物理治疗师在应对COVID-19的心肺护理中远程康复的采用和认知

IF 0.9 4区 医学 Q4 REHABILITATION Physiotherapy Canada Pub Date : 2024-05-08 eCollection Date: 2024-05-01 DOI:10.3138/ptc-2021-0135
Katarina Schertzer, Jenna Belitzky, Cassandra Conboy, Hitesh Joshi, Kirsten Harvey, Gabriela Suarez Hondal, Erin Miller, Sunita Mathur, Lisa Wickerson
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引用次数: 0

摘要

在2019冠状病毒病(COVID-19)大流行爆发后,远程康复作为物理治疗服务的一种模式得到了广泛实施。本研究探讨物理治疗师在心肺远距康复护理中的感知价值与经验。在2020年3月11日至2020年12月31日期间,对为患有心肺疾病的成人提供远程康复的物理治疗师进行了半结构化访谈。访谈采用传统的内容分析法进行分析。对7名参与者进行了采访;六人只从事肺部康复,一人同时从事肺部和心脏康复。出现了三个主要主题:(1)大流行病对实施远程康复提出了独特的挑战,同时加剧了以前虚拟护理固有的挑战;(2)与现场服务相比,大流行病期间使用远程康复在护理质量和患者依从性方面被认为同样有效;(3)远程康复在大流行病期间具有重要价值,并有可能成为大流行病后的另一种交付模式。尽管存在固有的挑战,但与会者认为远程康复是提供护理的一种适当和有效的替代办法,有望成为大流行后的一种提供模式。需要进一步的评估来支持和优化远程康复在物理治疗实践中的应用。
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Physiotherapists' Adoption and Perceptions of Tele-Rehabilitation for Cardiorespiratory Care in Response to COVID-19.

Purpose: The use of tele-rehabilitation as a mode for physiotherapy services was widely implemented following the onset of the coronavirus disease 2019 (COVID-19) pandemic. This study explored the perceived value and experiences of physiotherapists relating to tele-rehabilitation for cardiorespiratory care.

Method: Semi-structured interviews were conducted with physiotherapists who provided tele-rehabilitation to adults with cardiorespiratory conditions between March 11 and December 31, 2020. Interviews were analyzed using conventional content analysis.

Results: Seven participants were interviewed; six practising solely in pulmonary rehabilitation and one practising in both pulmonary and cardiac rehabilitation. Three major themes emerged: (1) the pandemic presented unique challenges to implementing tele-rehabilitation while exacerbating previous challenges inherent with virtual care, (2) tele-rehabilitation use during the pandemic was deemed as equally effective in quality of care and patient adherence when compared to in-person services, and (3) tele-rehabilitation had significant value during the pandemic and has potential as an alternative delivery model post pandemic.

Conclusion: Despite the inherent challenges, tele-rehabilitation was endorsed by participants as a suitable and effective alternative to care delivery and holds promise as a post-pandemic delivery model. Further evaluation is needed to support and optimize tele-rehabilitation use in physiotherapy practice.

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来源期刊
Physiotherapy Canada
Physiotherapy Canada REHABILITATION-
CiteScore
1.90
自引率
20.00%
发文量
93
审稿时长
>12 weeks
期刊介绍: Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care. Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy. Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice. In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject. Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice. The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.
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