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首页> 外文期刊>South African Journal of Physiotherapy >Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana
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Barriers to evidence-based physiotherapy practice for stroke survivors in Ghana

机译：加纳中风幸存者循证物理治疗实践的障碍

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Background: ?Physiotherapy has evolved over the years, and this has led to an increasing demand in using evidence as a basis for making clinical decisions because evidence-based interventions for stroke have been shown to be effective. However, the inability to carry out any of the evidence-based practice (EBP) processes may constitute a barrier to its application in practice. Aim: ?To determine the barriers to EBP of physiotherapy services for stroke survivors in Ghana. Methods: ?A cross-sectional study that involved 121 physiotherapists of the Ghana Physiotherapy Association providing services to stroke survivors. Physiotherapists completed a self-administered questionnaire. Logistic regressions were used to examine relationships between socio-demographic and practice characteristics of respondents and each practitioner factor. A logistic regression was used to identify the association between organisational characteristics and each organisational factor that facilitates EBP. Results: ?Self-efficacy ratings for performing EBP were below 50% for critical appraisal of the literature and interpretation of statistics. All the participants stated that they had organisational challenges, which tend to affect the implementation of evidence-based physiotherapy practice for stroke. The five most reported barriers to updating knowledge on EBP included lack of organisational mandate (56.2%), insufficient time (46.3%), lack of information resources (43%), lack of understanding of statistics (35.5%) and lack of interest (33.1%). Conclusion: ?Lack of adequate resources, lack of organisational support and low self-efficacy to perform EBP activities constitute barriers to implementing EBP for stroke survivors. Clinical implications: ?Findings of the study reinforce the need to develop a supportive organisational infrastructure to increase research integration in physiotherapy practice.
机译：背景：？物理疗法已经发展了多年，这导致越来越需要使用证据作为做出临床决策的基础，因为事实证明基于证据的中风干预是有效的。但是，无法执行任何循证实践（EBP）流程可能会阻碍其在实践中的应用。目的：确定加纳中风幸存者进行物理治疗的EBP障碍。方法：一项横断面研究，涉及加纳物理治疗协会的121名物理治疗师，为中风幸存者提供服务。物理治疗师填写了一份自行管理的问卷。逻辑回归用于检验受访者的社会人口统计特征和实践特征与每个从业者因素之间的关系。 Logistic回归用于确定组织特征与促进EBP的每个组织因素之间的关联。结果：？对于文献的严格评估和对统计的解释，执行EBP的自我效能等级低于50％。所有参与者均表示，他们面临组织挑战，这往往会影响中风循证物理疗法的实施。据报道，更新有关EBP知识的五个障碍包括缺乏组织授权（56.2％），时间不足（46.3％），缺乏信息资源（43％），缺乏对统计的了解（35.5％）和缺乏兴趣（ 33.1％）。结论：？缺乏足够的资源，缺乏组织支持以及开展EBP活动的自我效能低下，是中风幸存者实施EBP的障碍。临床意义：？研究发现加强了发展支持性组织基础设施以增加物理治疗实践中研究整合的需求。

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