Journal of Chiropractic Humanities最新文献

Ed Board Ed董事会

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-12-01 DOI: 10.1016/S1556-3499(25)00013-0

引用次数: 0

Self-Perceived Psychological, Social, Academic and Personal Impact of the COVID-19 Pandemic on Chiropractic Students in South Africa 2019冠状病毒病大流行对南非脊椎按摩专业学生自我感知的心理、社会、学术和个人影响

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-25 DOI: 10.1016/j.echu.2025.08.002

Danica Strydom MHSc , Desiree Varatharajullu PhD, MTechChiro , Kirsten Van Heerdan MA, DPhil

Objective

The purpose of this observational study was to determine the social, personal, psychological, and academic self-perceived impact of the COVID-19 pandemic on Chiropractic students in South Africa.

Methods

This study used a quantitative, descriptive, cross-sectional design. A self-reported, Likert-scale survey of 35 online questions, administered through QuestionPro, was sent to Chiropractic students registered at 2 South African institutions from November 2022 until January 2023. The responses were anonymous. The survey was validated using a pilot study and focus group.

Results

A 51.65% (n = 97) response rate was recorded. A total of 60.00% (n = 113) of respondents expressed discomfort if individuals did not wear masks and 73.40% (n = 138) of respondents reported to have experienced conflicts due to prolonged time spent with household members in limited personal space. The respondents also experienced personal self-perceived impacts, such as 69.00% (n = 130) reported having reduced productivity, 42.00% (n = 79) increased financial difficulties, 50.00% (n = 94) decreased physical activity, and 80.85% (n = 152) spent more time on social media. Participants self-reported that these challenges had detrimental effects on their mental health. These included increased anxiety (92.02%; n = 171), difficulties in thought control (75.50%; n = 142), withdrawal from social interactions (80.32%; n = 151), decreased motivation (90.96%; n = 171), and concentration issues (89.89%; n = 169). A portion of the students also reported a decline in academic marks (43.62%; n = 82) and practical skills (76.60%; n = 144).

Conclusion

Most Chiropractic student respondents perceived that the COVID-19 pandemic negatively impacted their social and personal functioning, self-reported mental health and overall academic progress.

目的本观察性研究的目的是确定COVID-19大流行对南非脊椎按摩专业学生的社会、个人、心理和学术自我感知的影响。方法本研究采用定量、描述性、横断面设计。从2022年11月到2023年1月，一份由35个在线问题组成的李克特量表自我报告调查，通过QuestionPro进行，发送给在南非两所机构注册的脊椎按摩专业学生。这些回答都是匿名的。该调查通过试点研究和焦点小组进行了验证。结果有效率为51.65% （n = 97）。共有60.00% （n = 113）的受访者表示，如果个人不戴口罩会感到不适，73.40% （n = 138）的受访者报告说，由于与家庭成员在有限的个人空间中度过的时间过长，他们经历过冲突。受访者还经历了个人自我感知的影响，例如69.00% （n = 130）报告生产力下降，42.00% （n = 79）报告经济困难增加，50.00% （n = 94）报告体力活动减少，80.85% （n = 152）报告在社交媒体上花费更多时间。参与者自我报告说，这些挑战对他们的心理健康有不利影响。这些症状包括焦虑增加（92.02%,n = 171）、思想控制困难（75.50%,n = 142）、逃避社会交往（80.32%,n = 151）、动机下降（90.96%,n = 171）和注意力集中问题（89.89%,n = 169）。也有一部分学生成绩下降（43.62%,n = 82），实践技能下降（76.60%,n = 144）。结论大多数脊椎按摩专业学生认为新冠肺炎大流行对他们的社会和个人功能、自我报告的心理健康和整体学业进步产生了负面影响。

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引用次数: 0

Experiences and Perspectives of the American Public Health Association Chiropractic Health Care Section Leaders: A Qualitative Analysis 美国公共卫生协会脊医保健部门负责人的经验和观点：定性分析

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-20 DOI: 10.1016/j.echu.2025.08.004

Alec L. Schielke DC , Peter T. Hibl DC, MS , Zachary A. Cupler DC, MS , Jordan A. Gliedt DC , Clinton J. Daniels DC, MS

Objective

The purpose of this study was to investigate the perspectives of past and present leaders from the American Public Health Association’s Chiropractic Health Care (CHC) section regarding opportunities for future growth and contributions CHC could have on the chiropractic profession and public health.

