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Physiotherapy students’ education on, exposure to, and attitudes and beliefs about providing care for LGBTQIA+ patients: a cross-sectional study in the UK 理疗学生对LGBTQIA提供护理的教育、接触以及态度和信念+ 患者:英国的一项横断面研究
IF 1.4 Q3 Health Professions Pub Date : 2022-05-27 DOI: 10.1080/21679169.2022.2080252
Niko Brenner, M. Ross, Eugénie McLachlan, R. McKinnon, Lorna Moulton, J. Hammond
Abstract Background Individuals who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual or related identities (LGBTQIA+) experience barriers when accessing healthcare, including physiotherapy. Little is known about physiotherapy students’ attitudes and beliefs about caring for LGBTQIA+ individuals and what education is provided. Purpose This study aims to identify the attitudes, knowledge and practice of physiotherapy students when caring for LGBTQIA+ patients in the UK. Methods A cross-sectional online survey of physiotherapy students. Independent sample t-tests and an analysis of variance were carried out to analyse between-group differences in heteronormativity scores (modified Heteronormative Attitudes and Beliefs Scale (HABS)) and respondents’ attitudes and beliefs about caring for LGBTQIA+ individuals. Results 107 eligible participants completed the questionnaire with 23% identifying as LGBTQIA + and 41% indicating close personal exposure to LGBTQIA+ people. Clinical placement experience and experience working with LGBTQIA+ people in other professional roles was reported by 16%, 27% respectively. Educational exposure (with a mean (standard deviation (SD)) of 2.7 (2.9) h) to the LGBTQIA + community was reported by 17% of participants. The overall mean (SD) modified-HABS score was 2.65 (1.20). Participants with greater personal and informal educational exposure to LGBTQIA+ topics demonstrated less heteronormative attitudes and beliefs, greater awareness and more inclusive attitudes towards caring for LGBTQIA+ individuals compared to those without. Conclusion Physiotherapy students have generally positive attitudes towards providing care for LGBTQIA+ individuals. Education is inconsistent and physiotherapy students lack awareness of LGBTQIA+ specific healthcare needs. These findings suggest that more focus is needed on LGBTQIA+ healthcare within physiotherapy education.
摘要背景识别为女同性恋、男同性恋、双性恋、跨性别者、酷儿、双性人、无性恋或相关身份(LGBTQIA+)的个人在获得医疗保健(包括理疗)时会遇到障碍。对理疗学生关心LGBTQIA的态度和信念知之甚少+ 个人和提供什么教育。目的本研究旨在确定理疗学生在照顾LGBTQIA时的态度、知识和实践+ 方法对英国物理治疗专业学生进行横断面在线调查。进行了独立样本t检验和方差分析,以分析非规范性得分(改良的非规范性态度和信念量表(HABS))和受访者对照顾LGBTQIA的态度和信念的组间差异+ 个人。结果107名符合条件的参与者完成了问卷调查,23%的人认为自己是LGBTQIA + 41%表示个人与LGBTQIA有密切接触+ 人临床安置经验和与LGBTQIA合作的经验+ 从事其他职业的人数分别为16%和27%。LGBTQIA的教育暴露(平均值(标准差(SD))为2.7(2.9)小时 + 17%的参与者报告了社区。修正后的HABS总平均值(SD)为2.65(1.20)。受LGBTQIA个人和非正式教育影响较大的参与者+ 主题表现出较少的非规范态度和信仰,对照顾LGBTQIA有更高的认识和更包容的态度+ 与那些没有的人相比。结论物理治疗师学生对LGBTQIA的护理普遍持积极态度+ 个人。教育不一致,理疗学生缺乏对LGBTQIA的认识+ 特定的医疗需求。这些发现表明,需要更多地关注LGBTQIA+ 理疗教育中的医疗保健。
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引用次数: 6
Do online workshops using active teaching methods improve self-rated social skills of future physiotherapists? 使用积极教学方法的在线研讨会是否能提高未来物理治疗师的自评社交技能?
