对社区基础初级医疗保健中风康复培训计划的评估
Elsje Scheffler1,2, Robert Mash1
1Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
African journal of disability
|October 5, 2023
概括
一个新的中风康复培训计划使社区卫生工作者 (CHWs) 有能力更好地支持南非农村的家庭照顾者和中风幸存者. 这一举措改善了获得护理,连续性和以人为中心的服务的机会.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 家庭护理人员培训对于中风康复结果至关重要.
- 在南非农村地区,社区卫生工作者 (CHW) 是至关重要的,但缺乏针对中风的专门培训.
- 卒中幸存者和护理人员通常依赖于训练不足的医疗保健工作者.
研究的目的:
- 为中风患者实施和评估一项定制的中风康复培训计划.
- 加强CHW的能力,支持中风幸存者的家庭照顾者.
- 评估这种专业培训的直接影响.
主要方法:
- 参与行动研究涉及两个合作调查小组.
- 共同设计和开发一个16个会议,21小时的中风康复培训计划.
- 直接观察培训,收集反,采访CHW,以及社区观察.
主要成果:
- 医疗保健中心赋予护理人员和幸存者权力,改善了护理准入,连续性,协调和以人为中心.
- 经验式学习和螺旋式课程被验证为有效的培训方法.
- 治疗师需要独特的技能来提供培训;系统方法和领导力是必不可少的.
结论:
- 培训计划显示了整合到服务交付中的承诺.
- 配备CHW有效地支持家庭护理人员和中风幸存者.
- 建议进一步评估计划的有效性和可扩展性.
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