Methods

From June to July 2024, 50 identified individuals were invited to participate in an anonymous, online, structured questionnaire survey including free-text responses. A qualitative thematic analysis, rooted in pragmatism, was performed using inductive and deductive approaches.

Results

Nineteen (38% response) were included in the analysis. Three main themes were identified from the comments: 1) internal engagement of the section promotes professional growth and encourages a strong sense of community; 2) leadership and productivity of the section are closely related to growing and supporting membership; and 3) section leadership should focus on adding value to the chiropractic profession through involvement in public health domains.

Conclusion

This qualitative analysis of past and present CHC leadership surveys identified 3 primary themes that may guide strategic planning, policy development, and research initiatives.

目的本研究旨在探讨美国公共卫生协会（American Public Health Association）脊椎指压医疗（CHC）分会的前任和现任领导人对未来发展机会的看法，以及CHC对脊椎指压专业和公共卫生的贡献。方法从2024年6月至7月，邀请50名已确定身份的个人参加一项匿名、在线、结构化问卷调查，包括自由文本回答。定性的主题分析，植根于实用主义，使用归纳和演绎的方法进行。结果19例（有效率38%）纳入分析。从评论中确定了三个主要主题：1)该部门的内部参与促进了专业发展，并鼓励了强烈的社区意识；2)分会的领导能力和生产力与会员的增长和支持密切相关；3)部门领导应注重通过参与公共卫生领域来增加脊骨按摩专业的价值。对过去和现在CHC领导调查的定性分析确定了可能指导战略规划、政策制定和研究计划的3个主要主题。

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引用次数: 0

An Experiential Learning Activity on Empathy in Chiropractic Students: A Descriptive Report 脊医学生共情体验学习活动：描述性报告

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-16 DOI: 10.1016/j.echu.2025.07.004

Scott M. Dunham BSc, DC, MSc, MEd

Objective

The purpose of this report is to describe an experiential learning activity on empathy for first-year chiropractic students.

Methods

An experiential learning exercise utilizing standardized patients was developed for incoming students to highlight a potential decrease in empathy during their education, and to impart the importance of empathy in the Doctor-Patient relationship.

Results

The learning activity on empathy was delivered to 747 first year students over 4 academic years. This consisted of a group briefing, standardized patient encounter, group debrief and subsequent video reflection.

Conclusion

An experiential learning activity was developed and implemented to address the potential deterioration of empathy in first-year chiropractic students.

目的介绍一年级脊医学生共情的体验式学习活动。方法采用标准化患者为新生进行体验式学习练习，以强调在教育过程中移情能力的潜在下降，并传授移情在医患关系中的重要性。结果对747名一年级学生进行了共情学习活动。这包括一个小组简报，标准化的病人接触，小组汇报和随后的视频反思。结论通过一种体验式学习活动的开发和实施，可以解决捏脊医一年级学生共情能力退化的潜在问题。

引用次数: 0

Perception of Honorific Titles Among Chiropractors in Malaysia: A Qualitative Study 马来西亚脊医对尊称的认知：一项质性研究

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.07.002

Yi Kai Wong BSc (Chiro), MSc (Public Health) , Kar Yee Lee BSc (Chiro)

Objective

The purpose of this study was to explore the perceptions of chiropractors in Malaysia regarding the use of honorific titles and how these perceptions influence their professional identity and patient interactions.