IF 1.4 Q3 Health Professions Pub Date : 2022-05-17 DOI: 10.1080/21679169.2022.2072523
J. Femiak, Marcin Czechowski
Abstract Purpose In the context of the COVID-19 pandemic, the need arose for replacing conventional forms of education with remote classes. Therefore, it was decided to test the effectiveness of a social skills workshop conducted using active online methods for second-year physiotherapy students. Methods The experimental factor was the contents of workshop classes taught online. The platforms Teams, Zoom and the Messenger were used to carry out the experiment. The workshops used active learning methods: simulation of work situation, drama, peer feedback and interaction-based communication. Results The results obtained from 78 participants (pre-test and post-test, including 45 women) were analysed. The age of the participants ranged from 20 to 22 years, with a mean of 20.7 years. A self-reported social skills questionnaire consisting of 30 statements was used. Participation in the course resulted in a significant increase in the index of general social competences of the students (F1.76=38.66; p < .0001; η2=.337; observed power (for α = .05) 1 − β > 0.99. There was no interaction between course participation and the gender of the participants (p = .0849). Conclusions Online workshops using active teaching methods, which are an essential element of future physiotherapists’ preparation for clinical work, can stimulate the development of their social skills.
摘要目的在新冠肺炎疫情大流行的背景下,有必要用远程教学取代传统的教育形式。因此,我们决定测试社交技能研讨会的有效性,该研讨会采用积极的在线方法对二年级物理治疗学生进行了测试。方法以网络工作坊教学内容为实验因素。实验使用了Teams、Zoom和Messenger平台。工作坊采用了积极的学习方法:模拟工作情境、戏剧、同伴反馈和基于互动的沟通。结果分析了78名参与者(测试前和测试后,包括45名女性)的结果。参与者的年龄从20岁到22岁不等,平均20.7岁。使用了一份由30个问题组成的自我报告的社交技能问卷。参与课程导致学生的一般社会能力指数显著提高(F1.76=38.66;0.99 p。课程参与与参与者性别之间无交互作用(p = .0849)。结论采用积极主动的教学方法的在线研讨会可以促进物理治疗师社交技能的发展,是未来物理治疗师为临床工作做准备的重要组成部分。
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引用次数: 1
Statistical inference through estimation: recommendations from the International Society of Physiotherapy Journal Editors 通过估计进行统计推断:来自国际物理治疗学会期刊编辑的建议
IF 1.4 Q3 Health Professions Pub Date : 2022-05-01 DOI: 10.1080/21679169.2022.2073991
M. Elkins, R. Pinto, A. Verhagen, M. Grygorowicz, A. Söderlund, Matthieu Guémann, A. Gómez-Conesa, Sarah Blanton, J. Brismée, S. Agarwal, Alan Jette, S. Karstens, M. Harms, G. Verheyden, Umer Sheikh
Null hypothesis statistical tests are often conducted in healthcare research [1], including in the physiotherapy field [2]. Despite their widespread use, null hypothesis statistical tests have important limitations. This co-published editorial explains statistical inference using null hypothesis statistical tests and the problems inherent to this approach; examines an alternative approach for statistical inference (known as estimation); and encourages readers of physiotherapy research to become familiar with estimation methods and how the results are interpreted. It also advises researchers that some physiotherapy journals that are members of the International Society of Physiotherapy Journal Editors (ISPJE) will be expecting manuscripts to use estimation methods instead of null hypothesis statistical tests.
