Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Physiotherapy Department, Prince of Wales Hospital, South Eastern Sydney Local Health District, Randwick, New South Wales, Australia.
Physiother Res Int. 2022 Oct;27(4):e1960. doi: 10.1002/pri.1960. Epub 2022 May 30.
Investigating physical therapy in amputation management offers insights into clinical practice. This study explores the self-reported clinical practice of physical therapists in amputation management and compares it to established clinical practice guidelines to determine whether physical therapists are delivering care that is considered recommended clinical practice.
An online survey of Australian physical therapists with limited or extensive experience in managing individuals following amputation.
A total of 110 responses were received. The majority of Australian physical therapists (83%) reported their skills were adequate however, reported a lack of professional development opportunities. Physical therapists reported coordinating care with other health and medical professionals across all phases of care. They report providing comprehensive care in the following areas: residual limb management, pain management, falls prevention, education, counselling, psychological and peer support, and discharge planning. The majority of physical therapists were not aware if a comprehensive care plan was in place following a transition of care from a previous health service.
Overall, physical therapists displayed clinical practice meeting the guidelines across most areas of amputation management. Future research into alternate data collection of clinical practice, and the development of physical therapy-specific clinical practice guidelines is needed.
研究截肢管理中的物理治疗方法可以深入了解临床实践。本研究探讨了物理治疗师在截肢管理中的自我报告的临床实践,并将其与既定的临床实践指南进行比较,以确定物理治疗师是否提供了被认为是推荐的临床实践的护理。
对澳大利亚有或没有管理截肢后个体经验的物理治疗师进行在线调查。
共收到 110 份回复。大多数澳大利亚物理治疗师(83%)报告他们的技能足够,但报告缺乏专业发展机会。物理治疗师报告在护理的所有阶段与其他健康和医疗专业人员协调护理。他们报告在以下领域提供全面的护理:残肢管理、疼痛管理、预防跌倒、教育、咨询、心理和同伴支持以及出院计划。大多数物理治疗师不知道在从以前的医疗服务过渡到护理后是否有一个全面的护理计划。
总体而言,物理治疗师在截肢管理的大多数领域表现出符合指南的临床实践。需要进一步研究替代临床实践数据收集方法,并制定物理治疗专业的临床实践指南。