Dissertationen zum Thema „Physiotherapy Care“
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Belchamber, Caroline Anne. „Physiotherapy palliative cancer care : a case study approach“. Thesis, Bournemouth University, 2016. http://eprints.bournemouth.ac.uk/24774/.
Der volle Inhalt der QuelleKuisma, Raija. „Domiciliary physiotherapy in Hong Kong: studyof the outcomes of domiciliary physiotherapy for patients withfractured proximal femur“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31240409.
Der volle Inhalt der QuellePhillips, Kerry-Ann. „Cross-sectional analysis of car restraint system use during transportation of children with special health care needs in the Western Cape“. Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33926.
Der volle Inhalt der QuelleKuisma, Raija. „Domiciliary physiotherapy in Hong Kong : study of the outcomes of domiciliary physiotherapy for patients with fractured proximal femur /“. Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21734628.
Der volle Inhalt der QuelleParker, Ian Gerard. „Investigations into a physiotherapy-led vestibular rehabilitation model of care“. Phd thesis, Australian Catholic University, 2022. https://acuresearchbank.acu.edu.au/download/b62ec624c7a9fd577877a1507ea3af22c625ca49706b689d3e617591d3f47001/6194475/Parker_2022_Investigations_into_a_physiotherapy-led_vestibular.pdf.
Der volle Inhalt der QuellePensri, Praneet. „Current physiotherapy management of low back pain in Thailand“. Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249457.
Der volle Inhalt der QuelleConroy, Sherrill. „Moral inclinations of medical, nursing and physiotherapy students“. Thesis, University of Oxford, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367447.
Der volle Inhalt der QuelleNaidoo, Melissa. „Family and patient perception of physiotherapy care rendered to patients in the cardiothoracic intensive care unit“. University of the Western Cape, 2018. http://hdl.handle.net/11394/6978.
Der volle Inhalt der QuelleBackground: Physiotherapists are involved in the management of patients in the cardiothoracic Intensive Care Unit (ICU). Patient and family perception of care has become an important measure in evaluating the quality of care, including care in the intensive care setting. Overall Aim: To explore and describe the family and patient perception of physiotherapy care rendered in a public sector cardiothoracic ICU in the Western Cape, South Africa. Method: This study was conducted in two phases. Phase 1 (scoping review) identified and described available outcomes for measuring family perception of ICU care by searching six databases from inception to the 20th June 2018. Results from the scoping review informed the discussion schedule for the first primary study of Phase 2. Phase 2 (two exploratory descriptive qualitative primary studies) explored and described i) family perception and ii) patient perception of physiotherapy care in a cardiothoracic ICU. Audio-taped, individual face to face semi-structured interviews were conducted with family and patient participants that met the inclusion and exclusion sampling criteria (purposive sampling). Data was transcribed verbatim and analysed using deductive-inductive thematic content analysis. The data was coded, categorised and themes were generated. Trustworthiness of the data was ensured through methods addressing credibility, dependability, confirmability and transferability. Results: A total of ten full text studies were included in the scoping review. Included studies were published between 2006 and 2017, were conducted in both developed and developing countries, in different ICUs (except cardiothoracic ICU)and all used different quantitative outcome measures to measure family perception of ICU care. Thirteen cardiothoracic ICU patients and their respective family members partook in the studies describing patient and family perception of cardiothoracic ICU physiotherapy care. The median patient age was 62 years; the mean ICU length of stay 6 days and the median family age was 55. Themes arising from the family perception of care data analysed included: i) understanding of physiotherapy care (the role of the physiotherapist, perceived benefit of physiotherapy and communication), family involvement in physiotherapy care (physical presence during physiotherapy sessions and decision-making), and satisfaction of physiotherapy ICU care. Themes arising from patient perception of care data analysed included: i) Physiotherapy management of patients, ii) The Physiotherapists – skill, iii) knowledge and professionalism, iv) Continuity of Care, v) Tangibility, vi) Physiotherapy benefits, vii) Decision-Making, viii) Communication, ix) Satisfaction of Physiotherapy ICU care. Overall, family and patients were satisfied with the physiotherapy care in the cardiothoracic ICU. However, there were areas of improvement such as the understanding of physiotherapy care, communication, family involvement in the physiotherapy care and decision-making. Conclusion: While there are multiple quantitative measures for measuring family perception of ICU care there is no “gold” standard measure that has been identified. A qualitative measure and research design would allow richer in-depth information on family perception of ICU care. The findings from the family and patient perception of cardiothoracic ICU physiotherapy care are influenced by many factors. While family and patients perceive cardiothoracic ICU physiotherapy care both positively and negatively, the majority of patient and family were satisfied overall with the care the patient received. Family perception of ICU physiotherapy care should be evaluated in order to identify areas for improvement in quality of care and could add to the body of evidence in ICU physiotherapy practice.
Holdsworth, Lesley K. „A study of direct access to physiotherapy in a primary care setting“. Thesis, Glasgow Caledonian University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251175.
Der volle Inhalt der QuelleAchmat, Faiza. „Factors associated with improvement in the gross motor function outcomes of children with acquired brain injury in a paediatric intermediate care facility in the Western Cape, South Africa: A descriptive study“. Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29575.
Der volle Inhalt der QuelleRichardson, Barbara. „Paradigms of practice in physiotherapy and the implications for professional development“. Thesis, University of East Anglia, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309097.
Der volle Inhalt der QuelleDavids, Nailah. „The motor development of HIV positive and HIV negative children aged three to six years, residing in institutions and in foster care“. Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/3010.
Der volle Inhalt der QuelleIncludes bibliographical references (leaves 129-135).
To compare the motor development of children aged 3-6 years with HIV/AIDS in institutions and in foster care using the Peabody Motor Developmental Scale (PDMS II). A description of socio-economic conditions to the children, to compare the health status of HIV positive children, to establish and compare developmental quotients of children across two care-giving environments and compare performance of children with and without HIV, to determine to what extent developmental quotient changes over a six-month period and establish which factors predict performance. A descriptive, analytical, prospective, longtudinal study design was used. 44 children participated in the study at baseline. The children were recruited from four institutions in Cape Town and from community outreach programmes supporting foster parents. Six months later 37 children were tested.
Forskvist, Lina-Maria, und Andrea Harrtoft. „Stress och alkoholkonsumtion bland fysioterapeutstudenter vid Uppsala Universitet: Hur korrelerar stress med alkoholkonsumtion?“ Thesis, Uppsala universitet, Fysioterapi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384169.
Der volle Inhalt der QuelleWand, Benedict Martin. „Developing, testing and refining a physiotherapy model of care for acute low back pain“. Thesis, Brunel University, 2002. http://bura.brunel.ac.uk/handle/2438/7124.
Der volle Inhalt der QuelleTall, Märta, und Matilda Sellergren. „Fysioterapeuters upplevelser och erfarenheter av fysioterapi postpartum“. Thesis, Uppsala universitet, Fysioterapi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-351920.
Der volle Inhalt der QuelleBackground Women's healthcare in Sweden today has great potential of improvement, as there is, among other things, no guidelines for treatment and follow-up of injuries to the pelvic floor muscles. These injuries can affect the quality of life. Physiotherapists can assist with the rehabilitation of these conditions. Purpose The purpose was to investigate physiotherapists experiences of physiotherapy after childbirth. Design and method A qualitative, explorative and descriptive design was used and was based on semi structured interviews. Five physiotherapists were interviewed and the material was processed using qualitative content analysis according to Graneheim et al. Results Five categories emerged during the data analysis, with a total of 14 subcategories. The categories were culture and approach, the patient meeting, the patient, positive aspects of the profession and progress. What was described was, among other things, the desire for physiotherapists to become a bigger part of maternity care, the prioritization of women’s health care, the lack of guidelines, the patient often having problems despite previous follow- up in the maternity care and the joy of the profession. Conclusion Physiotherapists experience that they have an important role in rehabilitation after maternal injuries and wish to have a greater role in rehabilitation in maternity care. Women’s health care is not percieved as a high priority in physioterapeutic primary education. The informants perceive a need for Swedish guidelines for rehabilitation after gynecological surgery and cesarean sections. Physiotherapists, however, find that the work is fun and that they have grateful patients they can make a big difference to. Further research on physical therapy after child birth is considered necessary. Key words Physiotherapy, experiences, women’s health, post partum care.
