在初级保健物理治疗咨询中传达安全网信息,用于腰部疼痛患者
Christopher Horler1, Geraldine Leydon2, Lisa Roberts3
1Sussex Community NHS Foundation Trust, Brighton, UK; University of Southampton, Southampton, UK.
Musculoskeletal science & practice
|September 22, 2024
概括
物理治疗师经常错过了为腰部疼痛患者提供明确安全网建议的机会. 这种沟通对于患者自我管理和在需要时及时寻求护理至关重要.
科学领域:
- 物理治疗 物理治疗
- 患者沟通 患者沟通
- 医疗保健管理的管理
背景情况:
- 安全网包括告知患者诊断不确定性以及何时寻求进一步的医疗帮助.
- 对于治疗腰部疼痛 (LBP) 的物理治疗师来说,有效的安全网沟通策略尚不清楚.
研究的目的:
- 探索物理治疗师如何向LBP患者传达安全网信息.
- 为此分析使用安全网编码工具 (SaNCoT).
主要方法:
- 对79次为LBP录制的音频物理治疗咨询的二次分析.
- 利用SaNCoT来评估12名理疗师和41名患者的安全网沟通.
- 对SaNCoT数据进行描述性定量分析.
主要成果:
- 在67%的预约中存在诊断不确定性.
- 没有提供有关条件时间流程的具体信息.
- 只有8名患者接受了安全网建议,往往缺乏特定的监测标志 (57.9%).
- 24.1%的约会中错过了安全网建议的机会,涉及腿部症状和严重的病理.
结论:
- SaNCoT对于测量物理治疗中的安全网通信是有效的.
- 错过的机会凸显了对LBP患者更好,更清晰的安全网建议的需求.
- 加强安全网沟通可以支持患者的自我管理和寻求适当的医疗保健.
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