The role of community multidisciplinary teams in osteoporosis treatment and prevention

Angela Horan MSc in Nursing, BNS (Hons), RGN, ENB 219 (Clinical Nurse Manager 11 In-Service Training), Fiona Timmins PHD, MSC, MA, NFESC, FFNRCSI, BNS, BSc, RNT, RGN (Senior Lecturer, Director)
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引用次数: 11

Abstract

Aim

The purpose of this study was to explore community multidisciplinary teams’ activities and attitudes in relation to osteoporosis prevention and treatment.

Background

Osteoporosis is a progressive, potentially crippling disease, which is largely preventable. No longer confined to the older population, risk factors for the disease need to be identified by health care providers and followed up on. Despite a growing body of literature in this area, there is little exploration of the views of multidisciplinary teams (MDT). They constitute to a large group of health care workers and are uniquely placed to educate the public about osteoporosis.

Methods

A quantitative, descriptive survey elicited the views of members (n = 193) of community multidisciplinary teams (CMDT’s) in one region of the Republic of Ireland (ROI). The response rate was 48%.

Findings

This study found that members of MDTs were more likely to raise the issue of osteoporosis with patients if they believed them to be at risk. High levels of perceived competence in the field were reported by staff although pharmacological treatments and identification of secondary causes scored much lower. Those who were aware of osteoporosis tools, checklists and guidelines were significantly more likely to have raised the issue with patients. Those with post graduate education felt significantly more competent to discuss falls prevention.

Conclusion

The study demonstrates that the MDT had positive attitudes towards their role in osteoporosis prevention. With knowledge and confidence health promotion was more likely to occur. MDT’s expressed interested in continuing education on and interprofessional learning on the topic. They also demonstrated high levels of interest in the developing health promotional roles. Thus education and continued professional development are key aspects of role development in this area.

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社区多学科团队在骨质疏松症治疗和预防中的作用
目的探讨社区多学科团队在骨质疏松防治中的活动和态度。背景:骨质疏松症是一种进行性的、可能致残的疾病,在很大程度上是可以预防的。这种疾病的风险因素不再局限于老年人口,需要由卫生保健提供者确定并跟进。尽管这一领域的文献越来越多,但对多学科团队(MDT)观点的探索却很少。他们构成了一大群保健工作者,在教育公众骨质疏松症方面具有独特的地位。方法对爱尔兰共和国某地区社区多学科小组(CMDT)成员(n = 193)进行定量、描述性调查。回复率为48%。研究发现:如果mdt成员认为患者有骨质疏松症的危险,他们更有可能向患者提出骨质疏松症的问题。工作人员报告了在该领域的高水平感知能力,尽管药理治疗和继发原因的识别得分要低得多。那些知道骨质疏松工具、检查表和指南的人更有可能向患者提出这个问题。那些接受过研究生教育的人明显更有能力讨论预防跌倒的问题。结论MDT对其预防骨质疏松的作用持积极态度。有了知识和信心,促进健康就更有可能发生。MDT对这一主题的继续教育和跨专业学习表示了兴趣。他们还对发展促进健康的作用表现出高度的兴趣。因此,教育和持续专业发展是这一领域角色发展的关键方面。
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