Mwanza, Christo. „Physiotherapists’ perceptions on stroke rehabilitation with focus on palliative care in Lusaka, Zambia“. University of the Western Cape, 2015. http://hdl.handle.net/11394/4734.
Der volle Inhalt der QuellePalliative care is a vague and often confusing term used to describe a type of treatment model for chronic and life-threatening illnesses. WHO describes palliative care as an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness by: early identification, impeccable assessment, and treatment of pain, physical, psychosocial and spiritual. The aim of this study is to explore the perceptions of physiotherapists on palliative care in order to contribute to the understanding of the role of physiotherapists to the care of stroke patient in Zambia. The objectives of this study are to explore physiotherapists’ knowledge on palliative care, their perceptions on management of palliative care as well as explore its application in the rehabilitation of stroke patients; and lastly to make recommendations on guidelines based on the outcomes of this study. Method: an exploratory study, using qualitative design was used. Data collection techniques were in-depth individual interviews and FGDs that consisted of purposively sampling of physiotherapists working; at four selected hospitals and a rehabilitation centre in Lusaka. Audio recording from the interviews was transcribed verbatim for each session by an independent person. The study employed thematic content analysis for data analysis. The data was classified systematically by means of coding to identify key factors or issues such as concepts, categories, themes and the relationship between them. Results indicated that all participants in the current study perceived palliative care as a medical care for the chronic and terminal ill patient in whom stroke patient and family will benefit if it is applied in the early stages of the disease trajectory; as well as it does improve the patient and family quality of life. Furthermore they emphasized on multidisciplinary team and holistic approaches in order to achieve all its tenets. Conclusion: the study had succeeded in exploring the physiotherapists’ perceptions on palliative care and contributed to the understanding of the role of physiotherapy to the care of stroke patients in general.
Hanekom, Susan. „The implementation and evaluation of a best practice physiotherapy protocol in a surgical ICU“. Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5328.
Der volle Inhalt der QuelleThesis (PhD ( Interdisciplinary Health))--University of Stellenbosch, 2010.
Bibliography
ENGLISH ABSTRACT: Introduction: It is increasingly being recognized that how intensive care services are delivered may have a greater impact on patient outcome than the individual therapies. Uncertainty regarding the optimal physiotherapy service provision model in a surgical intensive care unit (ICU) exists. Methodology: The aims of this study were to 1) develop an evidence-based physiotherapy protocol; 2) validate the content of the protocol; and 3) conduct an explorative intervention trial to compare usual care to the estimated effects of providing a physiotherapy service guided by an evidence-based physiotherapy protocol by a dedicated physiotherapist. A systematic review process was used to synthesize the evidence in eight subject areas. The GRADE system was used to formulate best practice recommendations and algorithm statements. Forty-two experts from a variety of disciplines were invited to participate in a Delphi process. Finally, the evidence-based physiotherapy protocol was implemented in a surgical ICU over four three-week intervention periods by a group of research therapists. The outcomes measured included ventilator time, ventilation proportions, failed extubation proportions, length of ICU and hospital stay, mortality, functional capacity, functional ability and cost (using nursing workload as proxy). Results: Fifty-three research reports in eight subject areas were identified, 23 draft best-practice recommendations and 198 algorithm statements were formulated. The draft protocol consisted of five clinical management algorithms. Fifteen international research experts and twelve national academics in the field of critical care agreed to participate in the Delphi process. Consensus was reached on the formulation of 87% (20/23) recommendations and the rating of 66% (130/198) statements. The risk of an adverse event during the protocol care intervention period was 6:1000 treatment sessions (p=0.34). Patients admitted to the unit during the protocol care intervention period were less likely to be intubated (RR 0.16 95%CI 0.07 – 0.71; RRR 0.84 NNT 5.02; p=0.005) or fail extubation (RR 0.23 95%CI 0.05 – 0.98; RRR =0.77 NNT 6.95; p=0.04). The mean difference in the daily unit TISS-28 score between the two condition periods was 1.99 95%CI 0.65 – 3.35 (p=0.04). Patients managed by the protocol tended to remain in the hospital for a shorter time after unit discharge (p=0.05). There was no difference in the time spent on the ventilator (p=0.50), mortality (p=0.52) or in the six minute walk distance (p=0.65). In addition there was no difference in the proportion of patients who reached independence in any of the Barthel Index activities measured within 48 hours of discharge from the unit. Conclusions: The use of an evidence-based physiotherapy protocol for the comprehensive physiotherapeutic management of patients in a surgical ICU was feasible and safe. The preliminary results of this study suggest that a physiotherapy service, which is guided by an evidence-based protocol and offered by a dedicated unit therapist, has the potential to lower the cost of ICU care and facilitate the functional recovery of patients after unit discharge. This information can now be considered by administrators to optimize the physiotherapy service provided in ICU.
AFRIKAANSE OPSOMMING: Inleiding: Daar word toenemend erken dat die wyse waarop dienste gelewer word, ‘n groter impak mag hê op die uitkoms van pasiënte as die spesifieke modaliteite in gebruik. Onsekerheid heers tans oor die optimale fisioterapie diens model om te volg in ‘n chirurgiese intensiewe sorg eenheid (ISE). Metodologie: The doel van hierdie projek was om 1) ‘n bewysgesteunde protokol te ontwikkel; 2) die geldigheid van die protokol te bevestig; en 3) om deur middel van ‘n eksploratiewe studie die uitkoms van pasiënte te vergelyk wanneer die fisioterapie diens gelewer word aan die hand van die bewysgesteunde protokol deur ‘n toegewyde fisioterapeut, teenoor wanneer die gewone fisioterapie diens gelewer word. Die empiriese bewyse in agt onderwerp areas is gesintetiseer na afloop van ‘n sistematiese literatuur oorsig proses. Die GRADE sisteem is gebruik om beste praktyk aanbevelings en algoritme stellings te formuleer. Twee en veertig kundige persone van verskeie disiplines is genooi om deel te neem aan die Delphi proses om die geldigheid van die protokol te bevestig. Uiteindelik is die geldige bewysgesteunde protokol oor ‘n tydperk van vier drie weke intervensie periodes deur ‘n groep navorsings terapeute in ‘n chirurgiese ISE geïmplementeer. Die tyd wat pasiënte geventileer is, die proporsie pasiënte wat geïntubeer en geherintubeer is in die tydperk, die lengte van ISE en hospitaal verblyf, mortaliteit, funksionele kapasiteit asook funksionele vaardigheid en koste (deur die verpleeg werkslading te gebruik as ‘n indikasie van koste) is gemeet. Resultate: Drie en vyftig navorsings verslae in agt onderwerp areas is geïdentifiseer, 23 konsep aanbevelings en 198 algoritme stellings is geformuleer. Die konsep protokol het uit vyf algoritmes bestaan. Vyftien internasionale en twaalf nasionale kundiges het die uitnodiging aanvaar om aan die delphi proses deel te neem. Konsensus is bereik vir die formulering van 87% (20/23) van die aanbevelings en die gradering van 66% (130/198) van die algoritme stellings. Die risiko vir ‘n ongunstige episode tydens die protokol intervensie periode was 6:1000 sessies (p=0.34). Pasiënte wat tydens die protokol intervensie periode tot die eenheid toegelaat is was minder geneig om geïntubeer te word (RR 0.16 95%CI 0.07 – 0.71; RRR 0.84 NNT 5.02; p=0.005) of om ‘n ekstubasie te faal (RR 0.23 95%CI 0.05 – 0.98; RRR =0.77 NNT 6.95; p=0.04). Die gemiddelde verskil in die daaglikse eenheid TISS-28 telling tussen die twee intervensie periodes was 1.99 95%CI 0.65 – 3.35 (p=0.04). Patiente wat tydens die protokol intervensie periode behandel is was geneig om vinniger uit die hospitaal ontslaan te word nadat hul uit die eenheid ontslaan is (p=0.05). Daar was geen verskil in die ventilasie tyd, (p=0.50) die mortaliteit (p=0.52) of die afstand wat pasiente in ses minute kon aflê binne 48 uur na ontslag uit die eenheid (p=0.65) nie. Daar was ook geen verskil in die proporsie pasiente wat onafhanklikheid bereik het in enige van die kategorieë van die Barthell Index instrument nie. Gevolgtrekking: Die gebruik van die protokol vir die omvattende hantering van pasiënte in ‘n chirurgiese eenheid is haalbaar en veilig. Die voorlopige resultate van hierdie studie dui daarop dat wanneer ‘n fisioterapie diens in ‘n chirurgiese ISE gelewer word aan die hand van ‘n bewysgesteunde protokol deur ‘n toegewyde fisioterapeut dit die potensiaal het om ISE koste te verminder en die funksionele herstel van pasiente na ontslag uit die eenheid te fasiliteer. Hierdie inligting kan nou deur administrateurs oorweeg word om ‘n optimale fisioterapie diens in ‘n chirurgiese ISE te verseker.
