뇌졸중 환자의 치료와 결과분석을 하는 물리치료사들의 EBP 활용도 = Implementation to Evidence-Based Practice of Physical Therapists Providing Treatment and Outcome Measure to People with Stroke

다국어 초록 (Multilingual Abstract)

Purpose The purpose of this study was to identify education, attitudes and beliefs, interest and perceived role, self-efficacy and barriers to physical therapists` implementation of evidence-based practice for people with stroke. Methods The participants were 120 physical therapists providing services to people with stroke in Gwang-ju. The questionnaire contained items to evaluate practitioner and organizational characteristics and perceptions of research considered to influence evidence-based practice. The prevalence of practitioner and organizational factors was estimated using percentages. Logistic regression was used to examine relationships between sociodemographic and practice characteristics and each practitioner factor. Results 40% of respondents had learned the foundations of EBP in their academic preparation or received training in searching or appraising research literature. 88.3% agreed that research findings are useful. Self-efficacy ratings were 45%. Conclusion Lack of education, negative perceptions about research and physical therapists` role in evidencebased practice, and low self-efficacy to perform EBP activities represent barriers to implementating EBP for people with stroke that can be addressed through continuing education.

참고문헌 (Reference)

1 Guyatt GH, "Users' guides to the medical literature:XXV. evidencebased medicine: principles for applying the Users' guides to patient care. evidence-based medicine working group" 284 (284): 1290-1296, 2000

2 Bandura A, "Self-efficacy: the exercise of control" WH freeman 1997

3 Salbach NM, "Practitioner and organizational barriers to evidencebased practice of physical therapists for people with stroke" 87 (87): 1284-1303, 2007

4 Recker DM, "Postacute stroke guideline compliance is associated with greater patient satisfaction" 83 (83): 750-756, 2002

5 Petty GW, "Ischemic stroke:out-comes, patient mix, and practice variation for neurologists and generalists in a community" 50 (50): 1669-1678, 1998

6 Sackett DL, "Evidencebased medicine: what it is and what it isn't" 312 (312): 71-72, 1996

7 Jette DU, "Evidence-based practice: beliefs, attitudes, knoeledge, and behaviors of physical therapists" 83 (83): 786-805, 2003

8 Scalzitti DA, "Evidence-based guidelines: application to clinical practice" 81 (81): 1622-1628, 2001

9 Salbach NM, "Determinants of research use in clinical decision making among physical therapists providing services post-stroke:a cross-sectional study" 14 (14): 77-, 2010

10 Pollock AS, "Barriers to achieving evidence-based stroke rehabilitation" 14 (14): 611-617, 2000

11 Duncan PW, "Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke" 33 (33): 167-177, 2002