Methods

This descriptive qualitative study used semistructured interviews with 9 chiropractors registered with the Association of Chiropractic Malaysia. Participants were selected based on their active practice in Malaysia, with exclusion criteria including prior participation in similar studies and potential conflicts of interest. Thematic analysis was performed to identify key patterns and themes from the interview data.

Results

Participants viewed honorific titles as essential to their professional identity, with many expressing concerns that the prohibition of the title “Doctor” undermines their credibility. Confusion among the public regarding the qualifications of chiropractors was a recurrent theme. Participants highlighted the need for clearer guidelines and public education to address these misconceptions. Although some supported the Traditional and Complementary Medicine Act 2016, others believed that it hindered professional recognition.

Conclusion

The findings suggest a need for regulatory reforms and public education campaigns to enhance the professional identity of chiropractors in Malaysia. Further research should explore the impact of honorific titles on patient outcomes and examine regional variations in perceptions within the chiropractic community.

目的本研究的目的是探讨马来西亚脊医对使用尊称的看法，以及这些看法如何影响他们的职业认同和与病人的互动。方法采用半结构化访谈法对9名在马来西亚脊椎按摩协会注册的脊椎按摩师进行描述性定性研究。参与者是根据他们在马来西亚的积极实践来选择的，排除标准包括之前参与过类似的研究和潜在的利益冲突。进行主题分析，从访谈数据中确定关键模式和主题。结果：参与者认为荣誉头衔对他们的职业身份至关重要，许多人担心禁止使用“博士”头衔会损害他们的可信度。公众对脊医资格的困惑是一个反复出现的主题。与会者强调需要更明确的指导方针和公众教育来解决这些误解。尽管一些人支持《2016年传统和补充医学法案》，但其他人认为它阻碍了专业认可。结论研究结果表明，需要进行监管改革和公众教育活动，以提高马来西亚脊医的职业认同。进一步的研究应探讨尊称对患者预后的影响，并检查在脊椎指压治疗社区内认知的区域差异。

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引用次数: 0

Chiropractic identity, role, and future: A secondary analysis of a survey of South African chiropractors 脊医的身份、角色和未来：对南非脊医调查的二次分析

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.07.001

Sharné Naidoo MTech, Savannah Lynn Mitchell MHSc, Glen James Paton PhD, MTech

Objectives

The purpose of this secondary data analysis was to evaluate perceptions of South African chiropractors on concepts related to the identity, role, and future of the profession.

Methods

A cross-sectional quantitative secondary analysis was conducted by inviting South African chiropractors (n=909) to participate in a modified anonymous online survey. Frequency, descriptive, reliability and correlational analyses were performed.

Results

An 18.7% response rate was achieved (n=170). Most respondents were aged 25-34 (48.8%), female (61.2%), practicing in Gauteng (44.1%), and graduates of the University of Johannesburg (47.6%). The majority completed a course in evidence-based practice (71.2%) and had less than 5 years of clinical experience (40%). Respondents agreed (94,1%) that chiropractors should be educated in evidence-based practice. A majority of respondents perceived the role of chiropractic in the diagnosis (54.7%) and treatment (70%) of spinal conditions using spinal manipulation and other modalities. There was over 50% agreement among respondents for a unified identity focusing on wellness, health, and preventative care for the future of the profession. Positive correlations were found between the identity, the scope of practice (role), and the future of chiropractic.

Conclusion

This sample of South African chiropractors perceived chiropractic practitioners to be spinal healthcare providers who use evidence-based practices, and that the future of the profession should include promoting overall health and patient wellness.