在医疗保健研究[1]中经常进行零假设统计检验,包括在物理治疗领域b[2]。尽管它们被广泛使用,但零假设统计检验有重要的局限性。这篇共同发表的社论解释了使用零假设统计检验的统计推断以及这种方法固有的问题;研究统计推断的另一种方法(称为估计);并鼓励物理治疗研究的读者熟悉评估方法以及如何解释结果。它还建议研究人员,作为国际物理治疗期刊编辑协会(ISPJE)成员的一些物理治疗期刊将期望手稿使用估计方法而不是零假设统计检验。
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引用次数: 2
Evidence-based-practice profile among physiotherapists: a cross-sectional survey in France 物理治疗师循证实践概况:法国的一项横断面调查
IF 1.4 Q3 Health Professions Pub Date : 2022-04-21 DOI: 10.1080/21679169.2022.2057587
Arnaud Bruchard, Xavier Laurent, Pauline Raul, Germain Saniel, Grégory Visery, Vincent Fontanier, Nadège Lemeunier
Abstract Purpose To establish an inventory of the Evidence-Based Practice (EBP) among physiotherapists (PT) in France assessing EBP knowledge, perception, and utilisation in practice. Method A cross-sectional survey was performed using a French translation of the EBP2 questionnaire including the 5 EBP domains (Relevance, Terminology, Confidence, Practice and Sympathy). Participants completed the online survey from February 26th to August 31st, 2021. Scores were summarised by EBP domain for each participant. Pairwise Pearson’s correlations between domains scores and a hierarchical clustering on principal component analysis were conducted. Results In total, 542 participants were included in the analysis. Majority of participants were male with median age of 30 years (IQR: 26–36 years). Regarding EBP domain scores, PT perceived relevance of EBP but had difficulty to apply it in practice. Furthermore, positive correlations exist between the 5 domains. Participants were divided into three clusters. Those reporting poor scientific analysis skills and high barriers were older, less graduated, less trained in EBP and graduated earlier. Conclusion French PT perceived research to be important in their current practice and had a favourable opinion of EBP. However, they reported a lack of confidence, difficulty to understand terminology and to use it in practice. These findings and their profiles may help to improve PT’s EBP education in France.
摘要目的建立一份法国物理治疗师循证实践(EBP)清单,评估循证实践的知识、感知和使用情况。方法采用法语翻译的EBP2问卷进行横断面调查,包括5个EBP领域(相关性、术语、信心、实践和同情)。参与者于2021年2月26日至8月31日完成了在线调查。每个参与者的得分按EBP域汇总。在主成分分析的基础上进行了领域得分之间的成对Pearson相关性和层次聚类。结果共有542名参与者被纳入分析。大多数参与者是男性,中位年龄为30岁 年(IQR:26-36 年)。关于EBP领域得分,PT感知到EBP的相关性,但在实践中难以应用。此外,这5个域之间存在正相关性。参与者被分为三组。那些报告科学分析技能差和障碍高的人年龄较大,毕业较少,在EBP方面接受的培训较少,毕业较早。结论法国PT认为这项研究在他们目前的实践中具有重要意义,并对EBP有好感。然而,他们报告说缺乏信心,难以理解术语并在实践中使用。这些发现及其简介可能有助于改善PT在法国的EBP教育。
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引用次数: 1
What do patients expect from physiotherapists in private clinics? A classical grounded theory study 病人对私人诊所的物理治疗师有什么期望?经典的扎根理论研究
IF 1.4 Q3 Health Professions Pub Date : 2022-04-20 DOI: 10.1080/21679169.2022.2059104
Liselotte Jensen, Tine Eva Rasmussen, Marianne Lindahl
Abstract Purpose The aim of this classic grounded theory study was to develop a substantive theory explaining variations in patients’ expectations of physiotherapists when contacting a clinic. Materials and methods The study was nested in a survey cohort study, and data constituted a single open-ended question: State what you expect the physiotherapist to help you with. Responses were obtained from patients before attending the clinic. Statements were analysed using classic grounded theory with open, selective, and theoretical coding. The authors concurrently used memos and constant comparison until theoretical saturation was achieved, categories were identified, and a theoretical model was developed. Results Based on 292 statements from patients primarily suffering from musculoskeletal problems, the theory grounded in data Expectations as a continuum was developed. Four typologies created the theory: (1) Doing something, so it is again possible to…, (2) Finding out what is wrong with me, (3) Relieving/getting rid of symptoms, and (4) Help to self-help. Conclusions The theory Expectations as a continuum illuminates that patients’ expectations range from helplessness to being competent to act and reflect the social cognitive theories health locus of control and self-efficacy. Patients’ abilities for self-management are different, and physiotherapists should carefully adjust the requirements for self-management.
