Ngeh Etienne Ngeh, McLean Sionnadh, Kuaban Christopher, Young Rachel, Lidster Joanne
Research Organization for Health Education and Rehabilitation-Cameroon (ROHER-CAM), Mankon, Bamenda P.O. Box 818, Cameroon.
Department of Allied Health Professions, Sheffield Hallam University, L108, 36 Collegiate Crescent, Sheffield S10 2BP, UK.
Clin Pract. 2024 Aug 29;14(5):1753-1766. doi: 10.3390/clinpract14050140.
Cardiovascular diseases (CVDs) and associated risk factors are a growing concern in Cameroon. Physiotherapists (PTs) can play a crucial role in prevention and management. However, the extent of Cameroonian PT involvement in health promotion (HP) activities remains unclear. This study assessed Cameroonian physiotherapists' current HP practices for people at risk of or with CVDs (pwCVDs).
A cross-sectional survey was administered online to PTs practising in Cameroon.
Out of 181 PT responses, 95% reported providing a variety of HP activities, including weight management (74%), dietary advice (73%), physical activity (69%), smoking cessation (69%), stress management (61%), and sleep promotion (48%). While PTs were confident in lifestyle assessments, they felt less confident about sleep interventions. Strong beliefs, confidence, team support, and time allocation enhanced HP practice. However, preference for passive modalities, patient adherence issues, organisational challenges, role ambiguity among healthcare providers, inadequate training opportunities, and the absence of established guidelines for CVD prevention negatively affect HP practice.
These findings highlight the challenges and opportunities for enhancing HP delivery within the physiotherapy profession in Cameroon. The findings are useful for future strategies by clinical practitioners and policy makers to address barriers and leverage facilitators effectively for scaling up HP initiatives in Cameroon.
心血管疾病（CVDs）及其相关风险因素在喀麦隆日益受到关注。物理治疗师（PTs）在预防和管理中可发挥关键作用。然而，喀麦隆物理治疗师参与健康促进（HP）活动的程度仍不明确。本研究评估了喀麦隆物理治疗师针对有心血管疾病风险或患有心血管疾病的人群（pwCVDs）当前的健康促进实践。
对在喀麦隆执业的物理治疗师进行了一项在线横断面调查。
在181份物理治疗师的回复中，95%报告提供了各种健康促进活动，包括体重管理（74%）、饮食建议（73%）、体育活动（69%）、戒烟（69%）、压力管理（61%）和促进睡眠（48%）。虽然物理治疗师对生活方式评估有信心，但他们对睡眠干预的信心较低。强烈的信念、信心、团队支持和时间分配促进了健康促进实践。然而，对被动方式的偏好、患者依从性问题、组织挑战、医疗保健提供者之间角色不明确、培训机会不足以及缺乏既定的心血管疾病预防指南对健康促进实践产生了负面影响。
这些发现突出了喀麦隆物理治疗专业中加强健康促进服务的挑战和机遇。这些发现对临床从业者和政策制定者未来制定战略以有效应对障碍并利用促进因素扩大喀麦隆的健康促进倡议很有用。
