Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report
Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report
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DOI：
10.1016/j.jmpt.2020.05.001
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发表时间：
2020-06-01
影响因子：
1.3
通讯作者：
Agaoglu, Mustafa H.
中科院分区：
文献类型：
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作者：
Johnson, Claire D.;Green, Bart N.;Agaoglu, Mustafa H.
目的：2019年冠状病毒病（COVID-19）大流行使各级医疗保健紧张，目前尚不清楚脊椎指压治疗从业者如何应对这一危机。本报告的目的是描述在COVID-19大流行的早期阶段脊椎按摩师样本的反应。方法：我们使用了定性建构主义设计来了解COVID-19大流行期间的脊椎按摩实践，正如参与者所描述的那样。邀请了来自世界各地的脊椎治疗从业者（脊椎治疗医生、脊椎治疗师）参加。每个人都描述了他们所在地对COVID-19的公共卫生应对措施，以及他们在2020年4月20日至5月4日期间在脊椎按摩治疗中采取的行动。一个总结报告，从他们的反应和共同的主题被identified.Results：18名脊椎按摩从业者代表17个地点和11个国家参加。在这个样本中，代表了各种各样的实践环境，包括单人实践，移动的实践，私人医院，美国退伍军人管理局医疗保健，工地健康中心和团体实践。他们报告说，他们承认并遵守不断变化的政府条例。他们观察到他们的病人经历了由大流行引起的压力和心理健康问题的增加。他们采用了创新的战略，如远程保健，进行外展，与病人沟通，并为病人提供护理。他们遵守国家和世界卫生组织的建议，他们采取了创造性的策略，以保持与患者的连接，通过以人为本的，综合的，协作的approach.Conclusion：虽然在这个样本中的脊医在不同的城市和国家，他们遵守当地的法规，关注工作人员和病人的安全，以人为本的反应是一致的。该样本涵盖了世界脊椎治疗联合会的所有7个地区（即非洲、亚洲、东地中海、欧洲、拉丁美洲、北美和太平洋地区），并提供了对脊椎治疗师在COVID-19大流行早期阶段所采取措施的见解。这些信息可能有助于脊椎按摩专业，因为它准备了不同的情况下，新的证据有关这种疾病的发展。
Objective: The coronavirus disease-2019 (COVID-19) pandemic has strained all levels of healthcare and it is not known how chiropractic practitioners have responded to this crisis. The purpose of this report is to describe responses by a sample of chiropractors during the early stages of the COVID-19 pandemic.Methods: We used a qualitative-constructivist design to understand chiropractic practice during the COVID-19 pandemic, as described by the participants. A sample of chiropractic practitioners (doctors of chiropractic, chiropractors) from various international locations were invited to participate. Each described the public health response to COVID-19 in their location and the actions that they took in their chiropractic practices from April 20 through May 4, 2020. A summary report was created from their responses and common themes were identified.Results: Eighteen chiropractic practitioners representing 17 locations and 11 countries participated. A variety of practice environments were represented in this sample, including, solo practice, mobile practice, private hospital, US Veterans Administration health care, worksite health center, and group practice. They reported that they recognized and abided by changing governmental regulations. They observed their patients experience increased stress and mental health concerns resulting from the pandemic. They adopted innovative strategies, such as telehealth, to do outreach, communicate with, and provide care for patients. They abided by national and World Health Organization recommendations and they adopted creative strategies to maintain connectivity with patients through a people-centered, integrated, and collaborative approach.Conclusion: Although the chiropractors in this sample practiced in different cities and countries, their compliance with local regulations, concern for staff and patient safety, and people-centered responses were consistent. This sample covers all 7 World Federation of Chiropractic regions (ie, African, Asian, Eastern Mediterranean, European, Latin American, North American, and Pacific) and provides insights into measures taken by chiropractors during the early stages of the COVID-19 pandemic. This information may assist the chiropractic profession as it prepares for different scenarios as new evidence about this disease evolves.