Kingau, Naomi Wanjiru. „Contextualization of a physiotherapy clinical practice guideline for stroke rehabilitation in Kenya“. University of the Western Cape, 2018. http://hdl.handle.net/11394/6272.
Der volle Inhalt der QuelleStroke is the third leading cause of death and disability worldwide. Eighty five per cent of strokes occur in developing countries, and it is estimated that the prevalence will increase in future. Evidence based rehabilitation programs inherent in clinical practice guidelines has the potential to improves functional activities, and participation. However Kenya does not have this guideline. Most clinical guidelines are developed in the western world, and reflect developed world healthcare systems and resources that are not always appropriate to developing nations. Likewise, guidelines are costly to produce. Kenya lacks the resources and the expertise for de novo guideline development. It is therefore appropriate and cost effective to contextualise the available high quality recommendations.
Bernhardsson, Susanne. „Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences“. Doctoral thesis, Linköpings universitet, Avdelningen för fysioterapi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-122558.
Der volle Inhalt der QuelleAlfadil, Tsabeeh Abdalrahman. „Knowledge attitudes and practices regarding physiotherapy management of patients admitted to Intensive Care Units in Khartoum State“. University of the Western Cape, 2017. http://hdl.handle.net/11394/6284.
Der volle Inhalt der QuelleThe Physiotherapist is an important member of the multidisciplinary team managing critically ill patients in the ICU. Physiotherapy practice in the ICU has shown itself to be effective, whereas the lack of physiotherapy management in the care of critically ill patients may prolong recovery. Therefore, the knowledge and attitudes about physiotherapy management by the other Health Care Professionals of the team is essential in order to facilitate efficient and effective medical services. This study aimed to determine other Health Care Professional' knowledge, attitudes regarding physiotherapy management in the ICU. As well as, it determined the current physiotherapy practices applied by physiotherapists in ICUs in Khartoum State - Republic of Sudan. The study was conducted due to limited studies in this field.
Makalla, Abdallah R. „The role of physiotherapy in the management of patients following cardiac surgery in Tanzania“. University of the Western Cape, 2014. http://hdl.handle.net/11394/4186.
Der volle Inhalt der QuelleAn increase of cardiac surgeries globally has been associated with an increasing number of people with cardiovascular disease in both developed and developing countries. Following cardiac surgery, pulmonary complications are an important cause of morbidity leading to significant prolonged hospitalisation, mortality and overall hospital costs. Physiotherapists have been part of cardiac multidisciplinary team playing a role in prevention and managing respiratory complications post-operatively. Numbers of studies have investigated on the efficacy of physiotherapy interventions in managing patients following cardiac surgery. However, there is no consensus in the literature with regards to intensity, duration of the session and content of therapy in this specialised area of cardio-pulmonary. These variations of physiotherapy intervention have made difficult to find agreement on the necessity of physiotherapy care in the post-operative management of patients following cardiac surgery. To date, however, there have been limited or no studies done on the role of physiotherapy in the Cardiac Unit setting. Thus, the aim of the study was to investigate the role of physiotherapy in the post-operative management of patients following cardiac surgery at Muhimbili National Hospital (MNH), Tanzania. An explanatory sequential mixed method study design was used. A descriptive retrospective study design was chosen for the quantitative phase using a convenient sample of all 105 patients’ records operated from January 2010 to 31st December 2013. With regards to the qualitative phase, 2 Cardiac Surgeons and 10 Physiotherapists working at MNH were conveniently sampled to explore their perceptions on the post-operative role of physiotherapy in the management of patients following cardiac surgery at MNH. Ethical clearance was obtained from the University of the Western Cape and Muhimbili National Hospital to conduct the study. Anonymity and confidentiality was ensured for all participants and their participation was voluntary. They were allowed to withdraw from the study anytime without any negative consequences. Following ethical issues; quantitative data (i.e. profile and process of care of patients) was collected by means of a data extraction sheet while the two separate semi-structured interview guides were used for qualitative data. A total of 105 patients’ records were obtained. Quantitative data was analysed using SPSS 22.0 version. A descriptive statistics was used. The mean age of the study sample was 30.6 (SD=10.5). More than half (54.3%) were females and males 45.7% of the sample. The results show that Rheumatic Heart Disease (RHD) accounted for the majority (74.3%) of cardiac diseases. Double valve repair accounted for 71.4%. A decline in the number of surgeries performed were noted from 2010 (48.6%) to 2013 (10.5%). The mean number of days spent in Intensive Care Unit (ICU) were 6.4 (SD=5.3) and in the ward 12.2 (SD=7.8). A total of 21.4% of the sample developed post-operative complications and 10.5% of the total sample died. A substantial number of patients (77.7%) were referred for physiotherapy treatment post-operatively, with most of these referrals (70.0%) on the first day post-operatively. The majority (37.8%) of the patients received 3 physiotherapy sessions in the ICU with most of these patients (79.3%) being seen once a day in the ICU and (65.8%) in the ward. Physiotherapists prescribed (53.7%) a combination of breathing exercises, active limb mobilisation, incentive spirometry and progressive ambulation in the ICU. A combination of breathing exercises, active limb mobilisations, endurance training and posture correction was frequently (89.5%) prescribed in the ward. Content analysis was used to analyse qualitative data. Cardiac Surgeons were aware of the role of Physiotherapists on the post-operative management of patients following cardiac surgery. They also identified shortcomings on the side of Physiotherapists’ in terms of poor co-operation, inadequate skills and a lack of motivation to work in the Cardiac Unit. On the other hand, Physiotherapists revealed that there was communication breakdown between them and Cardiac Surgeons. They added that they were not motivated to work in the Cardiac Unit due to their inadequate skills in the area of investigation, training and lack of working facilities. Although they had consensus on different techniques, they had variations on the application procedure, intensity and frequency. Cardiac Surgeons and Physiotherapists agreed that hospital management should motivate Physiotherapists by opening a Physiotherapy Unit within the Cardiac Complex and train Physiotherapists in the area of cardio-pulmonary. From these findings it can be concluded that, poor communication and lack of trained Physiotherapists in the field of cardio-pulmonary is a setback which need to be addressed. Also, lack of standard treatment procedure among Physiotherapists brings variations in this world of evidence based practice.
Akeneh, Ukari Josiah Smith. „Roles of physiotherapy in primary health care: Awareness and perceptions of other health care professionals in Rivers East Senatorial District, Rivers State, Nigeria“. University of the Western Cape, 2019. http://hdl.handle.net/11394/7005.
Der volle Inhalt der QuelleBACKGROUND: Access to basic health care services through the primary health care (PHC) settings, was affirmed as a fundamental human right by the World health organisation (WHO) in 1978 in Alma Ata (Kazakhstan). Internationally, interdisciplinary collaboration among health care professionals (HCPs) have been the preferred approach to addressing the health and psychosocial needs of the populace. The PHC being the first point of contact for most Nigerians and the cornerstone of health care policies in Nigeria, covers promotive, preventative, curative and rehabilitative services. Although, Physiotherapy has ideally qualified personnel to contribute to the attainment of the goals and objectives of the PHC policies, these services are mostly carried out by other HCP’s subdivided as clinicians (medical doctors, dentists, nurses/midwives, optometrists, pharmacists, radiographers, laboratory scientists) and clinical assistants (pharmacy technicians, radiography technicians, laboratory technicians and community health extension workers). Physiotherapy services are mostly concentrated at tertiary and secondary health care settings. AIM: To determine the awareness and explore the perceptions of clinicians and clinical assistants employed in the type 3 primary health care (PHC) settings of Rivers East Senatorial district of Rivers State, Nigeria, regarding the roles of Physiotherapy in a PHC setting.
Daulat, John Alexander. „An alternative group physiotherapy programme for the management of chronic low back pain in Primary Care“. Thesis, Middlesex University, 2016. http://eprints.mdx.ac.uk/21275/.
