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新冠后综合征患者的物理治疗评估:奥地利和南蒂罗尔的物理治疗师对测量仪器的当前使用情况

Physiotherapeutic evaluation of patients with post COVID-19 condition: current use of measuring instruments by physiotherapists working in Austria and South Tyrol.

作者信息

Spiegl Claudia, Schiefermeier-Mach Natalia, Schifferegger Erika, Wiederin Claudia, Scheiber Barbara

机构信息

Department of Physiotherapy, Health University of Applied Sciences Tyrol, FH Gesundheit Tirol, Innrain 98, 6020, Innsbruck, Austria.

Unit for Research and Innovation, Health University of Applied Sciences Tyrol, FH Gesundheit Tirol, Innrain 98, 6020, Innsbruck, Austria.

出版信息

Arch Physiother. 2022 Sep 15;12(1):21. doi: 10.1186/s40945-022-00147-0.

Abstract

BACKGROUND

The implementation of standardized assessments in physiotherapeutic practice strongly supports diagnostic and treatment plans. Previous studies reported insufficient usage of standardized assessments due to lack of time, lack of knowledge, lack of resources and other barriers. Physiotherapy in outpatient settings became essential for the rehabilitation of patients with post COVID-19 condition but it remains unknown to what extent assessments are implemented into the evaluation of these patients. In this study, we explored the current use and barriers regarding the implementation of physiotherapeutic assessments to evaluate patients with post COVID-19 condition.

METHODS

A cross-sectional online survey was carried out among 180 physiotherapists working in outpatient settings in Austria and South Tyrol.

RESULTS

The majority of physiotherapists (88%) indicated that standardized assessments are useful, though less than a fifth of participants actually implement assessments in practice. Among implementation barriers, "insufficient experience" (41.8%) and "lack of knowledge" (36.6%) were mentioned most often. Concerning specific post COVID-19 assessments, the evaluation of "physical and respiratory function", "quality of life" and "activities of daily living" were stated to be of particular relevance.

CONCLUSIONS

Our study revealed a low implementation rate and identified the main barriers regarding the non-usage of standardized assessments for post COVID-19 patients.

TRIAL REGISTRATION

The Private University for Health Sciences and Health Technology (UMIT TIROL), and the Research Committee for Scientific Ethical Questions granted approval for the survey (RCSEQ, Hall in Tirol, Austria, Number 2834).

摘要

背景

在物理治疗实践中实施标准化评估对诊断和治疗计划有很大支持作用。先前的研究报告称,由于时间不足、知识缺乏、资源匮乏及其他障碍,标准化评估的使用不足。门诊物理治疗对于新冠康复患者的康复至关重要,但目前尚不清楚在对这些患者的评估中,评估的实施程度如何。在本研究中,我们探讨了在评估新冠康复患者时物理治疗评估的当前使用情况及障碍。

方法

对奥地利和南蒂罗尔门诊工作的180名物理治疗师进行了横断面在线调查。

结果

大多数物理治疗师(88%)表示标准化评估是有用的,尽管实际在实践中实施评估的参与者不到五分之一。在实施障碍中,最常提到的是“经验不足”(41.8%)和“知识缺乏”(36.6%)。关于特定的新冠后评估,“身体和呼吸功能”、“生活质量”和“日常生活活动”的评估被认为特别重要。

结论

我们的研究揭示了实施率较低,并确定了未对新冠康复患者使用标准化评估的主要障碍。

试验注册

健康科学与健康技术私立大学(UMIT TIROL)以及科学伦理问题研究委员会批准了该调查(RCSEQ,奥地利蒂罗尔州哈尔,编号2834)。

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本文引用的文献

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[Guideline S1: Long COVID: Diagnostics and treatment strategies].[指南S1:新冠长期症状:诊断与治疗策略]
Wien Klin Wochenschr. 2021 Dec;133(Suppl 7):237-278. doi: 10.1007/s00508-021-01974-0. Epub 2021 Dec 1.
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Functional Limitations Post-COVID-19: A Comprehensive Assessment Strategy.新冠疫情后的功能限制:一项综合评估策略
Arch Bronconeumol. 2021 Jan;57:7-8. doi: 10.1016/j.arbres.2020.07.025. Epub 2020 Aug 28.
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Post-acute COVID-19 syndrome.新冠病毒感染后长期综合征。
Nat Med. 2021 Apr;27(4):601-615. doi: 10.1038/s41591-021-01283-z. Epub 2021 Mar 22.

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