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家庭医生与运动损伤护理。教练的看法。

Family physicians and sports-injury care. Perceptions of coaches.

作者信息

Vergeer I

机构信息

School of Health Sciences, University of Sunderland, UK.

出版信息

Can Fam Physician. 1997 Oct;43:1755-61.

PMID:9356756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2255428/
Abstract

OBJECTIVE

To describe coaches' education in injury care and management and their club's access to medical care, to describe coaches' perceptions of how family physicians care for sports injuries, and to describe strategies used for overcoming perceived poor advice.

DESIGN

A telephone survey using both closed and open-ended questions was conducted. Information was collected as background information to a larger study investigating coaches' decisions about allowing injured athletes to compete.

SETTING

All 28 competitive gymnastics clubs in the province of Alberta. The clubs trained athletes for all competitive levels.

PARTICIPANTS

All 70 coaches registered with the Alberta Gymnastics Federation as working with female gymnasts were approached; 64 coaches were interviewed.

MAIN OUTCOME MEASURES

Injury education, access to medical care, perceptions of sports-injury treatment provided by family physicians, strategies employed for overcoming perceived poor advice.

RESULTS

Education in injury care and management was varied, as was access to medical care. Direct access to sport-specific medical care was available at three of the five elite-level clubs, an arrangement stemming from dissatisfaction with the conventional health care system. At all competitive levels, most coaches were dissatisfied with the recommendations they received from family physicians. Various strategies were employed to acquire more suitable advice.

CONCLUSIONS

The results point to a need for improved communication between family physicians and coaches.

摘要

目的

描述教练在伤病护理与管理方面接受的培训以及他们所在俱乐部获得医疗服务的情况,描述教练对家庭医生如何护理运动损伤的看法,并描述用于克服所认为的不当建议的策略。

设计

采用封闭式和开放式问题进行电话调查。所收集的信息作为一项更大规模研究的背景信息,该研究调查教练关于允许受伤运动员参赛的决策。

背景

艾伯塔省所有28家竞技体操俱乐部。这些俱乐部为所有竞技水平的运动员提供训练。

参与者

与艾伯塔体操联合会注册的所有70名从事女子体操教练工作的教练进行了接触;采访了64名教练。

主要观察指标

伤病教育、获得医疗服务的情况、对家庭医生提供的运动损伤治疗的看法、用于克服所认为的不当建议的策略。

结果

伤病护理与管理方面的培训各不相同,获得医疗服务的情况也是如此。在五个精英级别俱乐部中的三个,可直接获得针对特定运动项目的医疗服务,这一安排源于对传统医疗保健系统的不满。在所有竞技水平上,大多数教练对从家庭医生那里得到的建议不满意。采用了各种策略来获取更合适的建议。

结论

结果表明家庭医生和教练之间需要改善沟通。

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本文引用的文献

1
Sports medicine electives. Are they available in Canadian family medicine programs?运动医学选修课程。它们在加拿大家庭医学项目中开设吗?
Can Fam Physician. 1993 Aug;39:1742-4.
2
Physical medicine and rehabilitation residents' educational needs assessment.物理医学与康复住院医师教育需求评估
Arch Phys Med Rehabil. 1993 Jul;74(7):687-90. doi: 10.1016/0003-9993(93)90025-6.
3
Physician care for interscholastic athletes in Michigan.密歇根州校际运动员的医生护理。
Am J Sports Med. 1991 Jan-Feb;19(1):82-7. doi: 10.1177/036354659101900114.
4
Returning injured athletes to competition: a role and ethical dilemma.受伤运动员重返赛场:一个角色与伦理困境。
Can J Sport Sci. 1992 Mar;17(1):34-40.