Clinical practice guidelines, patient education and discharge planning used by physical therapists for patients with knee osteoarthritis: cross-sectional study
DOI:
https://doi.org/10.1590/Keywords:
Osteoarthritis knee, Physical therapists, Practice guideline, Patient dischargeAbstract
This study aimed to identify whether Brazilian
physical therapists use clinical practice guidelines (CPGs) to
treat knee osteoarthritis (KOA), what type of care education
they give and what criteria they use to plan for KOA patients
discharge. This is a cross-sectional survey carried out with
Brazilian physical therapists. The Chi-square test was used to
analyze the proportion of physical therapists who partially or
totally considered interventions recommended by the CPGs Logistic regression was performed to identify the relationship
between professional experience and rest recommendations for
patients with KOA. The survey was responded by 303 participants,
mostly female, with a mean age of 35.9 ± 9.8 years. In total, 52.8% of
participants were from southeast Brazil, 43.9% had up to 5 years of
professional experience and 57.8% had specialization/residence as
their highest professional qualification. A total of 75.6% said they
consult clinical guidelines. Professionals who fully adhere to CPGs
more frequently provide disease education, self-management
and weight loss guidance. The main discharge criterion was
performance improvement in activities of daily living, followed
by pain and quadriceps muscle strength. In view of the findings,
it is concluded that Brazilian physical therapists consult CPGs to
support their clinical choices, however, most partially follow the
guidelines to (treat) patients with KOA. For the participants of
this study, improvement in activities of daily living, pain level and
quadriceps muscle strength are important criteria to justify the
discharge of patients with KOA.
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Copyright (c) 2024 Tamara Silva de Sousa, Nívea Renata Oliveira Monteiro, Roger Andrey Carvalho Jardim, Areolino Pena Matos, Natália Camargo Rodrigues Iosimuta
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