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骨科手法物理治疗师对生活方式筛查与教育的认知、态度和实践:一项描述性研究

Knowledge, Attitude, and Practice of Orthopedic Manual Physical Therapists Toward Lifestyle Screening and Education: A Descriptive Study.

作者信息

Zollinger Jillian M, Katuli Sozina D

机构信息

From the School of Rehabilitation Sciences, Andrews University, Berrien Springs (JMZ, SDK), Michigan.

出版信息

Am J Lifestyle Med. 2021 Jul 19;18(4):545-557. doi: 10.1177/15598276211028557. eCollection 2024 Jul-Aug.

Abstract

INTRODUCTION

Lifestyle-focused rehabilitation plans need to become part of the standard system of care for the treatment of chronic diseases. To achieve this goal, the KAP of rehabilitation professionals toward lifestyle medicine needs to be understood. This study investigated the niche of orthopedic manual physical therapy and is purposed as a foundational model for continued research.

METHOD

A survey instrument was designed to investigate the KAP of orthopedic manual physical therapists toward lifestyle screening and education.

RESULTS

There were 155 participants of which 58.1-72.3% reported frequently talking to their patients about lifestyle topics, while 78.1-80.6% felt highly confident and competent while doing so. Additionally, 92.9-94.8% thought that lifestyle screening and education was important and that physical therapists should be doing it. Participants discussed exercise most frequently with their patients (96.1%) and alcohol the least (12.9%). Participants with advanced degrees (ie, PhD or DSc) had significantly higher Practice (M= -3.755, = .001) and Knowledge (M= -4.14904, = .020) ratings than those with entry-level physical therapy degrees.

CONCLUSION

There was strong acceptance of lifestyle screening and education in orthopedic manual physical therapy with an emphasis on exercise. This study provides a foundational basis for continued research.

摘要

引言

以生活方式为重点的康复计划需要成为慢性病治疗标准护理体系的一部分。为实现这一目标,需要了解康复专业人员对生活方式医学的知识、态度和实践情况。本研究调查了骨科手法物理治疗的现状,并旨在作为后续研究的基础模型。

方法

设计了一份调查问卷,以调查骨科手法物理治疗师对生活方式筛查和教育的知识、态度和实践情况。

结果

共有155名参与者,其中58.1-72.3%的人报告经常与患者谈论生活方式相关话题,而78.1-80.6%的人在这样做时感到非常自信和有能力。此外,92.9-94.8%的人认为生活方式筛查和教育很重要,并且物理治疗师应该进行此项工作。参与者与患者讨论最多的是运动(96.1%),讨论最少的是酒精(12.9%)。拥有高级学位(即博士或理学博士)的参与者在实践(M = -3.755,p =.001)和知识(M = -4.14904,p =.020)评分上显著高于拥有入门级物理治疗学位的参与者。

结论

骨科手法物理治疗对生活方式筛查和教育,尤其是对运动方面有很强的接受度。本研究为后续研究提供了基础依据。

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