What occupational and physical therapists know about farmers' health
What occupational and physical therapists know about farmers' health
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DOI：
10.1080/1059924x.2018.1538917
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发表时间：
2019-01-02
影响因子：
2.4
通讯作者：
Mendez, Felice
中科院分区：
文献类型：
--
作者：
Hildebrand, Mary W.;Brinkley, Jason;Mendez, Felice
农民失业的风险很高，因为他们很容易患上慢性病并受伤。虽然，职业治疗师和物理治疗师都接受了返岗方法的基础教育，但需要进行专业培训来帮助残疾农民。北卡罗来纳州农业能力伙伴关系是美国农业部支持的农业能力计划的一部分，在制定与农民合作的培训课程之前，对北卡罗来纳州的职业和物理治疗师进行了探索性调查。国家职业和物理治疗协会成员接受了调查，内容是他们可以治疗哪些类型的疾病，他们在治疗这些疾病和提出环境修改建议时的舒适度，以及农民可以获得哪些与工作场所住宿相关的资源。研究结果显示，只有不到三分之一的治疗师接触过农场或曾经治疗过农民。接受过治疗的治疗师和没有治疗过农民的治疗师在识别农民典型疾病方面存在显著差异。物理治疗师在治疗农民的重复应激综合症、工作相关创伤和肌肉骨骼疾病方面比职业治疗师更自在，而职业治疗师在治疗农民的社交孤立和低视力时更自在。更多的理疗师也认为自己在农场环境评估和适应方面很称职。另一方面，职业治疗师意识到有更多的机构帮助农民。最后，很少有治疗师接受过与农民打交道的教育，或者听说过农业能力。为了建立以农民为中心的干预，治疗师应该参加继续教育课程，并调查资源，帮助患有慢性病和残疾的农民重返他们选择的职业。
Farmers are at high risk for losing their occupation because of their susceptibility for developing chronic conditions and incurring injuries. Although, occupational and physical therapists have basic education in return-to-work methods, specialty training is needed to help farmers with disabilities. The North Carolina AgrAbility Partnership, part of the U.S. Department of Agriculture's supported AgrAbility Program, implemented an exploratory survey of North Carolina occupational and physical therapists before developing training curricula for working with farmers. State occupational and physical therapy association members were surveyed on what types of conditions they could treat, how comfortable they were in treating these conditions and making recommendations for environmental modifications, and what resources are available for farmers related to work site accommodations. Findings showed that less than one third of therapists had farm exposure or had ever treated farmers. Significant differences in identifying farmers' typical conditions were found between therapists who had treated and those who had not treated farmers. Physical therapists were more comfortable than occupational therapists in treating farmers for repetitive stress syndromes, work-related trauma, and musculoskeletal disorders while occupational therapists were more comfortable in treating farmers for social isolation and low vision. More physical therapists also rated themselves as competent in farm environmental assessment and adaptation. On the other hand, occupational therapists were aware of more agencies that aid farmers. Finally, few therapists had education on working with farmers or had heard of AgrAbility. To create farmer-centered intervention, therapists should take continuing education courses and investigate resources for helping farmers with chronic conditions and disabilities return to their chosen occupation.