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Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
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意识到和智力障碍患者的社会护理需求
A Gabrielsson1, S Tromans2, H Newman3
1Hertfordshire Partnership University NHS Trust, Hatfield, UK.
Epilepsy & behavior : E&B
|June 19, 2023
概括
近25%的智力障碍 (ID) 患者患有,常常耐药. 这项研究发现,医疗保健和社会护理专业人员在ID中的管理方面存在认识差距,突出了需要更好的培训和国家护理途径的需要.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 智力障碍研究 智力障碍研究
背景情况:
- 影响了近四分之一的智力残疾人,往往导致耐药性病例和过早死亡.
- 在ID中有效管理需要优化环境和社会护理,特别是在专业护理环境中.
研究的目的:
- 为了比较不同专业护理小组在管理ID和患者需求方面的主观信心和感知责任.
- 确定医疗保健和社会护理专业人员关于ID患者的知识和培训方面的差距.
主要方法:
- 在英国进行了一项横截面调查,使用了含有定量和定性元素的问卷,包括案例简报.
- 该调查针对与ID患者工作的卫生和社会护理专业人员,采用雪球采样方法.
- 统计分析 (费舍尔精确,克鲁斯卡尔-瓦利斯,曼-惠特尼测试与邦费罗尼校正) 和内容分析被用来比较组和确定主题.
主要成果:
- 卫生和社会护理专业人员在管理ID和患者的需求方面报告了类似的信心水平.
- 卫生专业人员对有关过早死亡和相关风险的证据的认识显著提高 (p < 0.001),包括夜间监测.
- 内容分析显示,需要更清晰的专业角色,改善护理途径,增强特异性的知识,增加资源和更好的多学科合作.
结论:
- 在与患者工作的卫生和社会护理专业人员之间,对相关需求的认识存在重大差异.
- 基本培训和标准化的国家护理途径至关重要,以解决发现的差距,并改善管理在这个人群.
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