目的：本次要数据分析的目的是评估南非脊医对职业身份、角色和未来相关概念的看法。方法采用横断面定量二次分析方法，邀请南非脊医（n=909）参加修改后的匿名在线调查。进行频率分析、描述性分析、信度分析和相关性分析。结果有效率为18.7% （n=170）。大多数受访者年龄在25-34岁之间（48.8%），女性（61.2%），在豪登省执业（44.1%），约翰内斯堡大学毕业生（47.6%）。大多数完成了循证实践课程（71.2%），临床经验不足5年（40%）。受访者同意（94.1%）脊医应该接受循证实践教育。大多数受访者认为捏脊疗法在诊断（54.7%）和使用脊柱推拿和其他方式治疗脊柱疾病（70%）中的作用。受访者中有超过50%的人同意统一身份，关注健康，健康和预防保健，为该职业的未来。在身份、实践范围（角色）和脊椎指压疗法的未来之间发现了正相关。结论：南非的脊椎指压师样本认为，脊椎指压师是使用循证实践的脊柱保健提供者，该职业的未来应该包括促进整体健康和患者健康。

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引用次数: 0

Availability of manual therapy in hospitals in the Guangdong province, China: a cross-sectional web-based survey 中国广东省医院手工治疗的可得性：一项基于网络的横断面调查

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.08.001

Frank Fan Huang MSc , Chengcheng Chai MSc , Tiankang Zhang MD , Mingwang Qiu MSc , Daniel Kangyong Zheng MSc , Yule Hu MSc , Nuo Lei MSc , Jeremy Rui Chang MSc , Xiaoxiao Mei MSc , Wangbin Liao MSc , Xiaohui Li MSc , Shan Wu PhD , Liming Lu PhD , Arnold Yu Lok Wong PhD , Zhiyong Fan PhD

Objective

This study aimed to investigate the quality and needs of manual therapy (MT) services in Guangdong provincial hospitals, including their scale, technological devices, scope of treatments, knowledge background, and challenges.

Methods

A total of 48 hospitals across the Guangdong province participated in completing a Web-based, self-report survey between October 2021 to December 2021. Multiple Poisson regression models were used to determine factors affecting these practices.

Results

This investigation revealed a substantial demand for MT among patients, particularly those with musculoskeletal disorders. Over the past three years (2019-2021), each MT department attended to 9,655 patients annually, with the largest hospital accommodating up to 12,000 patients annually. Additionally, the prevalence of patients seeking MT services exhibited an inverse correlation with specific diagnoses and treatment regimens (β=0.857; OR = 2.356; 95% CI [2.339, 2.373]). However, only 37.5% of hospitals had autonomous MT departments, possibly contributing to the absence of comprehensive development plans (β=0.249; OR = 1.282; 95% CI [1.113, 1.477]). Moreover, the literature on MT remains scant in quantity and quality, mainly due to a shortage of technical equipment (β=2.606; OR = 13.550; 95% CI [7.797, 23.549]). There persisted a notable discrepancy in the adoption and advancement of MT.

Conclusions

Despite the growing demand for MT among patients, MT departments in Guangdong are limited in scope, encountering shortages of technological devices and educational resources. MT is predominantly applied to orthopedic cases, grounded in rehabilitation science and Traditional Chinese medicine.

目的了解广东省省级医院手工治疗（MT）服务的质量和需求，包括其规模、技术设备、治疗范围、知识背景和面临的挑战。方法于2021年10月至2021年12月，在广东省共有48家医院参与了一项基于网络的自我报告调查。使用多元泊松回归模型来确定影响这些做法的因素。结果这项调查揭示了患者对MT的大量需求，特别是那些患有肌肉骨骼疾病的患者。在过去三年中（2019-2021年），每个MT部门每年接待9,655名患者，最大的医院每年接待多达12,000名患者。此外，寻求MT服务的患者患病率与特定诊断和治疗方案呈负相关（β=0.857; OR = 2.356; 95% CI[2.339, 2.373]）。然而，只有37.5%的医院拥有自主的MT部门，这可能是缺乏综合发展计划的原因（β=0.249; OR = 1.282; 95% CI[1.113, 1.477]）。此外，关于机器移植的文献在数量和质量上仍然不足，主要是由于技术设备的缺乏（β=2.606; OR = 13.550; 95% CI[7.797, 23.549]）。结论尽管患者对MT的需求不断增长，但广东省MT科室的范围有限，存在技术设备和教育资源的不足。MT主要应用于骨科病例，以康复科学和中医为基础。

