评估加纳物理治疗师对帕金森病管理的知识、实践和经验:横断面调查

Mary Agoriwo
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摘要

背景:帕金森病(Parkinson's disease,PD)会导致多种功能障碍,需要特殊的专业知识才能有效治疗。目的描述加纳物理治疗师(PTs)的帕金森病专业知识水平,并确定专业知识水平、从业时间和每年治疗的帕金森病患者人数之间的关联。调查方法对物理治疗师进行了横断面调查。在一次年度大会期间,对 25 个项目的调查问卷进行了验证、试用和分发。使用 Microsoft Excel 2016 和 Kruskal-Wallis 检验分别进行描述性统计分析和关联检验。结果:回复率为 70%(n=42/60)。总体而言,50%-90%的参与调查的康复治疗师对主要运动症状、非运动症状、运动并发症和治疗目标的设定了解有限。参与者的帕金森病专业知识水平与执业时间和每年治疗的帕金森病患者人数之间无明显关联。结论:康复治疗师对帕金森病及其治疗的认识不足。这一局限性与康复治疗师的执业时间或每年治疗的脊髓灰质炎患者人数无关。加纳急需对康复治疗师进行针对帕金森病的培训,这对提高康复治疗师在帕金森病患者管理方面的专业知识至关重要。关键词帕金森病;物理治疗;专业知识。
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Evaluating the knowledge, practice and experience about management of Parkinson’s Disease among physiotherapists in Ghana: a cross-sectional survey
Background: Parkinson’s disease (PD) presents with numerous functional disabilities which require specific expertise for effective management. Objective: To describe the level of PD-specific expertise among physiotherapists (PTs) in Ghana and establish the association between the level of expertise, practice duration and number of persons with PD treated annually. Methods: A cross-sectional survey was conducted among PTs. A 25-item questionnaire was validated, piloted and distributed to PTs during an annual general meeting. Microsoft Excel 2016 and the Kruskal-Wallis test were used to perform descriptive statistical analysis and test for association respectively. Results: There was a 70% (n=42/60) response rate. Overall, 50%-90% of the participating PTs had limited knowledge about the cardinal motor signs, non-motor symptoms, motor complications of PD and setting of treatment goals. There was no significant association between participants’ level of PD-Specific expertise and practice duration and number of persons with PD treated annually. Conclusion: The PTs exhibited inadequate knowledge about PD and its management. This limitation was not influenced by PTs practice duration or number of persons with PD treated annually. The immediate need for PD-specific training for PTs in Ghana is crucial to enhance PTs’ expertise in the management of persons with PD. Keywords: Parkinson’s disease; physiotherapy; professional knowledge.
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