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Title:Stališča in prepričanja fizioterapevtov o kronični bolečini v spodnjem delu hrbta
Authors:ID Groboljšek, Alenka (Author)
ID Frangež, Maja (Mentor) More about this mentor... New window
Files:.pdf MAG_Groboljsek_Alenka_2025.pdf (2,21 MB)
MD5: 2CDC850A1C836C504192D61566B2B292
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Kronična nespecifična bolečina v spodnjem delu hrbta (KNBSH) je ena najpogostejših zdravstvenih težav v sodobni družbi, ki narašča in predstavlja pomemben javnozdravstveni ter ekonomski izziv. Učinkovita obravnava bolnikov s KNBSH temelji na uporabi kliničnih smernic in priporočil, ki zagotavljajo enotna in znanstveno podprta navodila za zdravljenje. Pomembno je, da fizioterapevti in drugi strokovnjaki, vključeni v obravnavo teh bolnikov, dobro poznajo smernice ter jih upoštevajo pri svojem delu in svetovanju bolnikom. Razumevanje stališč in prepričanj slovenskih fizioterapevtov o KNBSH ter ugotavljanje njihovega poznavanja kliničnih smernic je ključnega pomena za nadaljnji razvoj stroke. Takšne raziskave prispevajo k izboljšanju kakovosti oskrbe bolnikov, krepitvi strokovne usposobljenosti fizioterapevtov ter večji usklajenosti z aktualnimi strokovnimi priporočili. Metode: Magistrska naloga temelji na kvantitativnem raziskovalnem pristopu z deskriptivno metodo dela. Za zbiranje podatkov je bila kot raziskovalni instrument uporabljena anketa, s katero smo preučili stališča in prepričanja fizioterapevtov o KNBSH ter njihovo poznavanje kliničnih smernic oziroma priporočil glede dela, počitka in telesne aktivnosti za obravnavo teh bolnikov. V raziskavi so sodelovali 104 fizioterapevti, zaposleni na primarni ravni zdravstvenega varstva v Sloveniji. Anketni vprašalnik, pripravljen v spletnem orodju 1KA, so prejeli preko službene elektronske pošte in družbenih omrežij. Zbrani podatki so bili analizirani s pomočjo programa SPSS, rezultati pa so predstavljeni v grafični in tabelarni obliki. Rezultati: Rezultati raziskave so pokazali, da fizioterapevti na primarni ravni zdravstvenega varstva v Sloveniji v veliki meri izražajo neskladje med svojimi stališči in prepričanji o KNBSH ter priporočili sodobnih kliničnih smernic. Največji delež fizioterapevtov (54 %) je skladen s smernicami pri stališčih in priporočilih glede ohranjanja telesne aktivnosti, medtem ko se njihova prepričanja in priporočila ne skladajo s smernicami glede dela (89 %) in počitka (64 %). Razprava: Priporočila zdravstvenih delavcev, vključno s fizioterapevti, lahko pomembno vplivajo na klinični potek bolečine v spodnjem delu hrbta (BSH), saj oblikujejo odnos in prepričanja bolnikov do kronične BSH v kontekstu funkcionalnih omejitev, telesne aktivnosti, dela in počitka. Fizioterapevti imajo poglobljena znanja za obravnavo biomehanskih težav, vendar jim pogosto primanjkuje veščin za učinkovito naslovitev psihosocialnih vidikov BSH. V njihovi praksi so še vedno prisotna nekoristna prepričanja ter stigmatizacija vedenj, povezanih s psihološkimi in socialnimi dejavniki bolečine. Zato bo v prihodnosti ena ključnih intervencij sistematičen in strukturiran izobraževalni pristop, ki lahko bistveno prispeva k izboljšanju kakovosti oskrbe bolnikov in uvajanju najboljših praks v klinično delo. Uporaba standardiziranih obrazcev za oceno stališč fizioterapevtov in drugih zdravstvenih delavcev glede zmotnih prepričanj, povezanih z BSH, bo prav tako ključna za učinkovito obvladovanje tega izziva.
Keywords:kronična bolečina v spodnjem delu hrbta, klinične smernice za obravnavo bolečine, biopsihosocialni model obravnave, stališča in prepričanja fizioterapevtov
Year of publishing:2025
PID:20.500.12556/ReVIS-11759 New window
Publication date in ReVIS:07.06.2025
Views:185
Downloads:6
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Secondary language

Language:English
Title:Attitudes and beliefs of physiotherapists about chronic low back pain
Abstract:Theoretical Background: Chronic non-specific low back pain (CNSLBP) is one of the most common health problems in modern society, with its prevalence steadily increasing and posing a significant public health and economic challenge. Effective management of patients with CNSLBP is based on the use of clinical guidelines and recommendations that provide uniform and evidence-based treatment instructions. It is crucial for physiotherapists and other professionals involved in managing these patients to be well-acquainted with these guidelines and to adhere to them in their practice and patient counseling. Understanding the attitudes and beliefs of Slovenian physiotherapists regarding CNSLBP, as well as assessing their knowledge of the clinical guidelines, is essential for the further development of the profession. Such research contributes to improving the quality of patient care, enhancing the professional competence of physiotherapists, and achieving greater alignment with current professional recommendations. Methods: This master's thesis is based on a quantitative research approach with a descriptive method of work. Data were collected using a survey designed to examine the attitudes and beliefs of physiotherapists regarding CNSLBP and their familiarity with the clinical guidelines or recommendations concerning work, rest, and physical activity in the management of these patients. A total of 104 physiotherapists employed at the primary healthcare level in Slovenia participated in the study. The survey, prepared using the online tool 1KA, was distributed via official email and social media. The collected data were analyzed using the SPSS software package, and the results are presented in both graphical and tabular formats. Results: The study's results indicated that physiotherapists at the primary healthcare level in Slovenia largely exhibit a discrepancy between their attitudes and beliefs regarding CNSLBP and the recommendations of contemporary clinical guidelines. The highest proportion of physiotherapists (54%) showed alignment with the guidelines concerning attitudes and recommendations for maintaining physical activity, whereas their beliefs and recommendations did not conform with the guidelines regarding work (89%) and rest (64%). Discussion: Recommendations from healthcare professionals, including physiotherapists, can significantly influence the clinical course of low back pain (LBP) by shaping patients' attitudes and beliefs toward chronic LBP in the context of functional limitations, physical activity, work, and rest. Although physiotherapists possess extensive knowledge for managing biomechanical issues, they often lack the skills to effectively address the psychosocial aspects of LBP. In practice, unhelpful beliefs and stigmatization related to behaviors associated with the psychological and social dimensions of pain remain prevalent. Therefore, one key future intervention will be the implementation of a systematic and structured educational approach, which can substantially contribute to improving patient care quality and the adoption of best practices in clinical work. The use of standardized instruments for assessing the attitudes of physiotherapists and other healthcare professionals regarding erroneous beliefs associated with LBP will also be essential for effectively addressing this challenge.
Keywords:chronic low back pain, clinical guidelines for pain management, biopsychosocial model of care, attitudes and beliefs of physiotherapists


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