在学生物理治疗中重新思考首次访问治疗联盟
Shyam Sundar Sah1, Abhishek Kumbhalwar2
1Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed-to-be-University), Pimpri, Pune, Maharashtra, India.
概括
对学生肌肉骨疼痛的直接接入物理治疗需要治疗师意识到的方法. 将注意力从学生因素转移到临床医生的行为和系统,可以改善治疗联盟和患者的结果.
科学领域:
- 物理治疗 物理治疗
- 肌肉骨健康 肌肉骨健康
- 医疗保健系统 医疗保健系统
背景情况:
- 直接接入的物理治疗是肌肉骨疼痛的学生的初级护理点.
- 早期的治疗联盟显著影响学生的参与和恢复.
- 关于影响这些联盟的因素,先前的研究存在归因差距.
研究的目的:
- 提出一种治疗师意识的视角来解释学生物理治疗中的早期治疗联盟.
- 区分学生的脆弱性与提供者和系统层面的影响,以形成联盟.
主要方法:
- 结合联盟理论和多层次归因原则.
- 开发一个概念和解释框架.
- 一个行为定联盟测量示例的演示.
主要成果:
- 治疗师意识的观点强调可修改的临床医生行为和服务结构是联盟困难的关键.
- 显而易见的联盟问题可能不仅仅源于固定的学生特征.
- 演示了一种行为定联盟测量的方法.
结论:
- 将治疗联盟重新定义为可修改的护理方面.
- 允许对联盟动态进行更公平的解释.
- 支持有针对性的培训和可扩展的物理治疗服务质量改进.
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