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患者报告的由高级执业物理治疗师提供的肌肉骨骼虚拟护理体验。

Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists.

作者信息

Soever Leslie, Courchene Andrew, Correale Marcia, Gotal Tamara, Alvares Marsha, May Emily, Veillette Christian, Rampersaud Yoga Raja

机构信息

From the:Schroeder Arthritis Institute, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.

出版信息

Physiother Can. 2024 Nov;76(4):351-358. doi: 10.3138/ptc-2022-0084. Epub 2024 Mar 21.

Abstract

PURPOSE

To better understand patients' perspectives on virtual care (VC) delivered by advanced practice physiotherapists (APPs) for hip/knee, foot/ankle, shoulder/elbow, and low back related symptoms.

METHOD

A patient satisfaction questionnaire was developed and distributed electronically to all patients seen by APPs from August 1, 2020 to January 31, 2021. The questionnaire contained quantitative items using a 5-point Likert scale and open-ended questions that yielded qualitative findings. Descriptive statistics were applied to the quantitative data. Qualitative findings were analyzed using a qualitative description approach to identify recurrent themes.

RESULTS

Response rate was 74% (374/505) across all clinics. Videoconference was the most common delivery method (91.7%). Overall satisfaction with VC was very high (4.7-4.8/5). Emergent qualitative themes were related to Personal Connection; Preparatory Materials; Virtual Physical Examination; Practical Advantages of VC; Virtual Waiting Room; and Technical Issues.

CONCLUSIONS

Overall, across several facets including personal connection, patient experience with VC for a variety of musculoskeletal conditions was rated high. Clinically, a systematic approach to the physical examination with preparatory patient education materials was key to positive patient experience.

摘要

目的

为了更好地了解患者对高级执业物理治疗师(APP)提供的针对髋/膝、足/踝、肩/肘以及下背部相关症状的虚拟护理(VC)的看法。

方法

设计了一份患者满意度调查问卷,并以电子方式分发给2020年8月1日至2021年1月31日期间接受APP诊治的所有患者。该问卷包含使用5点李克特量表的定量项目以及能得出定性结果的开放式问题。对定量数据应用描述性统计。使用定性描述方法对定性结果进行分析以确定反复出现的主题。

结果

所有诊所的回复率为74%(374/505)。视频会议是最常见的提供方式(91.7%)。患者对VC的总体满意度非常高(4.7 - 4.8/5)。新出现的定性主题与人际联系、准备材料、虚拟体格检查、VC的实际优势、虚拟候诊室以及技术问题有关。

结论

总体而言,在包括人际联系在内的多个方面,患者对VC用于各种肌肉骨骼疾病的体验评价很高。临床上,采用系统的体格检查方法并提供患者教育准备材料是获得积极患者体验的关键。

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Advanced practice in physiotherapy: a global survey.物理治疗的高级实践:全球调查。
Physiotherapy. 2021 Dec;113:168-176. doi: 10.1016/j.physio.2021.01.001. Epub 2021 Feb 1.
3
Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review.2019冠状病毒病对骨科护理与实践的影响:快速综述
Indian J Orthop. 2021 Mar 20;55(4):839-852. doi: 10.1007/s43465-021-00354-0. eCollection 2021 Aug.

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