Background

Incentive spirometers (ISs) are clinical devices used in respiratory physical therapy to increase alveolar ventilation and functional residual capacity.

Objectives

To investigate factors that influence physical therapists from Minas Gerais in selecting a type of IS and the scientific background behind the use of ISs by physical therapists who work with patients with respiratory dysfunctions.

Methods

Physical therapists from 13 hospital and non-hospital institutions (public/private) completed a self-administered questionnaire based on the current evidence on ISs.

Results

Indications and contraindications of ISs are not fully understood by most of the 168 physical therapists who completed the questionnaire. Volume-oriented IS was preferred over flow-oriented IS. However, only half of the physical therapists have a scientific background to justify the choice of one IS type rather than the other.

Conclusions

Most physical therapists from Minas Gerais do not fully understand the indications and contraindications for ISs. Despite physical therapists stating their preference for volume-oriented IS, this choice is not necessarily based on current scientific evidence. The development of strategies to bring physical therapists closer to evidence-based practice is necessary to ensure best patient care.

中文翻译：

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激励肺活量计：来自米纳斯吉拉斯州的物理治疗师与呼吸功能障碍患者合作的临床实践方面

背景

激励肺活量计 (IS) 是用于呼吸物理治疗的临床设备，可增加肺泡通气量和功能残气量。

目标

调查影响米纳斯吉拉斯州物理治疗师选择 IS 类型的因素以及与呼吸功能障碍患者一起工作的物理治疗师使用 IS 背后的科学背景。

方法

来自 13 家医院和非医院机构（公立/私立）的物理治疗师根据当前关于 IS 的证据完成了一份自我管理的问卷。

结果

完成问卷的 168 名物理治疗师中的大多数人并未完全了解 IS 的适应症和禁忌症。面向体积的 IS 优于面向流动的 IS。然而，只有一半的物理治疗师有科学背景来证明选择一种 IS 类型而不是另一种是合理的。

结论

米纳斯吉拉斯州的大多数物理治疗师并不完全了解 IS 的适应症和禁忌症。尽管物理治疗师表示他们更喜欢以容量为导向的 IS，但这种选择不一定基于当前的科学证据。制定策略使物理治疗师更接近循证实践对于确​​保最佳患者护理是必要的。