Der volle Inhalt der QuelleSagbrant, Emelie, und Johanna Trolin. „Fysioterapeuters upplevelser och erfarenheter av digitala vårdmöten : En intervjustudie“. Thesis, Uppsala universitet, Åsenlöf: Fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-444431.
Der volle Inhalt der QuelleBackground: Digital healthcare consultations is something used more and more, especially during COVID-19 but also in accordance with various goals for digitization. Video consultations has proven to work well as an alternative to regular visits and telephone calls, but there is no clear view on how physiotherapists experience digital meetings. Objective: To investigate physiotherapists' experiences of digital care meetings compared to traditional physiotherapist visits in primary care. Method: The study has a qualitative design. Data was collected through 5 semi-structured interviews with physiotherapists and analyzed using qualitative content analysis. Result: The analysis of the interviews resulted in 6 categories and 15 subcategories. The categories were; Digital meetings can make it easier for the patient and the physiotherapist, The physiotherapists' work is developed and adapted during the pandemic, Challenging to get good digital meetings, Opportunities with digital meetings, Limitations with digital meetings and Potential for improvement. Conclusion: Digital care meetings in physiotherapy could be an alternative when patients want it and for visits including conversation, observation, advice, training and follow-up, and where there is no need for a more thorough manual examination. Digital meetings can make it easier for both the patient and the physiotherapist, but further development of technology and accessibility is needed to improve the work with the patient.
Öhman, Ann. „Profession on the move : Changing conditions and gendered development in physiotherapy“. Doctoral thesis, Umeå universitet, Epidemiologi och folkhälsovetenskap, 2001. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-7519.
Der volle Inhalt der Quelledigitalisering@umu
Ntamo, Precious Nomatende. „Poor attendance for outpatient physiotherapy by patients discharged from Mthatha General Hospital with a stroke in 2007“. Thesis, Walter Sisulu University, 2011. http://hdl.handle.net/11260/d1006933.
Der volle Inhalt der QuelleJenkins, Virginia Sue. „An exploration of physiotherapy students attitudes to attachment and their interactions with patients in a clinical setting“. Thesis, University College London (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252186.
Der volle Inhalt der QuelleGustavsson, Catharina. „Self-management of Persistent Neck Pain : A Multi-component Group Intervention in Primary Health Care“. Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-134522.
Der volle Inhalt der QuelleKarachi, Farhana. „Survival and health related quality of life of patients 12 months following discharge from an adult surgical intensive care unit“. Thesis, Stellenbosch : University of Stellenbosch, 2005. http://hdl.handle.net/10019.1/1868.
Der volle Inhalt der QuelleObjectives: This study forms part of a baseline study conducted on patients admitted to an adult surgical ICU between June and October 2003. The survival rate and health related quality of life (HRQoL) of patients 12months following ICU discharge was determined. The correlation of selected demographic and ICU variables to survival and HRQoL was determined. Design: Prospective observational cohort study. Setting: Tenbed closed public tertiary adult surgical ICU. Patients: 180 subjects obtained from a previous baseline study. Measurements: The baseline study provided the demographic data and ICU variables. Survival rate was determined from a Kaplan Meier survival curve. A self-developed questionnaire was used to obtain other selected variables for comparison. A modified Short-Form 36 version 2 (SF-36v2) was use to measure HRQoL perceptions of patients. Results: The survival rate was 62% at 12 months following ICU admission. None of the selected variables were significantly correlated to the long-term survival outcome except for APACHE II which was negatively correlated to this outcome (p<0.01). Forty-six subjects took part in the HRQoL study. The mean HRQoL scores ranged between 43% and 53% for each of the SF-36 HRQoL domains. The physical functioning (43.5%), role play (44.5%) and role emotion (43.1%) domains had the lowest scores. APACHE II had a significantly negative correlation to the physical functioning domain of HRQoL (p=0.02). Age was positively correlated to social functioning (p<0.01) and role emotion (p=0.03). Patients employed after ICU had significantly higher scores for general health (p<0.01) than those who were not. Patients unsure of their TB status and HIV status had significantly lower scores in general health (p=0.02) and role emotion (p=0.05) respectively. ICU length of stay was negatively correlated to role play (p=0.05) and role emotion (p<0.01). Intubation period was negatively correlated to general health (p=0.04). Conclusion: APACHE II was the only variable significantly correlated to both long-term survival and the physical functioning domain of HRQoL. Although the long-term survival was comparable to that of international ICU populations the HRQoL outcomes were slightly lower. Similar to international studies and a South African study evaluating the HRQoL of aids sufferers and police, the current ICU population presented more limitation in the physical functioning, role play and role emotion domains of HRQoL.
Andersson, Helena, und Nathalie Stenquist. „Det dom inte nämner : Enkätstudie om informationen Sveriges hälso- och sjukvård erbjuder kvinnor gällande postpartumträning“. Thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-67226.
Der volle Inhalt der QuelleNel, Stephanus Gerhardus. „The effects of a lung recruitment manoeuvre before extubation on pulmonary function after coronary artery bypass surgery“. Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85871.
Der volle Inhalt der QuelleENGLISH ABSTRACT: Aim: The aim of this study is to determine if the addition of a pre-extubation recruitment manoeuvre to standard care is safe and will improve lung compliance and subsequent PaO2/FiO2 (PF ratio) after extubation in postoperative coronary artery bypass graft surgery patients. Design: Prospective, triple blind, randomised, controlled trial. Method: This study was conducted in a private hospital in the Northern suburbs of Cape Town, South Africa. All patients admitted between 03/10/2010 and 22/11/2011, for uncomplicated elective coronary artery bypass graft (CABG) surgery were eligible for inclusion into the study. Patients were randomly allocated into either the intervention group or the control group. The intervention group received a gradual build-up lung recruitment manoeuvre (RM). The primary outcome was PaO2/FiO2 (PF ratio). The secondary outcomes were safety and static lung compliance. ICU length of stay (LOS) and hospital LOS were also recorded. The pre-RM hemodynamic stability of the patient was checked before the intervention and repeated at 5 minutes after the intervention by the nursing sister. Data to calculate static lung compliance was captured at the same time. Criteria for safety and discontinuation of the RM were monitored during the intervention by the principle investigator only. Results: Of the 69 patients eligible for the study 47 were randomly allocated into the intervention group (n=22) and control group (n=25) respectively. Groups were the same at baseline with regards to sex, pulmonary risk, sedation and surgical procedures. The RM could be completed in all patients. The prior defined criteria for discontinuation of the RM were not reached in any of the patients. No adverse effects were noted. The PaO2/FiO2 (PF ratio) decreased significantly in both groups from pre-surgery measurements compared to when measured before the RM (p<0.001). There was a tendency noted for the intervention group to return to pre-surgery measurements of PF ratio within 12 hours after extubation when compared to the control group. There was no significant difference between the groups from extubation to 24 hours (p = 0.6). The static compliance improved at 5 minutes following the RM (p<0.001) and remained improved until extubation (p<0.001) for the intervention group. No difference was noted in the static compliance of the control group over the same time period. The mean hospital length of stay for the intervention group was 8.61 (95% confidence interval 7.26 to 9.96 days) and 10.08 (95% confidence interval 8.52 – 11.63 days) for the control group. Conclusion: A gradual recruitment manoeuvre at 30cmH2O 30minutes before extubation significantly improved static lung compliance within 5 minutes with no adverse hemodynamic side effects. There was noted maintained improved PF ratio at extubation or immediately afterwards for the intervention group and no difference in the PF ratio between the intervention group and control group.
