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在德国增强型和替代性沟通护理中进行复杂干预的过程评估:混合方法研究
Sarah Anna Katharina Uthoff1, Anna Zinkevich2,3, Jens Boenisch4
1Department of Health Services Research, Faculty of Medicine and Health Sciences, Carl Von Ossietzky University of Oldenburg, Ammerlaender Heerstrasse 140, Oldenburg, 26129, Germany. sarah.uthoff@uni-oldenburg.de.
BMC health services research
|March 14, 2025
概括
一项新的复杂干预措施改善了对那些没有自然语言的人进行增强和替代通信 (AAC) 系统的使用. 护理人员和顾问对干预措施的评价是积极的,在干预组中显示出更高的接受度和能力.
科学领域:
- 增强型和替代型通信 (AAC)
- 医疗保健干预措施 医疗保健干预措施
- 语音语言病理学 语言病理学
背景情况:
- 德国AAC缺乏明确的护理途径,阻碍了可持续的实施.
- 为了支持AAC用户,开发了一个复杂的干预措施,包括培训,治疗和病例管理.
- 本研究评估了这种复杂干预的过程.
研究的目的:
- 为了评估复杂的干预增强和替代通信 (AAC).
- 评估干预措施的护理人员和顾问评级.
- 确定影响AAC实施和系统使用的上下文因素.
主要方法:
- 混合方法设计利用护理人员的纵向调查和半结构化的焦点小组采访.
- 定量分析涉及描述性统计数据和非参数比较.
- 定性分析采用结构化的定性内容分析.
主要成果:
- 干预要素,包括AAC培训,治疗和病例管理,得到了积极的评价.
- 该干预措施促进了在各种情况下有效使用AAC系统.
- 与对照组相比,干预组观察到更高的接受度,使用能力和系统利用率.
结论:
- 背景因素对AAC干预措施的实施产生重大影响.
- 评估的干预措施显示了改善AAC护理和促进可持续系统使用的潜力.
- 结果为适应AAC干预措施提供了洞察力,以成功实施现实世界.
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