了解职业治疗师在评估空间疏忽时的知识和信心:一个特别问题审查
Holden Gasque1, Corey Morrow2, Emily Grattan3
1Holden Gasque, OTD, OTR/L, is Occupational Therapist II, Rehabilitation Department, Medical University of South Carolina, Charleston; holden.gasque@gmail.com.
概括
职业治疗师报告在评估中风幸存者的空间疏忽 (SN) 方面有很高的信心,但经常使用非正式的方法和缺乏知识. 需要增加关于SN评估的教育.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 空间疏忽 (SN) 是一种常见和残疾的中风后损伤,可能影响高达80%的幸存者.
- 未被发现的SN可以显著阻碍中风幸存者的康复和独立.
- 职业治疗师在识别和管理NS中发挥着至关重要的作用.
研究的目的:
- 评估职业治疗师对评估成年中风幸存者的SN的信心,知识,实践和感知障碍/促进者.
- 确定职业治疗师当前的SN评估策略中的差距.
主要方法:
- 一项30项调查由中风康复职业治疗师开发和验证.
- 一项在线调查评估了治疗师自我报告的信心,评估实践,障碍和促进者.
- 一个由三个问题组成的测试测量了对SN标志,症状和神经解剖学的知识.
主要成果:
- 81%的职业治疗师表示在识别SN时有很高的信心.
- 70%的人经常评估SN,但81%的人依靠临床观察而不是标准化工具.
- 障碍包括时间限制和有限的资源;对SN的知识不够理想.
结论:
- 尽管自我报告的信心很高,但职业治疗师往往缺乏标准化的评估方法,并且具有不理想的SN知识.
- 显然需要加强职业治疗师对空间疏忽评估的临床教育和培训.
- 这些发现突显了改善SN检测和管理的重要性,以优化中风幸存者的结果.
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