从 "手 "到 "字"--理疗师为膝关节骨性关节炎患者提供在线锻炼和教育的经验》（From Hands to Words-Physiotherapists Experience of Delivering Online Exercise and Education for Individuals With Knee Osteoarthritis）。
Daniel Bødtger, Charlotte Simonÿ, Lars H Tang, Søren T Skou, Pætur M Holm
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引用次数: 0
摘要
背景：目的：调查物理治疗师（PTs）为膝关节骨性关节炎（OA）患者提供实时在线锻炼和教育的经验：这是一项采用专题分析方法的定性个人访谈研究。受访者为六名康复治疗师，他们在丹麦的二级公共医疗机构为膝关节OA患者提供为期8周的在线运动和教育指导：三大主题分别是：（1）从手到文字--从现场物理治疗到在线物理治疗的过渡；（2）在线选择--管理远程医疗服务的感知障碍；（3）压力下的治疗关系--在线课程中建立关系和联盟的背景困难：本研究中的康复治疗师似乎逐渐接受了通过网络提供一线 OA 护理的方式，并认识到了其优势和新的可能性。物理治疗师最初对这种新形式的物理治疗服务感到忧虑，可能源于传统观念中物理治疗主要是一种手工操作的职业，也可能源于他们缺乏物理治疗远程医疗服务方面的正规培训。本研究强调，为满足日益增长的需求，在物理治疗远程保健服务方面需要更好、更正规的培训。
From Hands to Words-Physiotherapists Experience of Delivering Online Exercise and Education for Individuals With Knee Osteoarthritis.
Background: Little is known about delivering telehealth from a healthcare provider's perspective.
Purpose: To investigate physiotherapists' (PTs) experiences in delivering live online exercise and education for people with knee osteoarthritis (OA).
Methods: This was a qualitative individual interview study with a thematic analysis approach. The interviewees were six PTs delivering 8 weeks of supervised online exercise and education for people with knee OA in secondary public care in Denmark.
Results: The three main themes were (1) From hands to words-on the transition from on-site to on-line physiotherapy, (2) Online selection-on the perceived barriers to managing a telehealth service and (3) Therapeutic relation under pressure-on the contextual difficulties in building relationships and alliances in online classes.
Conclusion: The PTs in this study seemed to gradually come to terms with delivering first-line OA care online, appreciating advantages and new possibilities. PTs' initial apprehension towards this new form of physiotherapy service may be rooted in the traditional conception of physiotherapy as a predominantly manual profession but also in a lack of formal training in physiotherapy telehealth services. This study underlines the growing need for better and more formalised training in physiotherapy telehealth services to meet growing demands.
期刊介绍：
Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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