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巴西初级保健物理治疗师的程序和专业实践特征描述。

Characterization of the procedures and professional practices of primary care physiotherapists in Brazil.

机构信息

Master Program in Rehabilitation Sciences (PPGCR/UnB), Universidade de Brasília (UnB), Campus UnB Ceilândia, Brasilia, Brazil.

Ministry of Health, Department of Basic Care (DAB), Brasilia, Brazil.

出版信息

Work. 2022;73(2):547-557. doi: 10.3233/WOR-205138.

DOI:10.3233/WOR-205138
PMID:35938261
Abstract

BACKGROUND

Physiotherapy interventions are well known and established in secondary and tertiary care. However, within the Brazilian primary health care (PHC), the role of physiotherapists is still under development, and there is a lack of representative data showing how and what is being implemented by these professionals.

OBJECTIVE

The aim was to characterize the professional practices of physiotherapists working at PHC in Brazil.

METHODS

This is an exploratory study that adopted a descriptive analysis based on the records of physiotherapists, considering assistance and sociodemographic aspects, in the period from 2016 to 2017. The following variables were extracted: region, federative unit and municipality, age group and sex of the attended user, condition/problem, procedure and place of attendance.

RESULTS

A total of 318,780 procedures were recorded, concentrated in the South and southeast regions, with a predominance of clinical-assistance procedures and a higher frequency of attendance in Basic Health Units. Among the assisted users, the female gender prevailed in the age group of 20 to 59 years. Low back pain was the most frequently treated condition.

CONCLUSION

The professional practices of physiotherapists working at PHC in Brazil were characterized by healthcare, clinical-assistance, preventive and health promotion activities, with emphasis on clinical-assistance practices focused on musculoskeletal conditions, especially low back pain.

摘要

背景

物理治疗干预在二级和三级护理中广为人知和确立。然而,在巴西的初级卫生保健(PHC)中,物理治疗师的角色仍在发展中,缺乏代表性数据表明这些专业人员正在如何以及实施什么。

目的

旨在描述在巴西从事 PHC 的物理治疗师的专业实践。

方法

这是一项探索性研究,采用基于 2016 年至 2017 年期间物理治疗师记录的描述性分析,考虑到援助和社会人口统计学方面。提取了以下变量:地区、联邦单位和城市、就诊用户的年龄组和性别、状况/问题、程序和就诊地点。

结果

共记录了 318780 项程序,集中在南部和东南部地区,以临床辅助程序为主,在基础卫生单位的就诊频率较高。在就诊用户中,女性在 20 至 59 岁年龄组中占优势。腰痛是最常治疗的疾病。

结论

在巴西从事 PHC 的物理治疗师的专业实践以医疗保健、临床辅助、预防和促进健康活动为特征,重点是针对肌肉骨骼疾病(尤其是腰痛)的临床辅助实践。

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