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Factors influencing the use of outcome measures in knee osteoarthritis: A mixed method study of physiotherapists in Nigeria

机译:影响膝关节骨关节炎在膝关节骨关节炎的使用的因素:尼日利亚物理治疗师的混合方法研究

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Background: Osteoarthritis (OA) of the knee constitutes a significant proportion of musculoskeletal disorders managed in physiotherapy clinics worldwide. Best practice guidelines in the management of OA ensure the use of outcome measures. Aim: This study explored the factors influencing the use of outcome measures in management of patients with knee OA among physiotherapists in southwestern Nigeria. Methods: Mixed method design was used that involved a cross-sectional survey of 77 purposively selected physiotherapists and a focus group discussion with another 6 physiotherapists. Results: Participants (48 males, 29 females) were aged 35.3 +/- 7.3 years. Fifty-two (67.5%) participants reported the use of outcome measures in the treatment of the patients with knee OA. The perceived barriers reported were lack of time/heavy workload (55.9%); lack of standardization of outcome measures (45%); lack of motivation (36.4%); and nonavailability of outcome measures in the clinic (36.4%). Reported perceived facilitators include interest/need to track patient's progress and ethical practice (87.1%); familiarity with outcome measures (87.0%); and understanding of the benefits of using outcome measures (87.0%). Conclusion: There is a need to establish good organizational structure focusing on the use of outcome measures in practice and development of a concessional toolkit of short and easily applicable instruments with user description.
机译:背景:膝关节的骨关节炎(OA)构成全球物理治疗诊所管理的大量肌肉骨骼障碍。 OA管理中的最佳实践指南确保使用结果措施。目的:本研究探讨了影响尼日利亚西南部物理治疗师膝关节患者患者患者患者的结果的因素。方法:使用混合方法设计,涉及77个有动性的物理治疗师的横截面调查和与另外6个物理治疗师的焦点组讨论。结果:参与者(48名男性,29名女性)均为35.3岁+/- 7.3岁。第五十二(67.5%)参与者报告使用结果措施治疗膝关节OA患者。报告的感知障碍缺乏时间/重金量(55.9%);缺乏结果措施标准化(45%);缺乏动机(36.4%);诊所中的结果措施的不可用性(36.4%)。报告的感知协调人包括利息/需要跟踪患者的进步和道德实践(87.1%);熟悉结果措施(87.0%);对利用结果措施的益处(87.0%)。结论:有必要建立良好的组织结构,重点是在实践中使用结果措施和开发简易和轻松适用的仪器的练习措施,通过用户描述。

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