摘要目的:本研究的目的是建立一个实质性的理论来解释患者在联系诊所时对物理治疗师的期望的变化。材料和方法本研究采用调查队列研究,数据构成一个单一的开放式问题:陈述你希望物理治疗师帮助你做什么。在就诊前获得患者的反馈。语句分析使用经典接地理论与开放,选择性和理论编码。作者同时使用备忘录和不断的比较,直到理论饱和,类别被确定,并制定了一个理论模型。结果基于292例主要患有肌肉骨骼问题的患者的陈述,以数据预期为基础的理论被开发为一个连续体。四种类型创造了这个理论:(1)做一些事情,这样就有可能再次……,(2)找出我的问题所在,(3)缓解/摆脱症状,(4)帮助自助。结论期望理论是一个连续体,说明患者的期望范围从无助到有能力采取行动,反映了社会认知理论的健康控制点和自我效能。患者的自我管理能力各不相同,物理治疗师应仔细调整自我管理的要求。
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引用次数: 0
Effects of progressive neuromuscular training on pain, function, and balance in patients with knee osteoarthritis: a randomised controlled trial 渐进式神经肌肉训练对膝关节骨关节炎患者疼痛、功能和平衡的影响:一项随机对照试验
IF 1.4 Q3 Health Professions Pub Date : 2022-04-08 DOI: 10.1080/21679169.2022.2052178
Sajiri Joshi, Sona Kolke
Abstract Background Sensorimotor dysfunction is one of the factors leading to advancement of knee osteoarthritis (OA). Limited evidence supports the use of neuromuscular training (NMT) incorporating all the elements of sensorimotor function viz. strength, balance, coordination, and proprioception, hence the current study aimed to evaluate the efficacy of NMT integrating all aspects of sensorimotor function on pain, function, and balance in patients with knee OA. Material and methods This single-blinded RCT recruited 62 subjects (40–65 years) with KL grade II-III of knee OA, who were randomly allocated into two groups namely NMT or strengthening group (twice a week for 6 weeks). Outcomes were assessed for pain (NPRS), function (CRD version of WOMAC, PSFS, chair stand test, stair climb test, timed up and go test), and balance (Y-balance) at baseline and at the completion of the intervention. Results 54 subjects completed the trial. Although both groups had significant improvement NMT was more effective (p value < 0.05) for most clinical outcomes of NPRS, Y-balance, and WOMAC with low-moderate effect size and objective functional tests – chair stand test and timed up and go test. Conclusion NMT was more effective in improving the clinical outcomes of pain, function (except PSFS), and balance in subjects with KL grade II-III knee OA. Knee OA patients may benefit with addition of NMT to their intervention. However, due to limitations of low effect size, the results should be considered with caution.
摘要背景感觉运动功能障碍是导致膝骨关节炎(OA)进展的因素之一。有限的证据支持使用神经肌肉训练(NMT),它结合了感觉运动功能的所有元素,即力量、平衡、协调和本体感觉,因此目前的研究旨在评估NMT结合感觉运动功能所有方面对膝关节骨性关节炎患者疼痛、功能和平衡的疗效。材料和方法这项单盲随机对照试验招募了62名受试者(40-65 年),KLⅡ-Ⅲ级膝关节骨性关节炎患者,随机分为两组,即NMT组或强化组(每周两次,共6次 周)。在基线和干预完成时,评估疼痛(NPRS)、功能(CRD版WOMAC、PSFS、椅子站立测试、爬楼梯测试、定时出发测试)和平衡(Y-balance)的结果。结果54名受试者完成了试验。尽管两组都有显著改善,但NMT对NPRS、Y-balance和WOMAC的大多数临床结果更有效(p值<0.05),具有中低疗效大小和客观功能测试——椅子站立测试和定时出发测试。结论NMT在改善KLⅡ-Ⅲ级膝关节骨性关节炎患者的疼痛、功能(PSFS除外)和平衡方面更有效。膝关节骨性关节炎患者可能受益于NMT的干预。然而,由于低效应大小的限制,应谨慎考虑结果。
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引用次数: 1
‘Keep moving, but carefully’: back pain beliefs among NHS staff “继续前进,但要小心”:NHS工作人员的背痛信念
IF 1.4 Q3 Health Professions Pub Date : 2022-03-10 DOI: 10.1080/21679169.2022.2047781
Jack Davis, C. Newton, Gurpreet Singh, David Nolan, K. O’Sullivan
Abstract Background Back pain (BP) is a major cause of absenteeism in National Health Service (NHS) staff in the UK. However, the back beliefs of NHS staff with BP are unknown. Objectives To explore the BP beliefs of UK NHS staff presenting with BP, and how these beliefs are constructed. Method Purposive sampling of NHS staff with BP who had self-referred to University Hospitals of Leicester NHS Trusts occupational health physiotherapy service. 30 participants completed the Back-Pain Attitudes Questionnaire. Ten participants with a range of BP beliefs also completed semi-structured interviews. Mean responses, and frequency of different responses were reported, for the questionnaire data. Interviews were analysed using thematic analysis. Results Total Back-PAQ scores (mean −9.6, SD 9.16) indicated unhelpful BP beliefs overall, though some BP beliefs such as the potential benefit of exercise were more positive. Key themes identified from the interviews were; (i) the uniquely vulnerable nature of BP, (ii) the need to protect the back through avoidance behaviours, and (iii) the importance of being active for BP. Conclusion NHS staff presenting with BP generally held negative BP beliefs, based on both questionnaire responses and the qualitative interviews. Awareness of the potential benefits of activity contrasted with the notion that ongoing protection of the back was required, and was evident in questionnaire data and interviews. Back pain beliefs were influenced by health care professional advice (both formal and informal settings), moving and handling training, family opinion and childhood experiences, offering insights into the settings where BP beliefs could be targeted.
