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Perspetivas de fisioterapeutas e utentes com condições neurológicas crónicas, quanto à intervenção para a redução do tempo prolongado em comportamento sedentário
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Abstract(s)
Introdução: O comportamento sedentário (CS) é um problema comum nas
pessoas com condições neurológicas crónicas. A evidência tem explorado formas
de reduzir o CS, minimizando o seu impacto nos utentes e contribuindo para uma
melhor autogestão da sua condição. Contudo, estes estudos sugerem que nem
sempre a intervenção é eficaz, sendo ainda escasso o conhecimento acerca da
perceção de fisioterapeutas e utentes quanto à intervenção na redução do CS.
Assim, o objetivo deste estudo é compreender as perspetivas de fisioterapeutas e
utentes quanto à intervenção para a redução do tempo prolongado em
comportamento sedentário (TPCS), bem como compreender de que forma o
contexto de trabalho dos fisioterapeutas pode influenciar essa intervenção.
Metodologia: Foi realizado um estudo qualitativo do tipo análise temática reflexiva.
Foram recrutados, por conveniência 12 fisioterapeutas e respetivos 12 utentes,
para a recolha de dados através de entrevistas individuais semiestruturadas. Os
dados foram analisados através da análise temática reflexiva, por subgrupo, com
uma abordagem do tipo indutivo.
Resultados: Foram identificados 3 temas em cada subgrupo da amostra, sendo
que em ambos os casos, o 1º influenciou os seguintes. Para o subgrupo dos
fisioterapeutas, os 3 temas identificados são: i) Desconhecimento sobre o conceito
de comportamento sedentário, ii) Intervenção na redução do comportamento
sedentário e iii) Fatores que influenciam a intervenção para a redução do
comportamento sedentário. Para o subgrupo dos utentes, os 3 temas identificados
são: i) Desconhecimento sobre a expressão de tempo prolongado em
comportamento sedentário, ii) Nada de específico foi abordado pelos
fisioterapeutas e iii) Fatores que influenciam a redução do comportamento
sedentário.
Conclusão: Os fisioterapeutas e utentes não conhecem a expressão TPCS nem o
conceito de CS. Os fisioterapeutas entendem que intervêm nesta problemática,
contudo esta intervenção não é percecionada da mesma forma, pelos utentes.
Ambos os grupos identificaram fatores que interferem na intervenção. O contexto
de trabalho, influencia a intervenção para a redução do TPCS, sendo valorizados
fatores, por representarem uma influência positiva na intervenção, como maior
autonomia, boas infraestruturas e maior tempo disponível para intervir com os
utentes.
Introduction: Sedentary behaviour (SB) is a common problem in people with chronic neurological conditions. Evidence has explored ways of reducing SB, minimising its impact on patients and contributing to better self-management of their condition. However, these studies suggest that the intervention is not always effective, and knowledge about the perception of physiotherapists and patients regarding the intervention to reduce SC is still limited. Therefore, the aim of this study is to understand the perspectives of physiotherapists and patients regarding the intervention to reduce prolonged sedentary behaviour (PTSB), as well as to understand how the work context of physiotherapists can influence this intervention Methodology: A qualitative study of the reflective thematic analysis type was carried out. Twelve physiotherapists and 12 patients were recruited for convenience to collect data through individual semi-structured interviews. The data was analysed using reflective thematic analysis, by subgroup, with an inductive approach. Results: Three themes were identified in each subgroup of the sample, and in both cases the first theme influenced the following themes. For the physiotherapist subgroup, the 3 themes identified are: i) Lack of knowledge about the concept of sedentary behaviour, ii) Intervention to reduce sedentary behaviour and iii) Factors that influence intervention to reduce sedentary behaviour. For the subgroup of patients, the 3 themes identified are: i) Lack of knowledge about the expression of prolonged time in sedentary behaviour, ii) Nothing specific was addressed by the physiotherapists and iii) Factors that influence the reduction of sedentary behaviour. Conclusion: Physiotherapists and patients are not familiar with the term PTSB or the concept of SC. Physiotherapists understand that they intervene in this problem, but this intervention is not perceived in the same way by patients. Both groups identified factors that interfere with the intervention. The work context influences the intervention to reduce PTSB, and factors such as greater autonomy, good infrastructures and more time available to intervene with patients were valued as having a positive influence on the intervention.
Introduction: Sedentary behaviour (SB) is a common problem in people with chronic neurological conditions. Evidence has explored ways of reducing SB, minimising its impact on patients and contributing to better self-management of their condition. However, these studies suggest that the intervention is not always effective, and knowledge about the perception of physiotherapists and patients regarding the intervention to reduce SC is still limited. Therefore, the aim of this study is to understand the perspectives of physiotherapists and patients regarding the intervention to reduce prolonged sedentary behaviour (PTSB), as well as to understand how the work context of physiotherapists can influence this intervention Methodology: A qualitative study of the reflective thematic analysis type was carried out. Twelve physiotherapists and 12 patients were recruited for convenience to collect data through individual semi-structured interviews. The data was analysed using reflective thematic analysis, by subgroup, with an inductive approach. Results: Three themes were identified in each subgroup of the sample, and in both cases the first theme influenced the following themes. For the physiotherapist subgroup, the 3 themes identified are: i) Lack of knowledge about the concept of sedentary behaviour, ii) Intervention to reduce sedentary behaviour and iii) Factors that influence intervention to reduce sedentary behaviour. For the subgroup of patients, the 3 themes identified are: i) Lack of knowledge about the expression of prolonged time in sedentary behaviour, ii) Nothing specific was addressed by the physiotherapists and iii) Factors that influence the reduction of sedentary behaviour. Conclusion: Physiotherapists and patients are not familiar with the term PTSB or the concept of SC. Physiotherapists understand that they intervene in this problem, but this intervention is not perceived in the same way by patients. Both groups identified factors that interfere with the intervention. The work context influences the intervention to reduce PTSB, and factors such as greater autonomy, good infrastructures and more time available to intervene with patients were valued as having a positive influence on the intervention.
Description
Keywords
Comportamento sedentário Tempo prolongado em comportamento sedentário Condições neurológicas crónicas Fisioterapia Sedentary behaviour Prolonged time in sedentary behaviour Chronic neurological conditions Physiotherapy