沙特阿拉伯医生对物理治疗师在前庭康复中作用的认知、知识和态度：一项横断面调查。

Perception, knowledge, and attitude of medical doctors in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey.

作者信息

Alyahya Danah, Kashoo Faizan Z

机构信息

Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Al Majmaah, Riyadh, Saudi Arabia.

出版信息

PeerJ. 2022 Mar 7;10:e13035. doi: 10.7717/peerj.13035. eCollection 2022.

DOI:10.7717/peerj.13035

PMID:35282282

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8908887/

Abstract

OBJECTIVES

There is compelling scientific evidence about the role of physiotherapists in vestibular rehabilitation. However, patients with vestibular-associated dizziness and balance disturbances are seldom referred to physiotherapists in Saudi Arabia. Therefore, this study aims to achieve insight into perceptions, knowledge, attitudes, and referral practices among Saudi Arabian medical doctors relating to the role of physiotherapists in vestibular rehabilitation.

METHODS

A sample of 381 medical doctors practicing in Saudi Arabia participated in this nationwide cross-sectional study. The sample was obtained from 226 hospitals across 13 provinces of Saudi Arabia by stratified sampling method. The 23-item questionnaire developed by a team of experts was emailed to medical doctors practicing in various hospitals across Saudi Arabia.

RESULTS

Out of 1,231 medical doctors invited, 381 medical doctors responded, giving a response rate of 30.9%. One hundred ninety-three (50.6%) medical doctors reported managing patients with vestibular rehabilitation. The most preferred specialist for managing patients with vestibular disorders was an Ear Nose Throat (ENT) specialist ( = 173, 89.6%). Related Sample Cochran's Q test showed statistically significant difference between preferred specialist for managing patients with vestibular disorders (ENT specialists, physiotherapists, nurses, occupational therapists and audiologists) (2(4) = 482.476, = 0.001). Out of 193 medical doctors, 153 (79.2%) reported no role of the physiotherapist in vestibular rehabilitation. One hundred forty-five (75.1%) of medical doctors reported that they were not aware of the role of physiotherapists in vestibular rehabilitation. Only 27 (15.5%) medical doctors reported referring patients with vestibular disorders to physiotherapists.

CONCLUSION

The study reports that physiotherapy services are underutilized in vestibular rehabilitation due to limited referral from Saudi Arabian medical doctors. Therefore, there is a need to increase the awareness among Saudi Arabian doctors about the physiotherapist's role in vestibular rehabilitation.

摘要

目的

有确凿的科学证据表明物理治疗师在前庭康复中所起的作用。然而，在沙特阿拉伯，患有前庭相关性头晕和平衡障碍的患者很少被转诊至物理治疗师处。因此，本研究旨在深入了解沙特阿拉伯医生对于物理治疗师在前庭康复中作用的认知、知识、态度及转诊行为。

方法

抽取381名在沙特阿拉伯执业的医生参与这项全国性横断面研究。样本通过分层抽样法从沙特阿拉伯13个省份的226家医院中获取。由一组专家编制的包含23个条目的问卷通过电子邮件发送给在沙特阿拉伯各医院执业的医生。

结果

在受邀的1231名医生中，381名医生做出回应，回应率为30.9%。193名（50.6%）医生报告曾对患者进行前庭康复治疗。治疗前庭疾病最受青睐的专科医生是耳鼻喉科（ENT）医生（n = 173，89.6%）。相关样本 Cochr an's Q检验显示，治疗前庭疾病的首选专科医生（耳鼻喉科医生、物理治疗师、护士、职业治疗师和听力学家）之间存在统计学显著差异（χ²(4) = 482.476，P = 0.001）。在193名医生中，153名（79.2%）报告物理治疗师在前庭康复中不起作用。145名（75.1%）医生报告他们不了解物理治疗师在前庭康复中的作用。只有27名（15.5%）医生报告曾将前庭疾病患者转诊至物理治疗师处。