比较物理治疗专业学生对慢性下背痛和膝骨关节炎的态度和信念：2013 至 2020 学年的国际多机构比较。
Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years.
机构信息
Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group (PiM), Belgium; Department of Sport and Rehabilitation Sciences, University of Liège, Liège, Belgium.
Department of Sport and Rehabilitation Sciences, University of Liège, Liège, Belgium.
出版信息
Braz J Phys Ther. 2024 Jan-Feb;28(1):100592. doi: 10.1016/j.bjpt.2024.100592. Epub 2024 Feb 9.
BACKGROUND
In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.
OBJECTIVES
To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.
METHODS
In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.
RESULTS
In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.
CONCLUSIONS
Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.
背景
2013 年，物理治疗专业的学生在针对脊柱病理、活动和工作的慢性下背痛（CLBP）的指南推荐方面表现出较低的依从性。
目的
评估 2013 年至 2020 年期间，物理治疗专业学生对 CLBP 和膝骨关节炎的态度、信念和遵循指南建议的差异。
方法
2013 年和 2020 年，从 6 所比利时和 2 所荷兰机构招募了第二和第四年的物理治疗专业学生。使用物理治疗师疼痛态度和信念量表（PABS-PT）、医疗保健提供者的疼痛和损伤关系量表（HC-PAIRS）以及关于治疗性运动和膝骨关节炎的问卷评估对 CLBP 和膝骨关节炎的态度和信念。使用临床病例来衡量脊柱病理、活动和工作方面的指南推荐的依从性。
结果
2013 年，927 名二年级和 695 名四年级学生；2020 年，695 名二年级和 489 名四年级学生参与了研究。与 2013 年相比，学生对 CLBP 的生物医学态度和信念减弱，而生物心理社会态度和信念增强，在第二年和第四年，学生对活动的指南推荐更符合要求，对运动对膝骨关节炎患者的益处的生物心理社会信念更强。只有 2020 年的四年级学生在 HC-PAIRS 和与脊柱病理相关的指南推荐的依从性方面的得分显著提高。在工作建议方面没有发现差异。
结论
在 2013 年至 2020 年期间，物理治疗专业的学生对 CLBP 和膝骨关节炎管理的生物心理社会方法的态度发生了积极转变。针对 CLBP 活动的指南推荐得到了改善，但是针对工作和脊柱病理的推荐仍然较低。
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