Berre Mélanie Le, Dumoulin Chantale
Centre de recherche de l'Institut universitaire de gériatrie de Montréal (CRIUGM), Montreal, Canada.
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Canada.
Physiother Can. 2024 Mar 6;76(1):86-94. doi: 10.3138/ptc-2021-0089. eCollection 2024 Feb.
This cross-sectional descriptive study describes available pelvic floor physiotherapy (PT) services for older women with urinary incontinence (UI) in Quebec, Canada, and identifies possible affordability barriers.
From September to December 2019, Quebec physiotherapists practising pelvic floor PT were invited to complete a survey on their clinical practice and perceptions of the affordability of UI treatment for older women.
Eighty-four of the 225 registered pelvic floor physiotherapists (37.3%) filled out the online survey. They worked a median of 32 hours/week in PT, with 15 of those hours (46.9%) in pelvic floor PT and three hours (9.8%) treating UI in older women. Only 13.0% of them offered group treatment, while 84.3% were interested in it. Most of the physiotherapists (92.2%) had met older women in their practice who had reported financial barriers to completing their pelvic floor PT treatment.
The accessibility of UI care in Quebec appears hampered by the limited availability of pelvic floor PT treatments, mainly in public settings, and potential financial constraints. Providing pelvic floor PT to groups could constitute a promising avenue to tackle both issues. Future studies should look at ways of implementing this option.
这项横断面描述性研究描述了加拿大魁北克省为老年尿失禁女性提供的盆底物理治疗（PT）服务，并确定了可能存在的可负担性障碍。
2019年9月至12月，邀请魁北克从事盆底物理治疗的物理治疗师完成一项关于其临床实践以及对老年女性尿失禁治疗可负担性看法的调查。
225名注册盆底物理治疗师中有84名（37.3%）填写了在线调查问卷。他们每周从事物理治疗工作的时长中位数为32小时，其中15小时（46.9%）用于盆底物理治疗，3小时（9.8%）用于治疗老年女性的尿失禁。只有13.0%的人提供团体治疗，而84.3%的人对此感兴趣。大多数物理治疗师（92.2%）在临床中遇到过报告称在完成盆底物理治疗时存在经济障碍的老年女性。
魁北克尿失禁护理的可及性似乎受到盆底物理治疗服务可获得性有限的阻碍，主要是在公共环境中，以及潜在的经济限制。为团体提供盆底物理治疗可能是解决这两个问题的一个有前景的途径。未来的研究应探讨实施这一选择的方法。
