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阿根廷物理治疗中的循证实践:障碍、认知与行为

Evidence-based practice in physiotherapy in Argentina: Barriers, perceptions and behaviors.

作者信息

Bevacqua Nicolás, Intelangelo Leonardo

机构信息

Musculoskeletal Research Unit, University Center of Assistance, Teaching and Research, University of Gran Rosario, Rosario, Argentina.

出版信息

Physiother Res Int. 2023 Oct;28(4):e2034. doi: 10.1002/pri.2034. Epub 2023 Jul 7.

DOI:10.1002/pri.2034
PMID:37417546
Abstract

BACKGROUND AND PURPOSE

Evidence-based practice (EBP) has been widely implemented in different areas of biomedical sciences. However, no precedents in Argentina have investigated the data regarding the knowledge and difficulties related to EBP in physiotherapists. The purpose was to describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the EBP of Argentinian physiotherapists.

METHODS

A customized descriptive survey was conducted among 289 physical therapists in Argentina. The data were analyzed descriptively.

RESULTS

The response rate was 56% (163/289). Argentinian physiotherapists update themselves through scientific articles, meetings, congresses, and courses. They reported having sufficient knowledge to use EBP, informing patients about treatment options, and considering their choices in the decision-making process. However, there were inconsistencies in responses regarding experience with EBP during undergraduate or postgraduate studies. The most frequently reported barriers were lack of time, difficulty in understanding statistics, and difficulties with the English language of scientific articles.

DISCUSSION

EBP in Argentine physiotherapists is still poorly understood. Time, language, and difficulties in understanding statistics are the most important barriers to the implementation of EBP. Undergraduate and postgraduate courses are warranted to improve the clinical decision-making process.

摘要

背景与目的

循证医学实践(EBP)已在生物医学科学的不同领域广泛实施。然而,阿根廷尚无先例对物理治疗师有关循证医学实践的知识和困难的数据进行调查。目的是描述阿根廷物理治疗师自我报告的与循证医学实践相关的行为、知识、技能、观点和障碍。

方法

对阿根廷的289名物理治疗师进行了一项定制的描述性调查。对数据进行了描述性分析。

结果

回复率为56%(163/289)。阿根廷物理治疗师通过科学文章、会议、大会和课程来更新自己的知识。他们报告称有足够的知识运用循证医学实践,告知患者治疗选择,并在决策过程中考虑患者的选择。然而,在本科或研究生学习期间有关循证医学实践经验的回答存在不一致。最常报告的障碍是时间不足、理解统计学困难以及科学文章的英语语言障碍。

讨论

阿根廷物理治疗师对循证医学实践的理解仍然不足。时间、语言和理解统计学的困难是循证医学实践实施的最重要障碍。本科和研究生课程有必要改进临床决策过程。

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