摘要背景背痛(BP)是英国国家医疗服务体系(NHS)工作人员缺勤的主要原因。然而,患有BP的NHS工作人员的背痛信念尚不清楚。目的探讨英国国家医疗服务体系(NHS)工作人员的BP信念,以及这些信念是如何构建的。方法对英国国家医疗服务体系(NHS)的BP工作人员进行有针对性的抽样,这些工作人员曾自行转诊到莱斯特大学医院NHS信托的职业健康理疗服务。30名参与者完成了背痛态度问卷。10名具有一系列BP信念的参与者也完成了半结构化访谈。报告了问卷数据的平均回答和不同回答的频率。访谈采用专题分析法进行分析。结果背部PAQ总分(平均值-9.6,SD 9.16)表明总体上对BP信念没有帮助,尽管一些BP信念(如运动的潜在益处)更积极。访谈中确定的主要主题有:;(i) BP独特的脆弱性,(ii)通过回避行为保护背部的必要性,以及(iii)积极参与对BP的重要性。结论根据问卷调查和定性访谈,英国国家医疗服务体系(NHS)工作人员对BP普遍持有负面的BP信念。对活动潜在益处的认识与需要持续保护背部的观念形成了鲜明对比,这在问卷数据和访谈中表现得很明显。背痛信念受到医疗保健专业建议(正式和非正式环境)、行动和处理培训、家庭意见和童年经历的影响,从而深入了解BP信念可能成为目标的环境。
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引用次数: 0
Supporting patients’ adherence in pain self-management: how to proceed? – Editorial 支持患者坚持疼痛自我管理:如何进行?——编辑
IF 1.4 Q3 Health Professions Pub Date : 2022-03-02 DOI: 10.1080/21679169.2022.2044140
A. Söderlund
Adherence in pain treatment in clinical practice and research is critical. Further, an important component in managing chronic pain, but also in other chronic conditions, is supporting patients to develop and engage in new behaviours, e.g. using self-management strategies that need to be sustained over time. However, how to effectively support and increase adherence to treatment representing a new behaviour is not clear. The adherence concept is considered as a development of the compliance concept. Compliance from a patient’s point of view is not an autonomous decision-making process. It is more of following orders from physiotherapist or other health care staff. Adherence however is a patient-centered communication of recommendation where the patient independently decides against or for a mutual agreement and advice. For the past few decades there has been little attention on strategies to increase adherence to achieve sustained behavioural change. The past research has focussed on the problems of non-adherence rather than studying solutions of supporting adherence. There is a great need of advancing in our understanding of how to handle the key barriers to adherence and how to coach changes in patient’s or client’s adherence behaviour in pain self-management. Also, the App and Web-based strategies to promote adherence in treatments for chronic pain and other chronic conditions do need to be studied. Significant levels of adherence to physical activity and exercise programs have shown high correlations with positive outcomes in pain management. However, research on effective strategies for supporting adherence is lacking. Very likely, patients’ and clients’ beliefs, cognitions, and emotions play an important role in finding successful and supportive behaviour change strategies for adherence. In a scoping review, it was shown that for supporting adherence, capability-related strategies such as education of the patient, supervision, mastery of and grading of activities and exercise aiming to increase self-efficacy were important. Further, motivation increasing strategies such as identifying readiness for change, self-monitoring of behaviour and goal setting seem to have positive impact on adherence. Additionally, strategies that could be related to opportunity for change were having booster sessions, getting feedback from therapist or significant others as well as social support facilitated adherence to activities and exercise [1]. Understanding and applying strategies for increasing adherence to the pain self-management regimes in research and clinical work is essential to improve long-term pain outcomes. It is time to address these interventional behaviour change-related challenges in pain self-management within clinical practice and research.