{"title":"Availability of manual therapy in hospitals in the Guangdong province, China: a cross-sectional web-based survey","authors":"Frank Fan Huang MSc , Chengcheng Chai MSc , Tiankang Zhang MD , Mingwang Qiu MSc , Daniel Kangyong Zheng MSc , Yule Hu MSc , Nuo Lei MSc , Jeremy Rui Chang MSc , Xiaoxiao Mei MSc , Wangbin Liao MSc , Xiaohui Li MSc , Shan Wu PhD , Liming Lu PhD , Arnold Yu Lok Wong PhD , Zhiyong Fan PhD","doi":"10.1016/j.echu.2025.08.001","DOIUrl":"10.1016/j.echu.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the quality and needs of manual therapy (MT) services in Guangdong provincial hospitals, including their scale, technological devices, scope of treatments, knowledge background, and challenges.</div></div><div><h3>Methods</h3><div>A total of 48 hospitals across the Guangdong province participated in completing a Web-based, self-report survey between October 2021 to December 2021. Multiple Poisson regression models were used to determine factors affecting these practices.</div></div><div><h3>Results</h3><div>This investigation revealed a substantial demand for MT among patients, particularly those with musculoskeletal disorders. Over the past three years (2019-2021), each MT department attended to 9,655 patients annually, with the largest hospital accommodating up to 12,000 patients annually. Additionally, the prevalence of patients seeking MT services exhibited an inverse correlation with specific diagnoses and treatment regimens (<em>β</em>=0.857; OR = 2.356; 95% CI [2.339, 2.373]). However, only 37.5% of hospitals had autonomous MT departments, possibly contributing to the absence of comprehensive development plans (<em>β</em>=0.249; OR = 1.282; 95% CI [1.113, 1.477]). Moreover, the literature on MT remains scant in quantity and quality, mainly due to a shortage of technical equipment (<em>β</em>=2.606; OR = 13.550; 95% CI [7.797, 23.549]). There persisted a notable discrepancy in the adoption and advancement of MT.</div></div><div><h3>Conclusions</h3><div>Despite the growing demand for MT among patients, MT departments in Guangdong are limited in scope, encountering shortages of technological devices and educational resources. MT is predominantly applied to orthopedic cases, grounded in rehabilitation science and Traditional Chinese medicine.</div></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"32 ","pages":"Pages 55-62"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Musculoskeletal pain among South African flight Attendants: A cross-sectional study 南非空乘人员肌肉骨骼疼痛：一项横断面研究

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.07.005

Sonia P. Narotam , Alexis Harerimana , Julian D. Pillay

Objective

The purpose of this study was to provide details on injuries and musculoskeletal pain among South African flight attendants and to explore their knowledge, perception, and utilization of chiropractic care.

Methods

The study employed a descriptive, cross-sectional design and used a survey for data collection. A total of 108 participants completed the questionnaire from April to November 2022. Data were analyzed descriptively using frequencies, percentages, and cross-tabulations. Mann- Whitney U tests compared 5-point Likert scale responses regarding chiropractic perceptions between users and non-users.

Findings

The study found that 58% of flight attendants experienced work-related musculoskeletal pain, mainly in the lower back (84.1%) and shoulders (39.7%). Common causes included long shifts (66.7%) and lifting luggage (44.4%). About 32% sought chiropractic care, which 90% found beneficial for both prevention and maintenance. Chiropractic utilization was higher among participants with musculoskeletal pain (41.3%) compared to those without (19.0%, P = .014). Knowledge scores did not differ significantly (P = .369). Positive perceptions (P = .004) and preferences (P < .001) were associated with increased utilization, while limited knowledge (P < .001) and discomfort (P = .046) were linked to decreased utilization.

