective patient-based physiotherapy programme.

摘要

(1) 背景:利用新技术管理家庭运动方案是一种可以让更多患者受益于治疗的方法。本研究的目的是探讨物理治疗师对基于网络的远程康复治疗慢性下腰痛(CLBP)方案的疗效和缺点的看法。 (2) 方法:19 名来自公共和私营部门学术和医疗领域的物理治疗师参加了这项定性研究。从每位同意参与的参与者的半结构化、个体、深入访谈的记录中提取的文本进行了分析,以了解参与者的主要意见。每次访谈持续约 40 分钟。参与者的回答被记录下来。 (3) 结果:结果表明,只有当患者积极参与自己的治疗时,远程康复才能取得成功。然而,下腰痛的运动方案并不总是能适应患者的偏好。新技术使物理治疗师能够为患者提供他们所需的随访和远程联系,但长期坚持治疗源于患者对运动的了解以及患者自身正确的技术。 (4) 结论:治疗慢性非特异性下腰痛患者的物理治疗师认为,尽管远程康复方法在制定合适和有效的基于患者的物理治疗方案方面存在局限性,但新技术可以为更多患者提供高效的治疗手段,并显著节省医疗保健成本。

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