Verburg Arie C, Zincken Jessica, Kiers Henri, van Dulmen Simone A, van der Wees Philip J
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Institute of Human Movement Studies, Utrecht University of Applied Sciences, Utrecht, The Netherlands.
J Patient Rep Outcomes. 2022 Jul 19;6(1):79. doi: 10.1186/s41687-022-00487-2.
The quality of physiotherapy care for patients with chronic obstructive pulmonary disease (COPD) can be improved by comparing outcomes of care in practice.
To evaluate the experiences of physiotherapists implementing a standard set of measurement instruments to measure outcomes and improve the quality of care for patients with COPD.
This sequential explanatory mixed methods study was performed in two parts. In the quantitative part, a survey of 199 physiotherapists was conducted to evaluate their attitudes and knowledge, as well as the influence of contextual factors (i.e., practice policy and support from colleagues), in the implementation of the standard measurement set. In the qualitative part, 11 physiotherapists participated in individual interviews to elucidate their experiences using a thematical framework.
The survey showed that, on average, 68.4% of the physiotherapists reported having a positive attitude about using the standard set, 85.0% felt they had sufficient knowledge of the measurement instruments, and 84.7% felt supported by practice policy and colleagues. In total, 80.3% of physiotherapists thought the standard set had added value in clinical practice, and 90.3% indicated that the measurement instruments can be valuable for evaluating treatment outcomes. The physiotherapists mentioned several barriers, such as lack of time and the unavailability of the entire standard set of measurement instruments in their practice. Moreover, the physiotherapists indicated that the measurement instruments have added value in providing transparency to policymakers through the anonymized publication of outcomes.
Physiotherapists support the use of the standard set of measurement instruments to improve the quality of physiotherapy treatment for patients with COPD.
通过比较实际护理结果，可以提高慢性阻塞性肺疾病（COPD）患者的物理治疗护理质量。
评估物理治疗师使用一套标准测量工具来测量结果并提高COPD患者护理质量的经验。
本项序列解释性混合方法研究分两个部分进行。在定量部分，对199名物理治疗师进行了调查，以评估他们的态度和知识，以及情境因素（即实践政策和同事的支持）在标准测量集实施中的影响。在定性部分，11名物理治疗师参与了个人访谈，以使用主题框架阐明他们的经验。
调查显示，平均而言，68.4%的物理治疗师报告对使用标准集持积极态度，85.0%的人认为他们对测量工具有足够的了解，84.7%的人感到得到了实践政策和同事的支持。总体而言，80.3%的物理治疗师认为标准集在临床实践中具有附加价值，90.3%的人表示测量工具对评估治疗结果很有价值。物理治疗师提到了几个障碍，如时间不足以及他们的实践中无法获得整套标准测量工具。此外，物理治疗师表示，通过对结果进行匿名发布，测量工具在为政策制定者提供透明度方面具有附加价值。
物理治疗师支持使用标准测量工具集来提高COPD患者物理治疗的质量。
