physioscience 2018; 14(01): 13-21
DOI: 10.1055/s-0044-100541
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Umfrage bei Physio- und Ergotherapeuten zu Verständnis und Anwendung von Patientenedukation

Survey among Physical and Occupational Therapists on Comprehension and Application of Patient Education
Vera Beckmann-Fries
1   Universitätsspital Zürich, Physiotherapie Ergotherapie, Zürich, Schweiz
2   Zürcher Hochschule für Angewandte Wissenschaften (ZHAW), Institut für Physiotherapie, Winterthur, Schweiz
,
Barbara Gubler-Gut
2   Zürcher Hochschule für Angewandte Wissenschaften (ZHAW), Institut für Physiotherapie, Winterthur, Schweiz
,
Karin Niedermann
2   Zürcher Hochschule für Angewandte Wissenschaften (ZHAW), Institut für Physiotherapie, Winterthur, Schweiz
› Author Affiliations
Further Information

Publication History

21 February 2017

08 June 2017

Publication Date:
06 March 2018 (online)

Zusammenfassung

Hintergrund Patientenedukation gilt als Standard im klinischen Management von Patienten und wird wegen der Zunahme von chronisch kranken Menschen immer wichtiger. Auch in der Physio- und Ergotherapie gilt sie als zunehmend zentrale Intervention. Das tatsächliche Verständnis von Patientenedukation und deren Anwendung ist jedoch unklar.

Ziel Das Verständnis von Patientenedukation und die selbst-deklarierte Anwendung im Berufsalltag von Physio- und Ergotherapeuten eines Universitätsspitals zu evaluieren.

Methode Online-Querschnittserhebung unter allen 139 Physio- und Ergotherapeuten des Universitätsspitals.

Ergebnisse Die Rücklaufquote betrug 42 % (n = 59); 55 Fragebögen wurden ausgewertet. Im Verhältnis zur Gesamtgruppe antworteten mehr Ergo- (16; 64 %) als Physiotherapeuten (39; 34 %). Mit zunehmender Berufserfahrung wurden individuelle Definitionen von Patientenedukation differenzierter und umfassender. Es zeigten sich keine Unterschiede im Verständnis und der benannten Anwendung von Patientenedukation zwischen den beiden Berufsgruppen. Alle Therapeuten (mit wenig oder viel Berufserfahrung) nannten die Informationsvermittlung am häufigsten als Teil von Patientenedukation (91 %). Mit zunehmender Berufserfahrung werden öfter Aspekte der Beratung und Verhaltensinterventionen erwähnt. Die Hälfte der Physio- und Ergotherapeuten (n = 28) berichtete, dass Patientenedukation in ihrer Grundausbildung ein wichtiges Thema war, und etwas mehr als ein Drittel (n = 19) besuchte schon eine Weiterbildung zum Thema. Praktisch alle Therapeuten (n = 54) wünschten sich, mehr zu Patientenedukation dazuzulernen.

Schlussfolgerung Patientenedukation ist für Physio- und Ergotherapeuten ein wichtiges Thema. Die Ergebnisse dieser Erhebung bilden die Basis für eine weitere, vertiefte Auseinandersetzung. Aspekte der Beratung oder der Verhaltensinterventionen wurden im Vergleich zur Informationsvermittlung weniger häufig genannt; dem sollte bei der Planung von In-house-Weiterbildungen Rechnung getragen werden.

Abstract

Background Patient education is known as a standard in clinical patient management. Due to the rising number of chronically ill people it becomes more and more important. In physiotherapy and occupational therapy patient education is considered to be an increasingly central intervention. The actual understanding of patient education and its application is however unclear.

Objective To evaluate the understanding of patient education and the self-declared application of patient education in the daily practice of physiotherapists and occupational therapists in a university clinic.

Method Online cross-sectional survey among all 139 physiotherapists and occupational therapists of the university clinic.

Results The return rate was 42 % (n = 59); 55 questionnaires were evaluated. In relation to the total group, more occupational therapists (16; 64 %) than physiotherapists (39; 34 %) responded. Individual definitions of patient education became more sophisticated and comprehensive with growing professional experience. There were no differences in the understanding and application of patient education between the two professional groups. All therapists (with little or high professional experience) referred to information transfer as the most common part of patient education (91 %). Aspects of counselling and behavioural interventions were more frequently mentioned with growing professional experience. Half of the physiotherapists and occupational therapists (n = 28) reported patient education as being an important part in their basic training and a few more than a third (n = 19) had already attended further education on the subject. Virtually all therapists (n = 54) wished to learn more about patient education.

Conclusions Patient education is an important issue for physiotherapists and occupational therapists. This survey’s results provide the basis for a more amplified discussion. Aspects of counselling or behaviour interventions were less frequently mentioned compared to information transfer, which should be incorporated during planning of in-house post-graduate professional training.