Conclusion

Despite a significant number of flight attendants reporting work-related musculoskeletal pain, their limited knowledge of chiropractic influenced their perception and usage of the service. There is a need for the aviation industry to address musculoskeletal risks and provide adequate chiropractic education and care to flight attendants.

目的：本研究的目的是提供南非空乘人员受伤和肌肉骨骼疼痛的细节，并探讨他们对脊椎指压治疗的知识、感知和利用。方法本研究采用描述性、横断面设计，采用问卷调查法收集资料。共有108名参与者在2022年4月至11月期间完成了问卷调查。使用频率、百分比和交叉表对数据进行描述性分析。曼-惠特尼U测试比较了使用者和非使用者之间关于按摩知觉的5分李克特量表反应。研究发现，58%的空乘人员经历过与工作相关的肌肉骨骼疼痛，主要是下背部（84.1%）和肩部（39.7%）。常见原因包括长时间轮班（66.7%）和搬运行李（44.4%）。约32%的人寻求脊椎按摩治疗，其中90%的人认为预防和维持都有益。有肌肉骨骼疼痛的参与者（41.3%）比没有肌肉骨骼疼痛的参与者（19.0%,P = 0.014）使用捏脊疗法的比例更高。知识得分差异无统计学意义（P = .369）。积极的认知（P = 0.004）和偏好（P < 0.001）与利用率的增加有关，而有限的知识（P < 0.001）和不适（P = 0.046）与利用率的降低有关。结论：尽管大量空乘人员报告了与工作相关的肌肉骨骼疼痛，但他们对脊椎指压疗法的有限知识影响了他们对服务的感知和使用。航空业有必要解决肌肉骨骼风险，并为空乘人员提供足够的脊椎按摩教育和护理。

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引用次数: 0

Inappropriate Patient Sexual Behaviour Towards Female Chiropractors in South Africa: A Quantitative Analysis 病人对女性脊医不适当的性行为在南非：一个定量分析

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.07.006

Christopher Yelverton PhD, MTech (Chiro) (SA), Kamilah Jordaan MHSc Chiropractic (UJ)

Objectives

The purpose of this study was to survey chiropractors’ awareness and use of inappropriate patient sexual behavior (IPSB) protocol guidelines.

Method

This study used a 31-question online survey, distributed during the period of September to November 2022, to all registered female chiropractors in South Africa. The survey focused on how often and how severe IPSB incidents were, as well as practitioners’ knowledge and use of IPSB guidelines.

Results

Of the 508 chiropractors, 24.2% (123) responded. All respondents were aware of IPSB, with 59.8% reporting they had experienced it. More than half (52.2%) had encountered IPSB more than once, with mild cases being the most common, followed by moderate and severe cases. Respondents reported they felt more prepared for mild IPSB than for moderate or severe incidents. Many (40.9%) chose to ignore the behavior and continue treating the patient, while 34.1% gave a verbal warning before continuing care. A majority (95.7%) were concerned about IPSB, and 82.9% thought additional training could help them better handle these situations. While 62.6% knew about the IPSB protocol guidelines, 80.5% had not read them. Nevertheless, 83.3% said they had implemented the guidelines, and 66.7% found them helpful for educating chiropractors about IPSB.

Conclusion

The study found that 59.8% of female chiropractors in South Africa have experienced IPSB. Maintaining professional boundaries is a major concern for this group of chiropractors, and further research and professional guidelines may be necessary to address the impact comprehensively.

