Schertzer Katarina, Belitzky Jenna, Conboy Cassandra, Joshi Hitesh, Harvey Kirsten, Hondal Gabriela Suarez, Miller Erin, Mathur Sunita, Wickerson Lisa
From the: Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Physiother Can. 2024 May 8;76(2):211-217. doi: 10.3138/ptc-2021-0135. eCollection 2024 May.
The use of tele-rehabilitation as a mode for physiotherapy services was widely implemented following the onset of the coronavirus disease 2019 (COVID-19) pandemic. This study explored the perceived value and experiences of physiotherapists relating to tele-rehabilitation for cardiorespiratory care.
Semi-structured interviews were conducted with physiotherapists who provided tele-rehabilitation to adults with cardiorespiratory conditions between March 11 and December 31, 2020. Interviews were analyzed using conventional content analysis.
Seven participants were interviewed; six practising solely in pulmonary rehabilitation and one practising in both pulmonary and cardiac rehabilitation. Three major themes emerged: (1) the pandemic presented unique challenges to implementing tele-rehabilitation while exacerbating previous challenges inherent with virtual care, (2) tele-rehabilitation use during the pandemic was deemed as equally effective in quality of care and patient adherence when compared to in-person services, and (3) tele-rehabilitation had significant value during the pandemic and has potential as an alternative delivery model post pandemic.
Despite the inherent challenges, tele-rehabilitation was endorsed by participants as a suitable and effective alternative to care delivery and holds promise as a post-pandemic delivery model. Further evaluation is needed to support and optimize tele-rehabilitation use in physiotherapy practice.
2019年冠状病毒病（COVID-19）大流行爆发后，远程康复作为一种物理治疗服务模式被广泛应用。本研究探讨了物理治疗师对心肺护理远程康复的认知价值和体验。
对在2020年3月11日至12月31日期间为患有心肺疾病的成年人提供远程康复服务的物理治疗师进行了半结构化访谈。采用常规内容分析法对访谈进行分析。
共访谈了7名参与者；其中6名仅从事肺康复工作，1名同时从事肺康复和心脏康复工作。出现了三个主要主题：（1）大流行给实施远程康复带来了独特挑战，同时加剧了虚拟护理固有的先前挑战，（2）与面对面服务相比，大流行期间使用远程康复在护理质量和患者依从性方面被认为同样有效，（3）远程康复在大流行期间具有重要价值，并且有可能成为大流行后一种替代的服务提供模式。
尽管存在固有挑战，但参与者认可远程康复是一种合适且有效的护理提供替代方式，并有望成为大流行后的服务提供模式。需要进一步评估以支持和优化物理治疗实践中远程康复的应用。