坚持治疗疼痛在临床实践和研究中是至关重要的。此外,管理慢性疼痛和其他慢性疾病的一个重要组成部分是支持患者发展和从事新的行为,例如使用需要长期维持的自我管理策略。然而,如何有效地支持和增加对治疗的坚持是一种新的行为尚不清楚。依从性概念被认为是依从性概念的发展。从患者的角度来看,依从性不是一个自主决策的过程。它更多的是遵循物理治疗师或其他卫生保健人员的命令。然而,依从性是一种以患者为中心的建议交流,患者独立决定反对或接受双方的协议和建议。在过去的几十年里,人们很少关注提高依从性以实现持续行为改变的策略。过去的研究主要集中在不坚持的问题上,而不是研究支持坚持的解决方案。我们非常需要进一步了解如何处理坚持治疗的主要障碍,以及如何指导患者或客户在疼痛自我管理中改变坚持治疗的行为。此外,应用程序和基于网络的策略,以促进坚持治疗慢性疼痛和其他慢性疾病确实需要研究。坚持体育活动和锻炼计划的显著水平显示出与疼痛管理的积极结果高度相关。然而,对支持坚持的有效策略的研究是缺乏的。很有可能,患者和客户的信念、认知和情绪在寻找成功和支持性的行为改变策略方面发挥着重要作用。在一项范围审查中,研究表明,为了支持依从性,与能力相关的策略,如对患者的教育、监督、对活动的掌握和分级,以及旨在提高自我效能感的锻炼,都是重要的。此外,增加动机的策略,如确定改变的准备,行为的自我监控和目标设定似乎对坚持有积极的影响。此外,可能与改变机会相关的策略是进行助推器会议,从治疗师或重要的其他人那里获得反馈,以及社会支持,促进了对活动和锻炼的坚持。在研究和临床工作中,理解和应用策略来提高对疼痛自我管理制度的依从性对于改善长期疼痛结果至关重要。是时候在临床实践和研究中解决这些与疼痛自我管理相关的干预行为改变挑战了。
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引用次数: 0
Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation – a qualitative study 亚急性脑卒中康复过程中患者参与、动机和应对物理治疗师的经验——一项定性研究
IF 1.4 Q3 Health Professions Pub Date : 2022-02-23 DOI: 10.1080/21679169.2022.2032825
Liss Marita Solbakken, M. Nordhaug, K. Halvorsen
Abstract Purpose Physiotherapy is an important, integral part of rehabilitation after stroke. The study aim was to explore and describe patients’ experiences of involvement, motivation, and coping in interaction with physiotherapists during subacute stroke rehabilitation. Methods The data derive from qualitative semi-structured interviews of six patients following subacute stroke rehabilitation. The interviews were analysed using systematic text condensation. Results Two categories were identified: (1) ‘The physiotherapist’s contribution’, including the themes of motivation through goal attainment, transferring knowledge, and building self-efficacy through a good relationship; (2) ‘The patient’s internal process’, including the themes of attitude and determination, comparison, the importance of feeling well and fending off passivity. Conclusion This study shows that increased knowledge and a good relationship with the physiotherapist were important for the participants’ involvement, motivation, and coping. Experiencing ownership of the rehabilitation process made the patients accountable, affected their activity level positively, and helped them cope with their challenges.
