The assessment of patient adherence to physiotherapy rehabilitation

The assessment of patient adherence to physiotherapy rehabilitation
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评估患者对物理治疗康复的依从性

DOI:
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发表时间:
2003
期刊:
影响因子:
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通讯作者:
Dip Phty
Dip Phty
中科院分区:
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文献类型:
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作者:
S. Bassett;Dip Phty

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本文讨论了物理治疗的依从性问题及其评估方法。对物理治疗的依从性差是一个问题,高达 65% 的患者不遵守或部分遵守其家庭计划,大约 10% 的患者未能完成规定的物理治疗疗程。由于物理治疗计划由多种治疗方法组成,可以在诊所或家里进行,因此对这些组成部分的依从性的衡量必须反映每种治疗方法所施加的行为要求。建议将参加物理治疗并使用运动损伤康复依从量表(SIRAS:Brewer 等,1995)来评估患者在治疗期间的行为作为临床依从性的衡量标准。患者自我报告被认为是评估家庭物理治疗依从性的最理想方法。任何依从性评估还必须包括对此类行为原因的分析,这些原因往往与患者的个人特征、与疾病或损伤和治疗相关的变量以及患者与物理治疗师的互动有关。了解依从性差的原因将有助于物理治疗师找到解决问题的解决方案。桑德拉·弗朗西斯·巴塞特 (2003)。病人的评估
This paper discusses the problem of adherence in physiotherapy and methods of assessing it. Poor adherence to physiotherapy is a problem with up to 65% of patients being either nonadherent or partially adherent to their home programmes, and approximately 10% of patients failing to complete their prescribed course of physiotherapy. As physiotherapy programmes consist of a diverse range of treatment methods that may be administered either at the clinic or at home, the measurement of adherence to these components must reflect the behavioural demands that each impose. Attendance at physiotherapy and the use of the Sport Injury Rehabilitation Adherence Scale (SIRAS: Brewer et al., 1995) to assess patients’ behaviours during the treatment session are recommended as the measures of clinic-based adherence. Patient self-reports are suggested as the most ideal method of evaluating adherence to the home-based physiotherapy. Any assessment of adherence must also include an analysis of the reasons for this type of behaviour, which tend to be related to the patients’ personal characteristics, variables related to the disease or injury and treatment, and the patient-physiotherapist interaction. Knowing the reasons for poor adherence will assist physiotherapists in finding solutions to overcome the problem. Sandra Frances Bassett (2003). The Assessment of Patient
DOI: 10.1016/s0197-2456(00)00077-5
发表时间: 2000-10-01
期刊: CONTROLLED CLINICAL TRIALS
影响因子: --
作者:
Vitolins, MZ;Rand, CS;Sevick, MA
通讯作者: Sevick, MA