一项定性调查,以探索经过认证的手部治疗师对远距离半径骨折的管理
Saurabh P Mehta1, Liane M Ventura2, James D Boone3
1School of Physical Therapy, Marshall University, Huntington, WV, USA; Physical Therapy Program, East Tennessee State University, Johnson City, TN, USA.
概括
经过认证的手部治疗师 (CHT) 通常通过一致的评估和干预模式来管理远半径骨折 (DRF). 然而,整合跌倒风险评估仍然是一个改善患者护理的机会.
科学领域:
- 整形外科 整形外科 整形外科
- 手疗法手疗法是指手疗法.
- 康复医学 康复医学 康复医学
背景情况:
- 距离半径骨折 (DRF) 在中年和老年人群中非常普遍.
- 认证的手部治疗师 (CHT) 是专门从事手和手腕受伤的专业人员,包括DRF.
研究的目的:
- 探索和理解经过认证的手术治疗师 (CHT) 在管理远半径骨折 (DRF) 中使用的常见实践模式.
- 确定医疗保健医生在对DRF患者的评估,干预和出院计划中使用的普遍策略.
主要方法:
- 一个使用诱导方法的定性描述性研究.
- 实践中CHT进行半结构面试的有目的抽样.
- 使用NVivo软件对采访数据进行主题内容分析,以确定评估,干预和放任标准中的实践模式.
主要成果:
- 在CHT中观察到关于DRF评估的一致实践模式,包括损伤严重程度,骨科管理和病史.
- 关键干预侧重于患者教育和炼,排放基准以抓握力,手腕运动范围和功能任务的功能收益为中心.
- 在CHT组内,物理治疗师 (PT) 和职业治疗师 (OT) 之间在实践中发现了差异.
结论:
- 对于DRF管理,CHT之间存在常见的实践行为,其中有一些学科特定的变化.
- 识别出了知识转化为行动的差距,因为大多数医疗保健中心没有将落风险管理纳入DRF护理.
- 有机会通过将平衡和跌倒风险评估纳入CHT实践来加强DRF管理.
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