AFRIKAANSE OPSOMMING: Doel: Die doel van hierdie studie is om te bepaal of die toevoeging van ’n pre-ekstubasie herwinningstegniek tot standaard sorg veilig is, en of dit longvervormbaarheid en gevolglike PaO2/FiO2 (PF-verhouding) na ekstubasie in post-operatiewe kroonaaromleidingchirurgiepasiënte sal verbeter. Ontwerp: Prospektiewe, trippel-blinde, ewekansige, gekontroleerde proefneming. Metode: Hierdie studie is uitgevoer in ’n privaat hospitaal in die noordelike voorstede van Kaapstad, Suid-Afrika. Alle pasiënte wat tussen 03/10/2010 en 22/11/2011 gehospitaliseer is vir ongekompliseerde elektiewe kroonaaromleidingchirurgie, kon in aanmerking kom vir die studie. Pasiënte is op ewekansige wyse ingedeel in die intervensie- en kontrolegroepe. ’n Geleidelike-opbou-van-druk-longherwinningstegniek (HT) is op die intervensiegroep toegepas. Die primêre uitkoms was die PaO2 /FiO2 (PF-verhouding). Die sekondêre uitkoms was veiligheid en statiese longvervormbaarheid. ISE-verblyf en hospitaalverblyf is ook genoteer. Die navorsingsassistent het data van bestaande eenheiddokumentasie geneem. Die pre-HT-hemodinamiese stabiliteit van die pasiënte is gemonitor voor en weer 5 minute na die intervensie. Inligting om die statiese longvervormbaarheid te bereken is terselfdertyd genoteer. Kriteria vir veiligheid en vir die staking van die HT is gemonitor tydens uitvoering deur die primêre ondersoeker en die verpleegkundige. Resultate: Van die 69 pasiënte wat in aanmerking kon kom vir die studie is 47 op ewekansige wyse ingedeel in die intervensiegroep (n=22) en die kontrolegroep (n=25). Die groepe was dieselfde by die basislyn. Die herwinningstegniek kon volledig op alle pasiënte uitgevoer word. Die vooraf gedefinieerde kriteria vir staking van die HT is met geen pasiënte bereik nie. Geen nadelige uitwerking is genoteer nie. Die PaO2 /FiO2 (PF-verhouding) het beduidend verminder in beide groepe van pre-operatiewe metings in vergelyking met meting voor die HT (p<0.001). ‘n Neiging is genoteer dat die intervensiegroep binne 12 uur na ekstubasie tot pre-chirurgie PF-metings teruggekeer het. Daar was geen merkbare verskil tussen die groepe vanaf ekstubasie tot 24 uur (p=0.6) nie. Die statiese vervormbaarheid het verbeter teen 5 minute na HT (p<0.001) en het verbeter gebly tot ekstubasie (p<0.001) vir die intervensiegroep. Daar was geen verskil in die statiese vervormbaarheid van die kontrolegroep nie. Die gemiddelde hospitaalverblyf vir die intervensiegroep was 8.61 (95% betroubaarheidsinterval 7.26 tot 9.96 dae) en 10.08 (95% betroubaarheidsinterval 8.52 – 11.63 dae) vir die kontrolegroep. Gevolgtrekking: ’n Geleidelike herwinningstegniek teen 30cmH2O 30 minute voor ekstubasie het statiese longvervormbaarheid beduidend verbeter binne 5 minute, met geen nadelige hemodinamiese newe-effekte nie. Daar was geen verskil in die oksigenasie-indeks tussen die intervensie- en kontrolegroep na ekstubasie nie.
Clark, Nicholas, und Jesper Bengs. „Fysioterapeuters upplevelser och erfarenheter av att använda sig av the High Intensity Functional Exercise Program (the HIFE Program) på äldreboende“. Thesis, Uppsala universitet, Åsenlöf: Fysioterapi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-443668.
Der volle Inhalt der QuelleBackground: The High Intensity Functional Exercise (HIFE) program has been shown to have good effect on physical function and ADL in elderly people living in nursing homes and dependent on assistance with activities in daily living (ADL). However, there is limited knowledge regarding physiotherapists' experiences of using HIFE in nursing homes. This study can help to understand how physiotherapists can perform high-quality training with this population. Aim: To investigate physiotherapists' experiences of HIFE with elderly people living in nursing homes. Methods: To achieve the objective of this study a qualitative design was chosen and five physiotherapists that have worked according to HIFE in nursing homes in Sweden were interviewed using a semi-structured approach. The interviews were analyzed using qualitative content analysis. Results: Based on the collated data, four categories were identified with a total of 17 subcategories: Successful implementation requires the commitment of many, Important to actively choose participants, Push the participants close to their limits and Effects of the training seen on many levels. Conclusion: All physiotherapists expressed a great need for HIFE in nursing homes. HIFE was considered suitable for many of the residents and made it possible to challenge the participants to a high intensity and thus saw a greater effect. In order to succeed, commitment is required from a number of people before, during and after the training period.
Rossouw, Tania. „Strategic options for the physiotherapy industry in the current context of private healthcare in South Africa“. Thesis, Stellenbosch : Stellenbosch University, 2006. http://hdl.handle.net/10019.1/50644.
Der volle Inhalt der QuelleENGLISH ABSTRACT: South Africa's healthcare industry is at a crossroad as pressure in both the public and private sectors is increasing. The extent of change in the industry is overwhelming and it is seen as a very turbulent and unstable environment. Healthcare professionals must reconsider their position in the industry and adapt in this ever-changing environment. The physiotherapy profession forms a small part of the healthcare value chain, but it fulfils an important role in the healthcare system. Unfortunately the profession shows no clear direction and purpose. There also exists a mismatch between the current healthcare environment demands and the physiotherapy service delivery. If they do not adapt in this environment which is in turmoil and have a clear strategy for the way forward, they will be pushed out of the healthcare value chain and become obsolete. The aim of this research report was then to do an in depth analysis of the private healthcare industry in which physiotherapy is operating, to analyse the external physiotherapy industry and an internal analysis of the profession so as to construct a generic strategy for the physiotherapy profession in the private healthcare sector in South Africa. To achieve this aim, it was determined that qualitative, investigative research would be conducted. The research methodology used in this research report was a combination of primary and secondary research. Firstly, secondary research in the form of a literature review was conducted to provide a comprehensive insight into the provision of health care in South Africa. Thereafter, primary research was conducted through semi-structured, in-depth interviews with a purposive sample of physiotherapy industry experts to analyse the external physiotherapy Industry as well as the internal profession environment. Main findings include that the physiotherapy industry is becoming less attractive as competitive forces in the physiotherapy and private healthcare industry are moderate to strong. Deconstruction of the healthcare value chain in the private sector is increasing intra- and inter-professional competition. Government plays a major role in the attractiveness of the industry as they are restricting competitive and market forces and minimising profits through legislation. Medical schemes are trying to contain costs and managed healthcare is coming to the forefront. The physiotherapy market is stagnating and the clients' needs and requirements are changing. Opportunities that were identified we~e the expansion into new markets, involvement in other industries and broadening the scope of practice. Threats are mainly from governmental legislation and policies, vertical integration from the hospital and medical scheme industries and the threat of substitutes, especially alternative health. From the internal profession analysis a current strategy was identified and a strategic intent was formulated as the physiotherapy profession wants to be the preferred and relevant health care service provider in prevention, management and rehabilitation of potential and actual movement impairments of individuals. Strengths to help build this vision included their high regard and profile, quality training, increase in research and evidence and their whole service package. Weaknesses that must be overcome include poor business, managerial and marketing skills, limited role models and leaders and the high levels of intra-professional competition leading to the demise of the profession. Having completed the analysis, major strategic thrusts with a focussed differentiated approach for the profession could then be formulated: • Define physiotherapy and the scope of practice. • Reinstate physiotherapy in the healthcare system. • Develop leadership. • Cooperate within the profession. • Maintain professional autonomy. • Develop business skills.
