Essential Components of Physical Therapist Management of Patients With Osteoporosis: A Delphi Study.
Essential Components of Physical Therapist Management of Patients With Osteoporosis: A Delphi Study.
复制标题
DOI：
10.1519/jpt.0000000000000347
复制
发表时间：
2022-04-01
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
骨质疏松症是一种全身性代谢性骨病，影响骨质，增加低创伤骨折骨的易感性，其具有福尔斯和脆性骨折的下游效应。骨质疏松症是一个多因素的疾病过程，需要多个医疗保健提供者，包括医生，护士和物理治疗师的管理。然而，缺乏全面的物理治疗检查和评估骨质疏松症患者的信息，导致需要一个循证文件。一个德尔菲过程是本文件的基础，旨在为临床医生提供最好的专家指导，在筛选工具的选择，基本的测试和措施，治疗目标，和骨质疏松症患者的干预措施。德尔菲过程针对骨质疏松症专家进行了一系列连续调查，旨在建立并达成骨质疏松症患者管理的一致意见。31名具有骨质疏松症患者护理专业知识的物理治疗师参加了一项四轮德尔菲调查，旨在：（1）确定被认为对骨质疏松症患者的物理治疗师护理重要的检查和护理组成部分的计划的范围，（2）确定哪些组成部分应该被认为是必需的，以及（3）就基本组成部分和相关操作定义的最终清单达成共识。就检查和干预的基本组成部分达成了明确的共识。一般而言，在病史、测试和测量、教育/目标和治疗方面有4-6个保留项目。这些管理项目的优先顺序将更好地指导临床医生与成年人谁有骨质疏松症。
Osteoporosis is a systemic, metabolic bone disease that affects bone quality and increases the susceptibility of low-trauma fracture bone that has downstream effects of falls and fragility fractures. Osteoporosis is a multifactorial disease process that requires management from multiple healthcare providers including physicians, nurses, and physical therapists. However, the paucity of information regarding comprehensive physical therapy examination and assessment for patients with osteoporosis led to the need of an evidence-based document. A Delphi process was the foundation of this document sought to provide the best available expert guidance for clinicians in the selection of screening tools, essential tests and measures, treatment goals, and interventions for the patient with osteoporosis. The Delphi process targeted osteoporosis experts with a series of sequential surveys designed to build and reach agreement around the management of a patient with osteoporosis. Thirty-one physical therapists with expertise in the care of patients with osteoporosis were participated in a four round Delphi survey designed to: (1) identify the range of examination and plan of care components considered important to physical therapists’ care for patients with osteoporosis, (2) determine which components should be considered essential, and (3) achieve consensus on the final list of essential components and related operational definitions. A clear consensus on the essential components of examination and interventions was achieved. In general, there were 4-6 retained items across history, tests and measures, education/goals and treatment. The prioritization of these management items will better direct clinicians working with adults who have osteoporosis.