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为管理肌肉骨骼疼痛开具运动疗法处方:新毕业物理治疗师的看法和感知到的培训需求。

Prescribing exercise therapy for the management of musculoskeletal pain: new-graduate physiotherapists' perceptions and perceived training needs.

机构信息

School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.

School of Health Sciences, University of Tasmania, Launceston, Australia.

出版信息

Physiother Theory Pract. 2024 Oct;40(10):2321-2330. doi: 10.1080/09593985.2023.2242461. Epub 2023 Aug 3.

DOI:10.1080/09593985.2023.2242461
PMID:37534976
Abstract

BACKGROUND

Pain management is a challenging area of practice for new-graduate physiotherapists during the transition from student to clinician. The attitudes and beliefs of new-graduate physiotherapists toward the use of exercise therapy as part of the management of musculoskeletal pain remain relatively unknown.

PURPOSE

The aim of the study was to investigate the perspectives of new-graduate physiotherapists toward prescribing exercise therapy in musculoskeletal pain management, and their perceptions of training and support needs in this area of practice.

METHODS

A qualitative study with a general inductive approach was used to investigate new-graduate physiotherapists' perspectives. Semi-structured interviews were conducted with 16 participants. Interview data was subjected to thematic analysis.

RESULTS

Four themes were generated following analysis: 1) Balancing the value of exercise with practical challenges; 2) Communication and education are inherent in exercise; 3) Influence of support and training; and 4) The benefits of direct experience.

CONCLUSION

New-graduate physiotherapists acknowledge the pivotal role of exercise in managing musculoskeletal pain. Direct learning experiences in pre-professional training that develop knowledge and skills required for delivering exercise therapy were highly valued. New-graduates recognize pain management as a skill that requires further development and identify the importance of opportunities for professional development in exercise therapy.

摘要

背景

疼痛管理是新毕业物理治疗师在从学生向临床医生过渡期间面临的一个具有挑战性的实践领域。新毕业物理治疗师对运动疗法作为肌肉骨骼疼痛管理的一部分的态度和信念仍然相对未知。

目的

本研究旨在探讨新毕业物理治疗师对肌肉骨骼疼痛管理中运动疗法处方的看法,以及他们在这一实践领域的培训和支持需求的看法。

方法

采用一般归纳法的定性研究方法来调查新毕业物理治疗师的观点。对 16 名参与者进行了半结构化访谈。对访谈数据进行了主题分析。

结果

分析后得出了四个主题:1)平衡运动的价值与实际挑战;2)沟通和教育是运动的固有组成部分;3)支持和培训的影响;4)直接经验的好处。

结论

新毕业的物理治疗师承认运动在管理肌肉骨骼疼痛中的关键作用。在专业培训前的直接学习经历中,发展提供运动疗法所需的知识和技能受到高度重视。新毕业生认识到疼痛管理是一项需要进一步发展的技能,并认识到在运动疗法方面获得专业发展机会的重要性。

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