AFRIKAANSE OPSOMMING: Gesondheidsprofessies moet hul posisie in die industrie herevalueer en aanpas in hierdie steeds wisselende omgewing. Die fisioterapie professie beslaan 'n klein deeltjie van die gesondheidsorg waardeketting, maar dit vervul 'n baie belangrike rol in die gesondheidsorg stelsel. Ongelukkig blyk dit asof die professie geen rigting en doeleindes het waarna dit beweeg en streef nie. Verder bestaan daar ook 'n wanbelyning tussen die huidige gesondheidsorg omgewingvereistes en die dienste wat fisioterapie verrig. Indien die fisioterapie professie nie aanpas in hierdie onstuimige omgewing nie en 'n duidelike strategie ontwikkel vir die toekoms nie, staan dit in gevaar om te verval uit die gesondheidsorg-waardeketting en te vergaan. Die doel van hierdie navorsingswerkstuk is dan om 'n in diepte analise te doen van die privaat gesondheidsorgindustrie waarin fisiolerapeute funksioneer, om die eksterne fisioterapie-industrie sowel as die interne professie te analiseer; ten einde 'n generiese strategie vir die fisiolerapie-professie in privaat gesondheid in Suid Afrika te ontwikkel. Om hierdie doelwitte te bereik is daar besluit om kwalitatiewe navorsing te doen. Die navorsingsmetodologie wat gebruik is bestaan uit 'n kombinasie van primere en sekondere navorsing. Sekondere navorsing is gedoen in die vorm van 'n literatuuroorsig om 'n omvattende oorsig te gee van die gesondheidsorg dienslewering in Suid Afrika. Daarna is primere navorsing gedoen in die vorm van gedeeltelike gestruktureerde, in diepte onderhoude met 'n doelbewuste steekproef van fisioterapie-kundiges om die eksterne omgewing en interne professie te evalueer. Hoof bevindings uit die analise is dat die fisioterapie-industrie se aantreklikheid besig is om te verminder as gevolg van gemiddelde tot sterk kompeterende kragte. Dekonstruksie van die gesondheidsorg-waardeketting in die privaatsektor lei tot verhoogde intra- en inter-professionele kompetisie. Die regering speel ook 'n groot rol in die aantreklikheid van die industrie en hulle beperk natuurlike kompetisie en markkragte en minimaliseer winste deur middel van wetgewing. Mediese fondse probeer kostes beperk en besturende gesondheidsorg begin ontluik. Die huidige fisioterapiemark is besig om te stagneer en kliente se behoeftes en vereistes is besig om te verander. Geleenthede wat geidentifiseer is sluit in die uitbreiding na nuwe markte, betrokkenheid by ander industrie; en die verbreding van fisioterapie se bestek van praktyk. Bedreigings bestaan hoofsaaklik vanaf regeringswetgewing en regulasies, vertikale integrasie van die hospitaal en mediese fonds industriee en die bedreiging van plaasvervangers, veral alternatiewe gesondheid. Vanaf die interne professie-analise is daar 'n huidige strategie geidentifiseer en 'n strategiese intensie kon geformuleer word. Hierdie intensie is dat die fisioterapieprofessie die gewenste en relevante gesondheidsorg diensverskaffer sal wees in die voorkoming, bestuur en rehabilitasie van potensiele en werklike bewegingsaantastings van individue. Sterkpunte in die professie wat hierdie intensie kan ondersteun, sluit in hul goeie profiel en agting, kwaliteit opleiding, toename in navorsing en hul volledige dienspakket. Swakpunte wat oorkom moet word is swak besigheids-, bestuur - en bemarkingsvaardighede, beperkte rolmodelle en leiers en die intra-professionele kompetisie wat die professie as 'n geheel ondermyn. Nadat die analise gedoen is kon daar hoof strategiese rigtings geformuleer word met 'n gefokusde differensiasie benadering: • Definieer fisioterapie en bestek van praktyk. • Hervestig fisioterapie in die gesondheidsorgstelsel. • Ontwikkel leierskap. • Samewerking in die professie. • Behou professionele outonomiteit. • Ontwikkel besigheidsvaardighede.
Peerbhay, Sarfaraz. „Private sector intensive care physiotherapists profile and current practices in South Africa“. University of Western Cape, 2020. http://hdl.handle.net/11394/7689.
Der volle Inhalt der QuelleVariability of profile and practices (roles) of the ICU physiotherapists exists globally. The profile and current practices (roles) of the private practice physiotherapist in the private ICU has been minimally explored especially in South Africa (SA). A dearth of survey data and in-depth exploration of the latter exists in the current literature. The aim of this study was to determine and explore the profile and current practices (roles) of the ICU physiotherapists in private ICUs in SA.
2022
Murphy, Michelle Leonie. „Total Joint Replacements: Analysis of the Impact of Physiotherapy on Hospital Length of Stay and Models of Care“. Thesis, Curtin University, 2016. http://hdl.handle.net/20.500.11937/55081.
Der volle Inhalt der QuelleMarice, Prior. „Professional Development of Physiotherapists Working in Long-term Care“. Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23414.
Der volle Inhalt der QuelleJones, Robert J. „An investigation into the development of a computerized information system for NHS physiotherapy services in England : an action research study“. Thesis, University of Kent, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324658.
Der volle Inhalt der QuelleChang, Angela T. „Physiotherapy intervention in the long-term intensive care stay patient : use of head-up tilt and inspiratory muscle training /“. [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18873.pdf.
Der volle Inhalt der QuelleMiller, Julia Susan. „Videotaped exercises and instruction for primary care physiotherapy patients : exploring the role they play in shoulder and back pain“. Thesis, University of Liverpool, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.428997.
Der volle Inhalt der QuelleThunborg, Charlotta. „Exploring dementia care dyads' person transfer situations from a behavioral medicine perspective in physiotherapy : development of an assessment scale“. Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-45277.
Der volle Inhalt der QuelleAndersson, Nicklas, und Peter Thörnell. „Plantar fasciit : Sjukgymnastiska behandlingsmetoder inom primärvården i Dalarnas-, Gävleborgs- och Västmanlands län“. Thesis, Uppsala universitet, Sjukgymnastik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-140224.
Der volle Inhalt der QuelleSammanfattning Bakgrund: Plantar fasciit är den vanligaste hälskadan och är ett långvarigt smärttillstånd i plantaraponeurosens infästning i calcaneus. Tillståndet behandlas framförallt inom primärvården där det idag saknas en behandlingsriktlinje för behandling av plantar fasciit. Syftet med studien var att undersöka vilka behandlingsmetoder som förekom inom primärvården i Dalarnas-, Gävleborgs- och Västmanlands län, vilka behandlingar som var vanligast och vilka som förekom i kombination med varandra. Syftet var även att undersöka om de fyra vanligast använda behandlingsmetoderna som sjukgymnasterna uppgav sig använda hade stöd i litteraturen samt om det var någon skillnad mellan landstingsanställda och privata sjukgymnasters val av behandlingsmetod. Metod: 100 sjukgymnaster inom primärvåden i Dalarnas-, Gävleborgs- och Västmanlands län, 80 landstingsanställda och 20 privatanställda, fick en enkät per e-post. Där frågades de om vilka behandlingsmetoder som användes vid plantar fasciit, både enskilda behandlingar och kombinationsbehandlingar. En jämförelse gjordes mellan landstingsanställdas och privatanställdas val av behandlingsmetoder och de fyra enskilt mest frekvent använda behandlingarna granskades utifrån senaste forskningen. Resultat: 65 sjukgymnaster svarade på enkäten varav 61 av dem behandlade patienter med plantar fasciit. De fyra mest frekvent använda behandlingarna var tejpning, stretch av plantarfascian, råd om inlägg samt råd om byte av skor. De tre förstnämnda behandlingsmetoderna var även de som var vanligast i kombination med varandra och vanligast för både landstingsanställda och privatanställda sjukgymnaster. Det finns visst stöd i litteraturen för dessa tre behandlingsmetoder som smärtlindrande, framförallt på kort sikt. Konklusion: De fyra mest frekvent använda behandlingarna var tejpning, stretch av plantarfascian, råd om inlägg samt råd om byte av skor. Slutsatsen dras utifrån den evidens som för närvarande finns att tejpning, stretch av plantarfascian samt råd om inlägg i dagsläget rekommenderas ingå i behandlingen av plantar fasciit. Ytterligare forskning behövs dock där större studier samt uppföljningsstudier under längre tid görs. Även studier av de vanliga kombinationsbehandlingarna bör göras, för att efterlikna hur de används i den kliniska vardagen.
Patman, Shane Michael. „The effect of physiotherapy on the prevention and treatment of ventilator-associated pneumonia for intensive care patients with acquired brain injury“. Thesis, Curtin University, 2005. http://hdl.handle.net/20.500.11937/230.
Der volle Inhalt der QuellePonto, Jamie. „The role of the physiotherapist in the neonatal intensive care unit: perceptions from neonatal healthcare professionals“. University of the Western Cape, 2020. http://hdl.handle.net/11394/7570.
