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探索意大利物理治疗中的沟通实践:有效沟通策略的知识与应用——一项全国性描述性研究

Exploring Communication Practices in Italian Physiotherapy: Knowledge and Use of Effective Communication Strategies-A National Descriptive Study.

作者信息

Al-Wardat Mohammad, Etoom Mohammad, Lena Francesco, Pellicciari Leonardo, D'Amone Francesco, Kossi Oyéné, Brindisino Fabrizio, Abdullahi Auwal

机构信息

Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan.

Department of Physical Therapy, Aqaba University of Technology, Aqaba 77110, Jordan.

出版信息

Healthcare (Basel). 2023 Aug 10;11(16):2247. doi: 10.3390/healthcare11162247.

DOI:10.3390/healthcare11162247
PMID:37628446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10454614/
Abstract

This study aimed to investigate the knowledge and use of effective communication strategies among Italian physiotherapists. We utilized a questionnaire consisting of 19 questions to collect data on the knowledge and use of effective communication strategies among Italian physiotherapists. The results revealed that only 35.8% of the respondents reported being aware of communication strategies related to physiotherapy, with their first exposure occurring during their three-year degree. Despite the majority of respondents agreeing that communication is an effective strategy for improving patient adherence, only about half reported making moderate use of open-ended questions and metaphors during treatment sessions. Furthermore, more than half of the respondents reported being unaware of Motivational Interviewing. The results of this study found that there is a consensus among Italian physiotherapists about the importance of effective communication in clinical practice, though the knowledge and application of some communication strategies remain limited. These findings suggest that there is room for improvement in the training and education of physiotherapists in Italy, with a need for greater emphasis on communication strategies in the university educational curriculum, starting from the bachelor's degree.

摘要

本研究旨在调查意大利物理治疗师对有效沟通策略的了解和运用情况。我们使用了一份包含19个问题的问卷,以收集有关意大利物理治疗师对有效沟通策略的了解和运用的数据。结果显示,只有35.8%的受访者表示知晓与物理治疗相关的沟通策略,他们首次接触这些策略是在三年制学位课程期间。尽管大多数受访者认同沟通是提高患者依从性的有效策略,但只有约一半的人表示在治疗过程中适度使用了开放式问题和隐喻。此外,超过一半的受访者表示不知道动机性访谈。本研究结果发现,意大利物理治疗师在临床实践中对有效沟通的重要性达成了共识,不过一些沟通策略的知识和应用仍然有限。这些发现表明,意大利物理治疗师的培训和教育仍有改进空间,从学士学位课程开始,大学教育课程需要更加强调沟通策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363d/10454614/6acbdb810e9d/healthcare-11-02247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363d/10454614/e14ff770e8be/healthcare-11-02247-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363d/10454614/6acbdb810e9d/healthcare-11-02247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363d/10454614/e14ff770e8be/healthcare-11-02247-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/363d/10454614/6acbdb810e9d/healthcare-11-02247-g001.jpg

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Healthcare (Basel). 2021 Jun 7;9(6):689. doi: 10.3390/healthcare9060689.
2
How do physiotherapists solicit and explore patients' concerns in back pain consultations: a conversation analytic approach.物理治疗师如何在背部疼痛咨询中征求和探讨患者的关注点:一种会话分析方法。
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3
Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students.
短期患者教育干预对物理治疗专业学生教学技能的影响:一项随机对照试验。
BMC Med Educ. 2024 Nov 22;24(1):1348. doi: 10.1186/s12909-024-06360-8.
医学生问诊时的口头和非口头沟通技巧,包括同理心。
BMC Med Educ. 2018 Jul 3;18(1):157. doi: 10.1186/s12909-018-1260-9.
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Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters.引出患者的议程-记录临床交流的二次分析。
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Assessing physiotherapists' communication skills for promoting patient autonomy for self-management: reliability and validity of the communication evaluation in rehabilitation tool.评估物理治疗师促进患者自主进行自我管理的沟通技巧:康复工具中的沟通评估的信度和效度。
Disabil Rehabil. 2019 Jul;41(14):1699-1705. doi: 10.1080/09638288.2018.1443159. Epub 2018 Feb 27.
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Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain.情境因素作为肌肉骨骼疼痛中安慰剂和反安慰剂效应触发因素的临床相关性
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