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首页> 外文期刊>Journal of athletic training >Pressure on Sports Medicine Clinicians to Prematurely Return Collegiate Athletes to Play After Concussion
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Pressure on Sports Medicine Clinicians to Prematurely Return Collegiate Athletes to Play After Concussion

机译：运动医学临床医生在脑震荡后要过早让大学生参加比赛的压力

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Context: Anecdotal and qualitative evidence has suggested that some clinicians face pressure from coaches and other personnel in the athletic environment to prematurely return athletes to participation after a concussion. This type of pressure potentially can result in compromised patient care. Objective: To quantify the extent to which clinicians in the collegiate sports medicine environment experience pressure when caring for concussed athletes and whether this pressure varies by the supervisory structure of the institution's sports medicine department, the clinician's sex, and other factors. Design: Cross-sectional study. Setting: Web-based survey of National College Athletic Association member institutions. Patients or Other Participants: A total of 789 athletic trainers and 111 team physicians from 530 institutions. Main Outcome Measure(s): We asked participants whether they had experienced pressure from 3 stakeholder populations (other clinicians, coaches, athletes) to prematurely return athletes to participation after a concussion. Modifying variables that we assessed were the position (athletic trainer, physician) and sex of the clinicians, the supervisory structure of their institutions' sports medicine departments, and the division of competition in which their institutions participate. Results: We observed that 64.4% (n = 580) of responding clinicians reported having experienced pressure from athletes to prematurely clear them to return to participation after a concussion, and 53.7% (n = 483) reported having experienced this pressure from coaches. Only 6.6% (n = 59) reported having experienced pressure from other clinicians to prematurely clear an athlete to return to participation after a concussion. Clinicians reported greater pressure from coaches when their departments were under the supervisory purview of the athletic department rather than a medical institution. Female clinicians reported greater pressure from coaches than male clinicians did. Conclusions: Most clinicians reported experiencing pressure to prematurely return athletes to participation after a concussion. Identifying factors that are associated with variability in pressure on clinicians during concussion recovery can inform potential future strategies to reduce these pressures.
机译：背景：轶事和定性证据表明，一些临床医生在运动环境中面临教练和其他人员的压力，要求他们在脑震荡后过早地使运动员重新参加比赛。这种压力可能会导致患者护理不佳。目的：量化大学运动医学环境中的临床医生在照顾脑震荡运动员时承受压力的程度，以及该压力是否随机构的运动医学部门的监督结构，临床医生的性别和其他因素而变化。设计：横断面研究。地点：美国大学体育协会会员机构的网络调查。患者或其他参与者：来自530个机构的789名运动训练员和111名团队医师。主要指标：我们询问参与者，是否受到3个利益相关者群体（其他临床医生，教练，运动员）的压力，要求他们在脑震荡后过早地使运动员重新参加比赛。我们评估的修改变量包括临床医生的职位（体育教练，医师）和性别，机构运动医学部门的监督结构以及机构参与的竞争划分。结果：我们观察到，有64.4％（n = 580）的回应临床医生报告说受到过运动员的压力，要求他们在脑震荡后过早清除以重返比赛;还有53.7％（n = 483）的报告受到了教练的压力。只有6.6％（n = 59）的人表示受到其他临床医生的压力，要求过早清除一名运动员在脑震荡后重返比赛。临床医生报告说，当他们的部门处于运动部门而不是医疗机构的监督之下时，教练会施加更大的压力。女性临床医生报告说，来自教练的压力要大于男性临床医生。结论：大多数临床医生报告称他们遭受了压力，要求他们在脑震荡后过早地使运动员重返比赛。识别与脑震荡恢复期间临床医生压力变化相关的因素，可以为将来减轻这些压力的潜在策略提供参考。

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