 
  • Literatur

  • 1 Caladine L. Physiotherapists Construction of their Role in Patient Education. International Journal of Practice-based Learning in Health and Social Care 2013; 1: 37-49
  • 2 DeCleene KE, Ridgway AJ, Bednarski J. et al. Therapists as Educators: the Importance of Client Education in Occupational Therapy. The Open Journal of Occupational Therapy 2013; 1: 1-19
  • 3 Dreeben O. Historical Outlook of Patient Education in Physical and Occupational Rehabilitation. In: Dreeben O. Patient Education in Rehabilitation. Sudbury: Jones and Bartlett; 2010
  • 4 Fernandes L, Hagen KB, Bijlsma JW. et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013; 72: 1125-1135
  • 5 Forbes R, Mandrusiak A, Smith M. et al. A comparison of patient education practices and perceptions of novice and experienced physiotherapists in Australian physiotherapy settings. Musculoskelet Sci Pract 2017; 28: 46-53
  • 6 Gunn H, Goding L. Continuing professional development of physiotherapists based in community primary care trusts: a qualitative study investigating perceptions, experiences and outcomes. Physiotherapy 2009; 95: 209-214
  • 7 Hammond A, Freeman K. The long-term outcomes from a randomized controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis. Clin Rehabil 2004; 18: 520-528
  • 8 Hammond A, Niedermann K. Patient education and self management. In: Dziedzic K, Hammond A. Rheumatology. Evidence-based practice for physiotherapists and occupational therapists. Edinburgh: Elsevier; 2010
  • 9 Hemmings B, Povey L. Views of chartered physiotherapists on the psychological content of their practice: a preliminary study in the United Kingdom. Br J Sports Med 2002; 36: 61-64
  • 10 Jäppinen AM, Hämäläinen H, Kettunen T. et al. Postoperative patient education in physiotherapy after hip arthroplasty: patients’ perspective. Musculoskeletal Care 2017; 15: 150-157
  • 11 Kaplan SH. Patient Education Techniques Used at Burn Centers. Am J Occup Ther 1985; 39: 655-658
  • 12 Klug RedmannB. Patientenedukation. Kurzlehrbuch für Pflege- und Gesundheitsberufe. Bern: Huber; 2009
  • 13 Koes BW, van Tulder M, Lin CW. et al. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J 2010; 19: 2075-2094
  • 14 Levasseur M, Carrier A. Integrating health literacy into occupational therapy: findings from a scoping review. Scand J Occup Ther 2012; 19: 305-314
  • 15 Moseley L. Combined physiotherapy and education is efficacious for chronic low back pain. Aust J Physiother 2002; 48: 297-302
  • 16 Mostrom E, Shepard KF. Teaching and Learning about Patient Education in Physical Therapy Professional Preparation: Academic and Clinical Considerations. Journal, Physical Therapy Education 1999; 13: 8-17
  • 17 Niedermann K, Fransen J, Knols R. et al. Gap between Short- and Long-Term Effects of Patient Education in Rheumatoid Arthritis Patients: A Systematic Review. Arthritis Rheum 2004; 27: 1-11
  • 18 Niedermann K. Patient Education am Beispiel Gelenkschutz. ergopraxis/Refresher 2011; 4: 3-14
  • 19 Niedermann K. Patient Education und Selbstmanagement. In: Huber OE, Monnin D, Paillex R. et al. Physiotherapie im Wandel. Ein Nachschlagewerk. Bern: Schweizerische Gesellschaft f. Gesundheitspolitik; 2011
  • 20 Niedermann K, Büchi S, Ciurea A. et al. Six and 12 months’ effects of individual joint protection education in people with rheumatoid arthritis: A randomized controlled trial. Scand J Occup Ther 2012; 19: 360-369
  • 21 Peek K, Carey M, Sanson-Fisher R. et al. Physiotherapists’ perception of patient adherence to prescribed self-management strategies: a cross-sectional survey of Australian physiotherapists. Disabil Rehabil 2017; 39: 1932-1938
  • 22 Riemsma RP, Taal E, Kirwan JR. et al. Systematic review of rheumatoid arthritis patient education. Arthritis Rheum 2004; 51: 1045-1059
  • 23 Rindflesch AB. A grounded-theory investigation of patient education in physical therapy practice. Physiother Theory Pract 2009; 25: 193-202
  • 24 Scaffa ME, Van Slyke N, Brownson CA. American Occupational Therapy Association Commission on Practice: Occupational therapy services in the promotion of health and the prevention of disease and disability. Am J Occup Ther 2008; 62: 694-703
  • 25 Sluijs E. Checklist to Assess Patient Education in Physical Therapy Practice, Development and Reliability. Phys Ther 1991; 71: 561-569
  • 26 Sran MM, Khan KM. Physiotherapy and osteoporosis: practice behaviors and clinicians’ perceptions – a survey. Man Ther 2005; 10: 21-27
  • 27 Svavarsdóttir MH, Sigurdardottir AK, Steinsbekk A. What is a good educator? A qualitative study on the perspective of individuals with coronary heart disease. Eur J Cardiovasc Nurs 2016; 15: 513-521
  • 28 Tourangeau R, Yan T. Sensitive questions in surveys. Psychol Bull 2007; 133: 859-883
  • 29 World Health Organization (WHO). Therapeutic Patient Education: Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases. 1998 www.euro.who.int/__data/assets/pdf_file/0007/145294/E63674.pdf (01.02.2017)
  • 30 Wouda JC, van de Wiel HB. Supervisors’ and residents’ patient-education competency in challenging outpatient consultations. Patient Educ Couns 2015; 98: 1084-1091
  • 31 Zangi HA, Ndosi M, Adams J. et al. EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis 2015; 74: 954-962
  • 32 Zürcher Hochschule für Angewandte Wissenschaften (ZHAW). Bachelor Studiengang Ergotherapie. Broschüre. 2015 www.zhaw.ch/storage/gesundheit/ueber-uns/info-broschueren/bsc/broschuere-bsc-ergotherapie-zhaw-gesundheit.pdf (24.09.2016)
  • 33 Zürcher Hochschule für Angewandte Wissenschaften (ZHAW). Bachelor Studiengang Physiotherapie. Broschüre. 2015 www.zhaw.ch/storage/gesundheit/ueber-uns/info-broschueren/bsc/broschuere-bsc-physiotherapie-zhaw-gesundheit.pdf (24.09.2016)