2015年重厌市临床机构康复治疗行业现状调查：对全面推进本地康复治疗行业发展的思考

Survey of rehabilitation therapy in clinical settings of Chongqing in 2015： some thoughts for local all-around development in rehabilitative profession

目的重庆市康复治疗需求甚大，而缺乏治疗师和临床服务的相关信息。研究团队对重庆市临床机构工作的康复治疗师进行调查，旨在了解重庆市临床机构的康复治疗现状，为全面推进该行业在本地的发展提供参考，同时供其他省市同行借鉴。方法2015年1月初至10月20日，研究团队自制包括治疗师背景和康复临床服务两大类信息调查的问卷；通过电子邮件，发送给符合纳入标准的临床机构的康复治疗师填写，每月提醒1次尚未回复的受访者。数据汇总后，使用SPSS20．0对所得信息进行描述性分析。结果符合纳入标准的13家临床机构中，共有来自7家的122位受访者回复，98份问卷填写符合标准。结果显示，受访治疗师中，68．4％（67人）为初级职称，57．1％（56人）的受访者工作经验不足5年，45．9％（45人）教育程度为大专，多数人欠缺科研经验。临床服务方面，日常开展最多的是关节活动度测量（94．9％，93人）和徒手肌力测试（94．9％，93人）；临床物理治疗比作业治疗服务开展更普遍，最常涉及领域为成人康复（77．6％，76人）；急性期床旁训练（81．6％，80人）和一对一治疗（92．9％，91人）应用最普遍。结论重庆市康复治疗工作人员整体较为年轻，学历及职称偏低，治疗服务方向单一，科研能力较弱。尽管本调查仅针对部分医疗机构，但仍然具有一定代表性。由此，管理机构应该出台该专业教育及职业相关扶持政策，本地可尽快成立康复治疗师行业组织，共同促进康复治疗服务发展。

Objective There is a huge demand for rehabilitative services in Chongqing whereas detailed information regarding local clinical services and rehabilitative professionals are unknown. Therefore, a cross-sectional survey was conducted to generate a profile of current rehabilitative status in Chongqing for reference of relevant local parties and peers in other provinces of China to create a larger picture of rehabil- itation in China, Methods The survey began in early January of 2015 and ended on October 20th of 2015. With two categories of information, including background of rehabilitation professionals and rehabilitative clinical services, the self-made questionnaire was sent via email to rehabilitation therapists working in local clinical settings which fulfilled the inclusion criteria. The reminder was sent once a month to those who did not yet replied. The software SPSS 20.0 was used to analyze the data descriptively. Results 7 out of 13 in- volved clinical settings responded with an overall response rate of 53.8%. 98 out of 122 copies were adopted based on filling requirement. The result revealed 68.4% （n=67） of the participants were junior practitioners, 57.1% （n=56） of them had less than 5 years experience and 45.9% （n=45） were holding a diploma with little research experience. As for clinical services, assessment of ROM （94.9%, n=93） and manual muscle testing （94.9%, n=93） were mostly used. The physical therapy service was more prevalent than occupational therapy services. The clinical field mostly involved was adult rehabilitation （77.6%, n=76）. Bedside training in the acute phase （81.6%, n=80） and one-to-one treatment （92.9%, n=91） was the most commonly seen mode of service in the departments. Conclusion The local rehabilitative professionals were featured by their young age with comparatively low educational level, qualification and weak research skills. The clinical services they provided were yet quite basic and simple. Thus, a set of policies regarding education and profession in rehabilitation therapy should be facilitated instantly and it also calls for the establishment of local academic society for rehabilitation therapists, thus promoting an all-round development of rehabilitative profession.