Der volle Inhalt der QuelleBackground: The role of the physiotherapist in the neonatal intensive care unit is unclear. How other neonatal healthcare professionals and physiotherapists themselves perceive their role in the management of neonates, their practice patterns and services, their role in the neonatal intensive care multidisciplinary team, their use of evidence-based practice and awareness of the profession in this setting has not been well explored. This information is lacking in the South African healthcare context as well. Therefore, the aim of the study was to explore and describe the perception of doctors, nurses and physiotherapists of the role of the physiotherapist in public and private sector neonatal intensive care units in South Africa. Methods: A qualitative exploratory research design was used. All medical practitioners (paediatricians and neonatologists), nurses and physiotherapists working in the neonatal intensive care units in two private sector and two public sector hospitals in the Cape Metropole region in the Western Cape South Africa who provided consent to participate were included. An inclusive (total population) sampling method was used where all healthcare professionals working in these units were invited to an individual face-to-face audiotaped interview using a semi-structured interview guide and conducted by the researcher at a time and place convenient to the participants following informed consent. Data was transcribed verbatim and analysed using both deductive and inductive thematic content analysis to develop codes, categories and themes. Trustworthiness was ensured by ensuring credibility, conformability, dependability and transferability of data. Ethics was obtained from the relevant Institutional Review Board. Results: Twenty-one healthcare professionals participated, including doctors (n=5), nurses (n=6) and physiotherapists (n=10). The mean age in years of the participants was 41+/–11 years with the physiotherapists having the lowest mean age. The participants had various years of general and neonatal intensive care experience and physiotherapists in specific only had basic undergraduate qualifications with minimal specialised training in neonatal intensive care. Five major themes emerged namely: i) the role of the physiotherapists in the management of the neonatal ICU patient, ii) practice patterns and services iii) teamwork iv) training and qualifications including evidence-based practice, v) awareness of and exposure to neonatal intensive care physiotherapy. Conclusion: Physiotherapists working in this neonatal intensive care setting need to promote their profession through education of other neonatal healthcare professionals in order to improve awareness, referral patterns and integration into the multidisciplinary team. Evidence-based practices and improving training and skills development in the area of neonatal physiotherapy can be further explored in this setting.
Bowerbank, Pat. „The strategic development of a health care organisation : a longitudinal study of the South African physiotherapy profession, 1971 to 2000“. Doctoral thesis, University of Cape Town, 2003. http://hdl.handle.net/11427/22077.
Der volle Inhalt der QuelleThis research focuses specifically on the South African physiotherapy profession, that societal institution which is primarily concerned with health, illness and the physical elements of movement In the human body. Together with South African society as a whole this Institution has experienced monumental changes over the last 30 years. The objective of this research is to describe and critically evaluate the nature, direction and depth of those changes for the South African physiotherapy profession. To this end the research attempts to Identify some of the broad political and societal trends in the macroenvironment, and to contextualise these within the healthcare environment and the physiotherapy profession. The main argument is that social circumstances determine not only the health of the population, but also the health care services and how health care professionals function In society (Benatar, 1997). Health care services and how health care professional's function in society are socially constructed phenomena and therefore there are marked differences in the way health care is delivered from country to country and one political system to another. Over the past decade, management research has increasingly paid attention to the manner in which organisations work to Influence and shape their environments (Lawrence, 1999). A central Issue has become the manner in which organisational environments are constituted, reproduced and transformed through organisational action and relationships.
Patman, Shane Michael. „The effect of physiotherapy on the prevention and treatment of ventilator-associated pneumonia for intensive care patients with acquired brain injury“. Curtin University of Technology, School of Physiotherapy, 2005. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=16406.
Der volle Inhalt der QuelleThe second part of the study (Part B) randomised those subjects from Part A who developed a ventilatorassociated pneumonia into a treatment or control group to establish if the provision of a regimen of regular respiratory physiotherapy influenced the outcome of ventilator-associated pneumonia. Additionally, this study also aimed to provide the first description of the financial costs of respiratory physiotherapy time in providing interventions to patients with acquired brain injury in the intensive care unit and investigated the cost effectiveness of respiratory physiotherapy interventions in decreasing the incidence of ventilator-associated pneumonia, duration of mechanical ventilation and length of intensive care unit stay. Subjects: 144 adult patients with acquired brain injury admitted with a Glasgow Coma Scale of nine or less, requiring intracranial pressure monitoring, and invasive ventilatory support for greater than 24 hours, were randomised to a treatment group or a control group. Methods: For subjects randomised to the treatment groups, the regimen of respiratory physiotherapy treatment was repeated six times per 24-hour period and continued until the subject was weaned from mechanical ventilatory support. Each respiratory physiotherapy intervention of 30 minute duration comprised a regimen of positioning, manual hyperinflation and suctioning. In both Parts A and B, the control group received standard nursing and medical care but no respiratory physiotherapy interventions. Results: Consent was obtained for 144 subjects, with 72 randomised for treatment in Part A. Part A groups were comparable with respect to demographic variables, with the exception of body mass index and gender distribution.
Using intention to treat philosophy, there were no significant differences for incidence of ventilator-associated pneumonia [Treatment Group 14/72 (19.4%) vs. Control 19/72 (26.4%); p = 0.32], duration of mechanical ventilation (hr) [172.8 vs. 206.3); p = 0.18], or length of intensive care unit stay (hr) [224.2 vs. 256.4; p = 0.22]. For subjects with acquired brain injury receiving this prophylactic regimen of respiratory physiotherapy in the intensive care unit, in an attempt to prevent ventilator-associated pneumonia, the cost of physiotherapy was $487 per subject. Comparatively the intensive care unit mechanical ventilation bed day cost was $33,380 per subject. The cost of Part A respiratory physiotherapy time for Treatment Group 1 was 1.7 per cent of the cost of subject's intensive care unit mechanical ventilation bed days. Thirty-three subjects (22.9%) from Part A developed ventilator-associated pneumonia, and were transferred to Part B and re-randomised, 17 to the Treatment Group 3. Part B groups were comparable with respect to demographic variables. No significant differences were detected in the dependent variables for Part B of the study, with similar duration of mechanical ventilation (hr) [342.0 vs. 351.0); p = 0. 89], and length of ICU stay (hr) [384.7 vs. 397.9; p = 0.84] noted. In those subjects with acquired brain injury in whom ventilator-associated pneumonia developed, the regimen of respiratory physiotherapy for the remaining duration of mechanical ventilation following diagnosis of ventilator-associated pneumonia costed an average of $788. Comparatively the intensive care unit bed day cost for the period of mechanical ventilation was $43,865. The cost of Part B respiratory physiotherapy time for Treatment Group 3 was 1.8 per cent of the cost of their intensive care unit mechanical ventilation bed days.
Subjects with a ventilator-associated pneumonia were significantly younger, were admitted with a lower Glasgow coma scale, and more likely to have been admitted with a chest injury than subjects without a ventilator-associated pneumonia. Duration of mechanical ventilation and length of intensive care unit stay were significantly increased in subjects with ventilatorassociated pneumonia, but length of hospital stay was not significantly different. Significant differences in the costs of respiratory physiotherapy and intensive care unit mechanical ventilation bed day costs were evident between those subjects with ventilator-associated pneumonia as compared to those without ventilator-associated pneumonia. For subjects with ventilator-associated pneumonia, the respiratory physiotherapy time cost was $1,029 per subject, compared to $510 for subjects without ventilator-associated pneumonia. The intensive care unit mechanical ventilation bed day cost for subjects with ventilator-associated pneumonia was $61,092 per subject, and $25,142 for those without a ventilator-associated pneumonia, giving an incremental health cost of $35,950 per episode of ventilatorassociated pneumonia. No significant differences were evident in the cost of respiratory physiotherapy as a per cent of the cost of their intensive care unit mechanical ventilation bed days, with findings of 1.4 per cent in those with ventilator-associated pneumonia and 1.1 per cent in those without ventilator-associated pneumonia.
Conclusion: Use of a regular prophylactic respiratory physiotherapy regimen comprising of positioning, manual hyperinflation and suctioning, in addition to routine medical and nursing care, did not appear to prevent ventilator-associated pneumonia, reduce length of ventilation or intensive care unit stay in adults with acquired brain injury. Furthermore, in those acquired brain injury subjects with ventilator-associated pneumonia, regular respiratory physiotherapy did not appear to expedite recovery in terms of reducing length of ventilation or intensive care unit stay. It can be concluded from the findings of this study that the presence of ventilator-associated pneumonia has a significant influence on morbidity and costs in subjects with acquired brain injury. Whilst statistically significant results were not found with clinical variables, it is suggested that the provision of a prophylactic respiratory physiotherapy regimen costing $487 per subject is a worthwhile investment in attempts to avoid the incremental health cost of $35,950 per episode of ventilator-associated pneumonia. In subjects with ventilator-associated pneumonia it is concluded that the cost of respiratory physiotherapy would not appear to be justified in attempts to reduce the duration of mechanical ventilation.
