PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study was to compare the knowledge and practices of specialist and experienced nonspecialist physical therapists in performing patient education about physical activity with patients with heart failure (HF).
UNASSIGNED: Responses on a nationwide anonymous online survey were used to compare specialist and experienced nonspecialist physical therapists on knowledge and frequency of providing physical activity related education to patients hospitalized with acutely decompensated HF. Responses to survey items were scored on 5-point scales ranging from \"Strongly agree\" to \"Strongly disagree\" or \"Always\" to \"Never.\" Mann-Whitney U statistics were used to compare specialist and experienced nonspecialist responses and Wilcoxon signed-ranks tests were used to examine the gap between knowledge and practice.
UNASSIGNED: Twenty-seven specialists and 43 experienced nonspecialists completed the survey. Both groups were similar in age, and experience treating patients hospitalized with acutely decompensated HF. Both groups \"strongly agree\" that they had the required knowledge and skills to educate patients with HF on the physical activity topics. However, specialists more often than experienced nonspecialists provided education on topics such as how to monitor vital signs during physical activity (\"most of the time\" vs. \"about half of the time\") that promoted patient confidence and safety during exercise. Specialists demonstrated a smaller gap between knowledge and frequency of providing patient education than experienced nonspecialists on three of the four patient education topics.
UNASSIGNED: Specialist physical therapists treating patients with HF in the inpatient hospital setting provided patient education on physical activity at a level more closely matching their skills and the clinical practice guideline than did experienced nonspecialists. Physical therapy clinical specialists practicing in the inpatient hospital setting may improve patient outcomes and lower costs to the health care system by improving physical activity adherence and thereby may reduce avoidable hospital readmissions.
UNASSIGNED: Responses on a nationwide anonymous online survey were used to compare specialist and experienced nonspecialist physical therapists on knowledge and frequency of providing physical activity related education to patients hospitalized with acutely decompensated HF. Responses to survey items were scored on 5-point scales ranging from \"Strongly agree\" to \"Strongly disagree\" or \"Always\" to \"Never.\" Mann-Whitney U statistics were used to compare specialist and experienced nonspecialist responses and Wilcoxon signed-ranks tests were used to examine the gap between knowledge and practice.
UNASSIGNED: Twenty-seven specialists and 43 experienced nonspecialists completed the survey. Both groups were similar in age, and experience treating patients hospitalized with acutely decompensated HF. Both groups \"strongly agree\" that they had the required knowledge and skills to educate patients with HF on the physical activity topics. However, specialists more often than experienced nonspecialists provided education on topics such as how to monitor vital signs during physical activity (\"most of the time\" vs. \"about half of the time\") that promoted patient confidence and safety during exercise. Specialists demonstrated a smaller gap between knowledge and frequency of providing patient education than experienced nonspecialists on three of the four patient education topics.
UNASSIGNED: Specialist physical therapists treating patients with HF in the inpatient hospital setting provided patient education on physical activity at a level more closely matching their skills and the clinical practice guideline than did experienced nonspecialists. Physical therapy clinical specialists practicing in the inpatient hospital setting may improve patient outcomes and lower costs to the health care system by improving physical activity adherence and thereby may reduce avoidable hospital readmissions.
摘要：
■这项研究的目的是比较专家和有经验的非专家物理治疗师在对心力衰竭（HF）患者进行有关身体活动的患者教育方面的知识和实践。
■对全国匿名在线调查的回应，用于比较专家和有经验的非专家物理治疗师对急性失代偿性HF住院患者提供体育活动相关教育的知识和频率。对调查项目的回答按5分制进行评分，范围从“强烈同意”到“强烈不同意”或“总是”到“从不”。“Mann-WhitneyU统计数据用于比较专家和有经验的非专家的反应，Wilcoxon签名等级测试用于检查知识与实践之间的差距。
■27名专家和43名经验丰富的非专家完成了调查。两组的年龄相似，治疗急性失代偿性心力衰竭住院患者的经验。两组“非常同意”，他们拥有必要的知识和技能来教育HF患者的身体活动主题。然而,专家比经验丰富的非专家更经常提供有关如何在身体活动期间监测生命体征等主题的教育(“大部分时间”与“大约一半的时间”）在锻炼过程中提高了患者的信心和安全性。在四个患者教育主题中的三个方面，与经验丰富的非专家相比，专家在提供患者教育的知识和频率之间的差距较小。
在住院医院环境中治疗HF患者的专业物理治疗师提供的患者身体活动教育水平比经验丰富的非专家更接近他们的技能和临床实践指南。在住院医院环境中执业的物理治疗临床专家可以通过提高身体活动的依从性来改善患者的预后并降低医疗保健系统的成本，从而可以减少可避免的再入院。
■对全国匿名在线调查的回应，用于比较专家和有经验的非专家物理治疗师对急性失代偿性HF住院患者提供体育活动相关教育的知识和频率。对调查项目的回答按5分制进行评分，范围从“强烈同意”到“强烈不同意”或“总是”到“从不”。“Mann-WhitneyU统计数据用于比较专家和有经验的非专家的反应，Wilcoxon签名等级测试用于检查知识与实践之间的差距。
■27名专家和43名经验丰富的非专家完成了调查。两组的年龄相似，治疗急性失代偿性心力衰竭住院患者的经验。两组“非常同意”，他们拥有必要的知识和技能来教育HF患者的身体活动主题。然而,专家比经验丰富的非专家更经常提供有关如何在身体活动期间监测生命体征等主题的教育(“大部分时间”与“大约一半的时间”）在锻炼过程中提高了患者的信心和安全性。在四个患者教育主题中的三个方面，与经验丰富的非专家相比，专家在提供患者教育的知识和频率之间的差距较小。
在住院医院环境中治疗HF患者的专业物理治疗师提供的患者身体活动教育水平比经验丰富的非专家更接近他们的技能和临床实践指南。在住院医院环境中执业的物理治疗临床专家可以通过提高身体活动的依从性来改善患者的预后并降低医疗保健系统的成本，从而可以减少可避免的再入院。