目的调查脊医对患者不当性行为（IPSB）协议指南的认知和使用情况。该研究采用31个问题的在线调查，于2022年9月至11月期间向南非所有注册的女性脊医分发。调查的重点是IPSB事件发生的频率和严重程度，以及从业人员对IPSB指南的了解和使用情况。结果508名脊医中，有123名（24.2%）作出回应。所有受访者都知道IPSB， 59.8%的受访者表示他们经历过IPSB。超过一半（52.2%）的患者不止一次遇到IPSB，其中以轻中度病例最多，其次是中度和重度病例。受访者报告说，他们对轻度IPSB比中度或严重事件准备得更充分。许多人（40.9%）选择忽视这种行为并继续治疗患者，而34.1%的人在继续治疗前给予口头警告。大多数人（95.7%）担心IPSB， 82.9%的人认为额外的培训可以帮助他们更好地处理这些情况。62.6%的人知道IPSB协议指南，80.5%的人没有读过。尽管如此，83.3%的受访者表示他们已经实施了该指南，66.7%的受访者认为该指南有助于向脊医培训IPSB。结论研究发现，南非女性脊医中有59.8%的人经历过IPSB。保持专业界限是这群脊医的主要关注点，进一步的研究和专业指南可能需要全面解决这种影响。

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引用次数: 0

Delivering Accessible Chiropractic Services in a Culturally Sensitive Manner: The Aboriginal Health in Aboriginal Hands Program 以文化敏感的方式提供可获得的脊椎按摩服务：土著居民手中的土著健康计划

Q3 Health Professions

Journal of Chiropractic Humanities

Pub Date : 2025-09-15 DOI: 10.1016/j.echu.2025.08.003

Stephen R. Bird PhD , Sussen Stavridis MA , April Clarke , Franca Smarrelli , Dein Vindigni PhD

Objective

The purposes of this study were to (1) identify important principles for facilitating accessibility to allied health services such as chiropractic treatment for Aboriginal and Torres Strait Islander people and delivering these services in a culturally appropriate manner; and (2) to contextualize these principles by mapping them to an allied health program (Aboriginal Health in Aboriginal Hands [AHAH]) currently delivering these services within an Indigenous community.

Methods

To gather information about the program`, yarnings were held with stakeholders of the AHAH clinic. Key features of the program were then mapped against the identified domains of accessibility and principles for design and delivery in the context of cultural sensitivity.

Results

Notable aspects of the AHAH service design and delivery included building on the strengths of the community; being located at an established Aboriginal community gathering space that provides a familiar location for prospective service users; high level and face to face involvement of Aboriginal community members who facilitate the “welcoming nature” and cultural appropriateness of the service. Furthermore, the oversight and daily involvement of Indigenous community members ensures the application of the domains of approachability, acceptability, availability, affordability, and appropriateness and the cultural principles identified as important by Aboriginal leaders and researchers for working with “Aboriginal and Torres Strait Islander” communities (lore, love, look, listen, learn, lead, and land).

Conclusion

Applying the principles of accessibility and cultural appropriateness, appears to facilitate the delivery of therapies, such as chiropractic, with “Aboriginal and Torres Strait Islander” communities.

目的本研究的目的是：(1)确定重要原则，以促进获得联合医疗服务，如为土著和托雷斯海峡岛民提供脊椎按摩治疗，并以文化上适当的方式提供这些服务；(2)通过将这些原则映射到目前在土著社区提供这些服务的联合健康计划（土著居民手中的土著健康[AHAH]）中，将这些原则置于背景中。方法为了收集项目信息，与ahh诊所的利益相关者进行讨论。在文化敏感性的背景下，项目的关键特征被映射到可访问性和设计原则的确定领域。结果：aha服务设计和提供的显著方面包括：利用社区的优势；位于一个已建立的土著社区聚会空间，为潜在的服务用户提供一个熟悉的位置；土著社区成员的高层次和面对面的参与，促进了服务的“欢迎性质”和文化上的适当性。此外，土著社区成员的监督和日常参与确保了可接近性、可接受性、可获得性、可负担性和适当性等领域的应用，以及土著领导人和研究人员在与“土著和托雷斯海峡岛民”社区合作时确定的重要文化原则（爱、爱、看、听、学、领导和土地）。结论：在原住民和托雷斯海峡岛民社区中，应用可及性和文化适宜性原则似乎有助于提供治疗，如脊椎指压疗法。

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引用次数: 0