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执业前跨专业视角:盆底健康物理治疗

Pre-Licensure Inter-Professional Perspectives: Pelvic Health Physiotherapy.

作者信息

Alaniz Grecia, Dods Margot, Dackovic Helena, Mascola Matthew, Moreira Karen, Dufour Sinéad

机构信息

Faculty of Health Science, McMaster University, Hamilton.

Radius Health Clinic, Chatham.

出版信息

Physiother Can. 2020 Summer;72(3):298-304. doi: 10.3138/ptc-2018-0112.

Abstract

In this study, we examined knowledge and perspectives pertaining to pelvic health physiotherapy among medical, midwifery, nursing, and physician assistant students at McMaster University. Moreover, we identified opportunities to improve knowledge translation to facilitate inter-professional education in urogynecological care. A cross-sectional design was created to distribute an online survey to participants using a modified Dillman approach. The survey assessed areas of clinical interest in, knowledge of the scope of practice of, and regulations governing pelvic health physiotherapy in specific, in addition to clinical applications. Fisher's exact and Kruskal-Wallis tests were used to assess statistical significance. A total of 90% of the participants incorrectly indicated that internal digital exams could be delegated to physiotherapy assistants, and 50% believed that Kegel exercises were appropriate for all presentations of pelvic floor dysfunction. Moreover, when prompted to select conditions that could be treated by pelvic health physiotherapists, only 2% of the participants selected the correct conditions. Knowledge in all four programmes about the scope of practice, authorized activities, and application of pelvic health physiotherapy is inadequate. To foster the optimal integration of urogynecology into the relevant health science curriculums, enhanced inter-professional education, inclusive of pelvic health physiotherapy knowledge, appears to be needed.

摘要

在本研究中,我们调查了麦克马斯特大学医学、助产、护理和医师助理专业学生关于盆腔健康物理治疗的知识和观点。此外,我们确定了改善知识转化的机会,以促进泌尿妇科护理方面的跨专业教育。采用横断面设计,使用改良的迪尔曼方法向参与者发放在线调查问卷。该调查评估了对盆腔健康物理治疗的临床兴趣领域、实践范围知识、相关法规,以及临床应用。使用费舍尔精确检验和克鲁斯卡尔 - 沃利斯检验来评估统计学意义。共有90%的参与者错误地表示可以将内部指检委托给物理治疗助理,50%的人认为凯格尔运动适用于所有盆底功能障碍的情况。此外,当被要求选择可以由盆腔健康物理治疗师治疗的病症时,只有2%的参与者选择了正确的病症。所有四个专业课程中关于盆腔健康物理治疗的实践范围、授权活动和应用的知识都不足。为了促进泌尿妇科最佳地融入相关健康科学课程,似乎需要加强包括盆腔健康物理治疗知识在内的跨专业教育。

相似文献

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An argument for competency-based training in pelvic floor physiotherapy practice.提倡基于能力的盆底物理治疗实践培训。
Physiother Theory Pract. 2019 Dec;35(12):1117-1130. doi: 10.1080/09593985.2018.1470706. Epub 2018 May 10.

本文引用的文献

1
No. 164-Consensus Guidelines for the Management of Chronic Pelvic Pain.第164号——慢性盆腔疼痛管理共识指南
J Obstet Gynaecol Can. 2018 Nov;40(11):e747-e787. doi: 10.1016/j.jogc.2018.08.015.

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