目的物理治疗是脑卒中后康复的重要组成部分。本研究的目的是探讨和描述亚急性脑卒中康复过程中患者参与、动机和应对与物理治疗师互动的经历。方法对6例亚急性脑卒中康复患者进行定性半结构化访谈。使用系统的文本浓缩对访谈进行分析。结果(1)“物理治疗师的贡献”分为两类,包括通过目标实现的动机、知识转移和通过良好关系建立自我效能感的主题;(2)“患者的内部过程”,包括态度和决心、比较、感觉良好和避免被动的重要性等主题。结论增加知识和与物理治疗师的良好关系对参与者的参与、动机和应对都很重要。体验康复过程的所有权使患者负责,积极影响他们的活动水平,并帮助他们应对挑战。
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引用次数: 4
Adherence to exercise in people with epilepsy 癫痫患者坚持运动
IF 1.4 Q3 Health Professions Pub Date : 2022-02-11 DOI: 10.1080/21679169.2022.2038264
S. Vooturi, A. Lakshmi, S. Jayalakshmi
Abstract Objective We evaluate adherence to tailor made, short-term home exercise programme in adult people with epilepsy (PWE), with seizures controlled on anti-seizure medications (ASM). Methods Demographic, clinical, quality of life (QoL) and physical fitness data of 116 PWE. Participants were prescribed tailor-made home-based exercises for 3 months. At follow-up, adherence to exercise was evaluated using self-reported Exercise Adherence Rating Scale (EARS). Results Average age of the study population was 29.93 ± 10.20(18–52) years; with 46 (39.6%) women. At enrolment, none of the participants reported to be physically active and the average body mass index (BMI) was 28.40 ± 5.79(18.2–41.4). The average distance walked in a six-minute walk test was 385.95 ± 63.48(240–510) metres. On QoL analysis, the mean Physical component score was 45.57 ± 8.72(25.7–62.6) and Mental component core was 45.41 ± 10.37(20.9–64.9). On EARS, 31(26.7%) participants reported doing exercises as recommended. Among PWE who were non-adherent to exercise, 68(58.6%) reported fear of possible seizure as a barrier for exercise, 63(54.3%) reported lack of support from family and friends. Having no fear about exercise (r = 0.640; p < 0.001) and encouragement of family were associated with adherence to exercise (r = 0.463; p < 0.001). Conclusion Adherence to home-based physical exercise is reported in one-fourth of PWE. Non-compliance to exercise in PWE is multi-factorial, support from family and friends and counselling may be helpful. Trial Registration CTRI/2014/10/005125
摘要目的我们评估成年癫痫患者(PWE)对量身定制的短期家庭锻炼计划的依从性,并通过抗癫痫药物(ASM)控制癫痫发作。方法116例PWE患者的人口学、临床、生活质量和体质资料。参与者被要求进行为期3个月的量身定制的家庭锻炼。在随访中,使用自我报告的运动依从性评定量表(EARS)评估对运动的依从性。结果研究人群的平均年龄为29.93岁 ± 10.20(18-52)岁;女性46例(39.6%)。在登记时,没有一名参与者报告有体育活动,平均体重指数(BMI)为28.40 ± 5.79(18.2-41.4)。6分钟步行测试中的平均步行距离为385.95 ± 63.48(240–510)米。在生活质量分析中,平均身体成分得分为45.57 ± 8.72(25.7-62.6),心理成分核心为45.41 ± 10.37(20.9-64.9)。在EARS中,31名(26.7%)参与者报告按照建议进行了锻炼。在不坚持锻炼的PWE中,68人(58.6%)表示担心可能会癫痫发作作为锻炼的障碍,63人(54.3%)表示缺乏家人和朋友的支持。不怕运动(r = 0.640;p < 0.001)和家人的鼓励与坚持锻炼有关(r = 0.463;p < 0.001)。结论四分之一的PWE患者坚持家庭体育锻炼。PWE中不遵守锻炼是多因素的,家人和朋友的支持以及咨询可能会有所帮助。试验注册CTRI/2014/10/005125
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引用次数: 4
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European Journal of Physiotherapy
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