为患有炎症性关节炎和工作能力受损的人群开发多模式,理疗师领导的职业干预:混合方法设计研究
N F Bakker1, S F E van Weely2, N Hutting3
1Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Albinusdreef 2, P.O. Box 9600, 2300 RC, Leiden, The Netherlands. n.f.bakker@lumc.nl.
Journal of occupational rehabilitation
|February 5, 2024
概括
物理治疗师主导的职业干预措施是为类风湿性关节炎 (RA) 和轴性脊柱关节炎 (axSpA) 患者开发的,这些患者工作能力受损. 这种可行的干预措施将以工作为中心的策略整合到标准的物理治疗 (PT) 护理中.
科学领域:
- 类风湿病学 类风湿病学
- 职业健康 职业健康 职业健康
- 康复医学 康复医学 康复医学
背景情况:
- 类风湿性关节炎 (RA) 和轴性脊柱关节炎 (axSpA) 显著损害工作能力.
- 在这些条件下,职业干预作为临床目标未被充分探索.
- 现有证据表明,由单一医疗保健专业人员 (HCP) 领导的干预可能是有益的.
研究的目的:
- 开发一个由理疗师 (PT) 领导的专业干预,用于RA和axSpA患者,他们的工作能力有所降低.
- 为了利用PTs在荷兰的RA/axSpA患者的共同咨询,进行干预.
主要方法:
- 采用基于医学研究委员会 (MRC) 框架的混合方法设计.
- 包括一个快速的文献审查和六个利益相关者小组会议 (患者,PTs,HCP,研究人员).
- 与患者和PTs进行了可行性测试.
主要成果:
- 一个由PT领导的职业干预措施被开发和评估.
- 利益相关者的意见强调了PT专业知识在风湿性疾病和工作方面的重要性.
- 可行性测试证实了干预的可行性,并确定了对PT培训的需求.
结论:
- 一个PT主导的职业干预RA/axSpA患者减少工作能力被成功开发使用混合方法的方法和利益相关者的参与.
- 该干预措施将以工作为中心的模式整合到传统的PT中,已经进行了可行性测试.
- 开发的干预措施已经准备好对其有效性的评估.
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