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首页> 外文期刊>Rehabilitation Research and Practice >Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking
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Advancing Cardiorespiratory Physiotherapy Practice in a Developing Country: Surveying and Benchmarking

机译：推进在发展中国家的心肺物理治疗实践：测量和基准

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Management of noncommunicable diseases requires the adoption of multidisciplinary interventions that targets the modification of risk factors. Cardiovascular and respiratory diseases are amongst the four main killers of noncommunicable diseases. Physiotherapists specializing in cardiorespiratory physiotherapy are in a critical position in the management of health behaviors associated with noncommunicable diseases. However, the current context of health service in Jordan does not provide sufficient support and recognition for the delivery of specialized physiotherapy services. Objectives. The primary aim of this study was to describe cardiorespiratory physiotherapy service in Jordan. The secondary aims of this study were to: (i) Identify benchmarks from international contexts and guidelines for the delivery of cardiorespiratory physiotherapy service. (ii) Identify gaps and areas for development in the current delivery of cardiorespiratory physiotherapy service. Methods. This two phase study included a survey and a conceptual review with benchmarking. Following ethics approval, a cross sectional survey of physiotherapists practicing in Jordan was conducted. In phase 1, a survey was developed to describe the relevant dimensions of cardiorespiratory physiotherapy service. In phase 2 a conceptual review of the literature was performed to identify domains of service delivery and criteria required for optimal delivery of cardiorespiratory physiotherapy service. In the discussion we integrated the results of the survey within the benchmarks that emerged from the conceptual review of literature in order to identify gaps and areas for development in the current delivery of cardiorespiratory physiotherapy service. Results. Phase 1: Data emerging from the survey suggests that Physiotherapists in Jordan lack training and autonomy, preventing them from acquiring advanced roles particularly cardiorespiratory physiotherapy that requires specialised knowledge and skills. The current delivery of the service is limited to acute interventions, and is based on limited, unstructured referral from physicians depriving the patients from the service. The context of health service in Jordan does not provide sufficient recognition for physiotherapy; neither does it support the delivery of multidisciplinary interventions by appropriate regulations and policies. Phase 2: The following three domains emerged from the literature and were used for describing cardiorespiratory physiotherapy in Jordan: people, scope of practice, and context of practice. Conclusion. Advancing practice requires developing competencies relevant to cardiorespiratory physiotherapy particularly diagnosis, health promotion, and prevention. It is recommended that health authorities should develop regulations and policies that promote the recognition and integration of physiotherapists in the healthcare system, as well as facilitating the implementation of patient centred, multidisciplinary interventions.
机译：非传染性疾病的管理需要采用针对危险因素的修改的多学科干预措施。心血管和呼吸系统疾病是非传染性疾病的四个主要杀伤者之一。物理治疗师专门从事心肺物理疗法的危重地位，在与非传染性疾病相关的健康行为中处于危重地位。但是，乔丹的健康服务目前的背景下不提供足够的支持和认可，以提供专业的物理治疗服务。目标。本研究的主要目的是描述约旦的心肺物理治疗服务。本研究的次要目标是：（i）识别来自国际背景的基准以及交付心肺物理治疗服务的准则。 （ii）在目前的外透视物理治疗服务中识别差距和发展领域。方法。这两项阶段研究包括一项调查和概念审查与基准策略。遵循道德批准，进行了在约旦练习的物理治疗师横断面调查。在第1阶段，开发了一种调查来描述心肺物理治疗服务的相关维度。在第2阶段，进行了对文献的概念审查，以识别服务交付域和最佳递送心肺物理治疗服务所需的标准。在讨论中，我们在文学概念审查中纳入了概念性审查的基准中的调查结果，以确定目前的外科物理治疗服务的差距和发展领域。结果。第1阶段：从调查中出现的数据表明，乔丹的物理治疗师缺乏培训和自主权，防止他们收购需要专门的知识和技能的心肺部化学物理治疗。该服务的当前交付仅限于急性干预措施，基于受限，非结构化转诊，从剥夺患者提供服务的医生。乔丹卫生服务的背景不提供足够的物理治疗的认可;它也不支持通过适当的法规和政策来提供多学科干预的交付。第2阶段：从文献中出现以下三个域，用于描述约旦的心肺物理治疗：人，实践范围和实践背景。结论。推进实践需要开发与心肺物理治疗相关的能力，特别是诊断，健康促进和预防。建议卫生当局应制定促进医疗保健系统中物理治疗师的认可和整合的法规和政策，并促进患者以患者的多学科干预措施的实施。

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