影响理疗后上肢支撑患者依从性的因素

Hufsa Shehzad, Zia-Ur- Rehman, Shazia Asif
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引用次数: 0

摘要

背景:患者不遵从上肢支具治疗会导致痊愈延迟、畸形恶化,有时甚至会造成永久性残疾。常见的上肢肌肉骨骼疾病需要支具和物理治疗,但患者不遵从支具治疗的情况非常普遍。本研究旨在找出导致患者在接受物理治疗后不遵守上肢支具固定的因素,从而影响患者的伤后恢复:本扎伊尔-布托医院中心共对 300 名 20-50 岁的患者进行了横断面描述性研究。研究使用了一份自行设计的问卷来评估患者的病史和影响患者依从性的因素。矫形假肢使用者调查表用于评估患者对支具的不依从性:在总共 300 名患者中,100 人(33.3%)正确使用了支具,115 人(38.33%)未使用支具,85 人(28.33%)使用了支具,但未按照矫形师的建议使用。在115名不使用支具的受试者中,75名患者无法负担支具费用,40名患者认为物理治疗对他们的病情有所改善,因此没有必要使用支具。影响患者在物理治疗后使用支具的最常见因素是支具不舒服(36.4%)或夜间不适(18.8%):结论:尽管参与者因费用高昂和不适感而不愿使用支具,但物理治疗后患者对支具的依从性仍有报告。努力降低支具的成本和不适感可能有利于提高物理治疗后患者对支具治疗的依从性:依从性 不依从性 矫形器 物理治疗
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Factors Affecting Patient Compliance with Upper Limb Bracing Following Physical Therapy
Background: The lack of patient compliance with upper limb bracing results in delayed healing, progression of deformity, and sometimes even permanent disability. Common upper limb musculoskeletal disorders require bracing and physical therapy, but patient non-compliance with bracing is widespread. The study aims to identify the factors that result in non-compliance with upper limb bracing following physical therapy, thus affecting the patient’s recovery from injury. Methods: Across-sectional descriptive study ontotal of 300 patients between ages 20-50 was conducted at Centre of Benzair Bhutto Hospital. A self-designed questionnaire was used to evaluate the history and factors affecting patient compliance. Orthotic Prosthetic user survey form was used to assess non-compliance with the brace. Results: Out of a total of 300 patients,100 (33.3%) subjects correctly used the brace, 115 (38.33%) subjects did not use the brace, and 85 (28.33) subjects used the brace but did not use it as advised by the orthotist. Out of 115 non-users, 75 patients could not afford the brace, and 40 patients thought they were improving with physiotherapy, so there was no need to use the brace. The most common factors affecting patient compliance with bracing following physiotherapy are either the brace being uncomfortable (36.4%) or discomfort at night (18.8%). Conclusion: Patient’s compliance was reported following physiotherapy, though the participants were reluctant to use the brace due to highcost and discomfort. Efforts to decrease the cost of brace, and discomfort may be beneficial in increasing compliance with bracing treatment following physiotherapy. Keywords: Compliance, Non-Compliance, Orthotics, Orthoses Physiotherapy.
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