Hanekom, Susan. „The profile of a surgical ICU in a public sector tertiary hospital in South Africa“. Thesis, Stellenbosch : University of Stellenbosch, 2004. http://hdl.handle.net/10019.1/16335.
Der volle Inhalt der QuelleENGLISH ABSTRACT: Objective: To describe the baseline data of a surgical ICU in South Africa before the implementation of an evidence-based physiotherapy practice protocol. Design: Prospective cohort observational study Setting: Ten-bed closed surgical unit in a university affiliated tertiary hospital. Patients: All adult ICU admissions from 16 June - 30 September 2003. Measurements: The patient’s clinical data including demographic information, admission diagnosis, surgery classification and co-morbidities were recorded on admission to the unit. APACHE II score was calculated. The physiotherapy techniques, positions and functional activities used, the frequency and duration of physiotherapy treatment sessions, the provision of after-hours service and the diagnosis of pulmonary complications were also recorded daily. The time of mechanical ventilation was calculated and the number of re-intubations documented. The ICU length of stay or mortality was recorded. Results: 160 patients were admitted. Patients were 49 +/- 19.95 years of age. The mean APACHE II score was 12.3 +/ 7.19 and a 12.3% mortality was observed. Thirty seven percent of patients were admitted to the unit following elective surgery. Patients stayed in the unit for 5.94 +/- 6.55 days. Hypertension was the most frequent co-morbidity found in this cohort (42%), and 21% of patients tested, tested positive for HIV. Co-morbidities had no significant association with ICU LOS or mortality. Nine hundred and twenty seven physiotherapy records were obtained. Students were responsible for 39% (n=366) of treatment sessions, the unit therapist for 34% (n=311) and the on-call therapists for 27% (n=250). Despite routine daily physiotherapy for all patients in the unit, 39% (n=62) developed excessive secretions, 30% (n=48) of patients developed pneumonia and 27% (n=43) of patients were diagnosed with basal atelectasis. Nineteen patients (12%) died in the ICU. Patients spent a mean of 5.94 (SD 6.55) days in the unit. One hundred patients (63%) were ventilated. Almost a third of ventilated patients (31%) were intubated more than once. The patients spent a mean time of 3.8 days (SD 6.30) on the ventilator every time they were re-intubated. The development of pulmonary complications significantly increased the time on the ventilator and the LOS. Conclusions: This baseline study of a surgical ICU presents a picture of a unit providing care comparable to first world environments. The picture of the physiotherapy service provided in this unit is of a “traditional” service based neither on the available evidence regarding the prevention or management of pulmonary complications, nor on the incorporation of early rehabilitation into the management of mechanically ventilated adult patients in ICU.
AFRIKAANSE OPSOMMING: Doel: Om die basis lyn van ‘n chirurgiese intensiewe sorg eenheid in Suid Afrika te beskryf voor die implementering van ‘n bewysgesteunde fisioterapie protokol in die eenheid. Studie struktuur: Prospektiewe kohort observerende studie. Eenheid: Tien bed geslote eenheid in ‘n tertiêre opleidingshospitaal. Pasiënte: Alle volwasse pasiënte opgeneem in die eenheid tussen 16 Junie en 30 September 2003. Meetings: Demografiese data, diagnose met opname, chirurgie klassifikasie en ko-morbiditeite is aangeteken by opname. APACHE II is bereken. Die fisioterapie tegnieke, pasiënt posisies en funksionele aktiwiteite gebruik in behandelingssessies, die frekwensie en duur van behandelingssessies, die verskaffing van na-ure diens aan die eenheid asook die komplikasies gediagnoseer is daagliks aangeteken. Die tyd wat pasiënte geventileer is asook die aantal kere geher-intubeer is bereken. Die tydsduur van eenheid verblyf asook mortaliteit is aangeteken. Results: 160 pasiënte is opgeneem, met ‘n gemiddelde ouderdom van 49 +/- 19.95. Die gemiddelde APACHE II telling was 12.3 +/ 7.19 en die mortaliteit was 12.3%. Sewe en dertig persent van pasiënte is opgeneem na elektiewe chirurgie. Pasiënte bly in die eenheid gemiddeld vir 5.94 +/- 6.55 dae. Hipertensie was die mees algemene ko-morbiditeit (42%), en 21% van die pasiënte wat getoets is, het positief getoets vir HIV. Ko-morbiditeite het geen beduidende verband getoon met die tyd in die eenheid of mortaliteit nie. 927 Fisioterapie rekords is aangeteken. Studente was verantwoordelik vir 39% (n=366) van die behandelingssessies, die eenheid terapeut vir 34% (n=311) en die op-roep fisioterapeute vir 27% (n=250). Ten spyte van daaglikse roetine fisioterapie behandeling van alle pasiënte in die eenheid het 39% (n=62) oormatige sekresies ontwikkel, 30% (n=48) is met pneumonie gediagnoseer en 27% (n=43) met basale atelektase. Negentien pasiënte (12%) is dood in die eenheid. Die tydsduur van eenheid verblyf was 5.94 (SD 6.55) dae. Een honderd pasiënte (63%) is geventileer. Byna een derde (31%) van pasiënte is geher-intubeer. Met elke her-intubasie het die pasiënte gemiddeld 3.8 (SD 6.30) dae langer op die ventilator gebly. Pulmonale komplikasies het beide die tydsduur in die eenheid as op die ventilator betekenisvol verleng. Gevolgtrekkings: Hierdie basislyn studie beskryf ‘n eenheid waar pasiënte mediese sorg ontvang soortgelyk aan eerste wêreld lande. Die fisioterapeutiese diens wat gelewer word is egter nie gebasseer op die nuutste bewyse in die literatuur nie. Nog, in die voorkoming of in die behandeling van pulmonale komplikasies, nog in die vroëere inkorporasie van rehabilitasie in die hantering van volwasse pasiënte in ‘n intensiewe sorg eenheid.
Hall, Kathleen. „Evaluation of the inclusion of an allied health assistant within an adult cystic fibrosis centre : Their role, scope of practice, and impact on physiotherapy services“. Phd thesis, Australian Catholic University, 2022. https://acuresearchbank.acu.edu.au/download/a9aabf04e7990c21a11434836755d94710b1c5027b3d4c3231cedb891efdb6ae/43714907/Hall_2022_Evaluation_of_the_inclusion_of_an.pdf.
Der volle Inhalt der QuelleKarlsson, Frida, und Viktor Wiklundh. „Kränkande bemötande från patienter : Har fysioterapeutens kön inverkan på bemötandet från patienten? - en enkätstudie“. Thesis, Uppsala universitet, Fysioterapi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-337302.
Der volle Inhalt der QuelleBackground: Interaction and communication are important in health care. How a person perceives a response is individual and depends on past experiences and social status. Bio-psycho-social factors can affect the interaction as patients' behavior is affected by disease states and previous experiences. Purpose: To investigate how physiotherapists working at Akademiska Sjukhuset and Uppsala municipality experienced how they were treated by patients based on their gender and if the patient's disease states and age can affect the interaction. Design and method: A quantitative cross-sectional study with a comparative and descriptive design. A total of 84 physiotherapists from Akademiska Sjukhuset and Uppsala municipality answered a self-designed web questionnaire survey. The result was analyzed with descriptive statistics, Chi-2 test and qualitative content analysis. Result: A high proportion of physiotherapists (83%) had experience of abusive treatment and no significant difference was seen between the sexes or the workplace regarding these experiences. Largest share of male physiotherapists reported that they experienced threats and violence from patients while female physiotherapists stated that they suffered more sexual harassment. Physiotherapists experienced the most abusive treatment of patients with pain or dementia. Conclusion: Violations against physiotherapists are commonplace regardless of gender. The patient's disease condition is of great importance in the case of offensive behavior against the physiotherapist. It´s important to pay attention to the subject both in education and in professional life. More studies are required to strengthen the results.
Demmelmaier, Ingrid. „Behaviours, Beliefs and Back Pain : Prognostic Factors for Disability in the General Population and Implementation of Screening in Primary Care Physiotherapy“. Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-121424.
Der volle Inhalt der QuelleRyall, Alison Claire. „The natural history of and risk factors for musculoskeletal disorders of the upper limb presenting to primary care and physiotherapy services“. Thesis, University of Southampton, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.436927.
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