Frahm J
Rehabilitation Services, Hutzel Hospital of the Detroit Medical Center, Michigan, USA.
Ostomy Wound Manage. 1997 Jan-Feb;43(1):42-6, 48-50, 52-3.
Physical therapists play a vital role in the management and treatment of incontinence patients, and as a result, a variety of innovations in the field have been made. However, incontinence management is not limited to the PT. Providing the best care to incontinent patients requires open communication among professions, disciplines, and care settings where incontinence specialists may be found. To help illustrate this point, a professional opinion survey was sent to leading PTs and RNs who conservatively treat and manage incontinence. Respondents were asked about the following: entry point, preparation, and practice setting; general practice description; assessment and treatment; individual practice innovations; what is unique to physical therapy and nursing; and interaction between the professions. Twenty-six (26) responses were received. While responses varied among PTs and RNs, both professions agreed that musculoskeletal assessment and treatment were unique contributions of physical therapy while medical/surgical expertise and pharmacologic issues were unique contributions of nursing to the field of incontinence. Although this article focuses in particular on the physical therapist's role in incontinence management, survey results revealed that, overall, knowledge and open communication between the professions is key in the management and treatment of incontinence patients.
物理治疗师在大小便失禁患者的管理和治疗中发挥着至关重要的作用，因此该领域已经取得了各种创新成果。然而，大小便失禁的管理并不局限于物理治疗师。为大小便失禁患者提供最佳护理需要各专业、各学科以及可能有大小便失禁专家的护理机构之间进行开放的沟通。为了说明这一点，我们向保守治疗和管理大小便失禁的顶尖物理治疗师和注册护士发送了一份专业意见调查问卷。受访者被问及以下内容：切入点、准备工作和执业环境；一般执业描述；评估和治疗；个人执业创新；物理治疗和护理的独特之处；以及各专业之间的互动。共收到26份回复。虽然物理治疗师和注册护士的回复各不相同，但两个专业都认为肌肉骨骼评估和治疗是物理治疗的独特贡献，而医学/外科专业知识和药理学问题是护理对大小便失禁领域的独特贡献。尽管本文特别关注物理治疗师在大小便失禁管理中的作用，但调查结果显示，总体而言，各专业之间的知识和开放沟通是管理和治疗大小便失禁患者的关键。
