物理治疗中的诊断势头 临床推理 临床推理
Adrian Aron1, Shala Cunningham1, Isaac Yoder1
1Department of Physical Therapy, Radford University Carilion, Roanoke, Virginia, USA.
Journal of evaluation in clinical practice
|June 20, 2023
概括
物理治疗师可能会忽视关键的红旗,因为诊断势头来自之前的医生诊断. 这项研究发现,事先的诊断信息,即使是不准确的,也会影响治疗师的临床决策过程.
科学领域:
- 物理疗法物理治疗
- 临床决策 临床决策
- 诊断势头的发展动力
背景情况:
- 物理治疗越来越自主,患者直接接触.
- 医生的诊断可能会影响物理治疗师的检查和治疗计划.
- 诊断势头,或在没有足够证据的情况下作出诊断,是一个潜在的担忧.
研究的目的:
- 为了确定在物理治疗中是否存在诊断势头.
- 调查医生诊断是否会影响物理治疗师对临床红旗的识别.
- 评估先前诊断信息对治疗师推的影响.
主要方法:
- 一项在线调查,涉及75名执照的物理治疗师.
- 涉及潜在心肌梗塞患者的随机病例场景,红旗.
- 治疗师决策的比较 (治疗与转诊) 有或没有额外的诊断测试结果.
主要成果:
- 接受没有负压力测试的病例的治疗师比负压力测试 (12.5%) 的治疗师更有可能推 (31.4%).
- 在65.7%的病例中,负压力测试结果是选择在没有转诊的情况下进行治疗的主要原因.
- 根据治疗师人口统计学或实践环境,没有发现决策的显著差异.
结论:
- 实践物理治疗师可能会受到以前的诊断决定的影响.
- 诊断的势头可能会导致治疗师忽视严重的疾病,如心肌梗塞.
- 需要进一步的研究来理解和减轻诊断势头在物理治疗中的影响.
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