痴呆症相关技术：职业治疗师在提供助行技术方面的态度与实践
Technology for dementia: attitudes and practices of occupational therapists in providing assistive technology for way finding.
作者信息
Jarvis Fiona, Clemson Lindy Maxted, Mackenzie Lynette
机构信息
a Department of Occupational Therapy, Faculty of Health Sciences , The University of Sydney , Lidcombe , NSW , Australia.
出版信息
Disabil Rehabil Assist Technol. 2017 May;12(4):373-377. doi: 10.3109/17483107.2016.1173729. Epub 2016 Jun 13.
PURPOSE
One of the many difficulties a person with dementia can experience is difficulty with way finding and subsequently getting lost in the community. Prescriptions of assistive technology are a key role for occupational therapists. This study aimed to describe the attitudes and practices of occupational therapists in recommending and using assistive technology for persons with dementia who have difficulties with way finding in the community.
METHODS
An online survey was distributed to members of Occupational Therapy Australia NSW and included 25 items on demographics, frequency of use of assistive technology and assessment.
RESULTS
A total of 85 occupational therapists responded to the survey. Significant differences were identified in the approaches used, the types of assistive technology used and the evaluation of outcomes, between community-based and hospital-based occupational therapists. Over half of the participants had never prescribed any of the assistive devices listed in the survey for people with dementia. The most frequently prescribed assistive devices were low-tech items that were already freely available to carers and other professions.
CONCLUSION
Therapists used a conservative approach to problem solving with their clients with dementia. There is a limited understanding from occupational therapists about available interventions for people with dementia. Implications for Rehabilitation There is limited awareness on how assistive technology might be used to support occupational performance for persons with dementia. This survey suggests that occupational therapists experience barriers in identifying and providing appropriate assistive technology for this group. Access to targeted education and online resources for occupational therapists is recommended to provide better awareness of the types of assistive technology available to assist persons with dementia and their caregivers.
目的
痴呆症患者可能遇到的诸多困难之一是在社区中寻找方向困难，进而迷路。辅助技术的处方是职业治疗师的关键职责。本研究旨在描述职业治疗师在为社区中存在方向识别困难的痴呆症患者推荐和使用辅助技术方面的态度和做法。
方法
向澳大利亚新南威尔士州职业治疗协会的成员发放了一份在线调查问卷，其中包括25项关于人口统计学、辅助技术使用频率和评估的问题。
结果
共有85名职业治疗师回复了该调查。基于社区的职业治疗师和基于医院的职业治疗师在使用的方法、所使用的辅助技术类型以及结果评估方面存在显著差异。超过半数的参与者从未为痴呆症患者开具过调查中列出的任何辅助设备的处方。最常开具的辅助设备是护理人员和其他专业人员已经可以免费获得的低技术物品。
结论
治疗师在为痴呆症患者解决问题时采用了保守的方法。职业治疗师对痴呆症患者可用的干预措施了解有限。对康复的启示 职业治疗师对如何使用辅助技术来支持痴呆症患者的职业表现了解有限。这项调查表明，职业治疗师在识别和为该群体提供合适的辅助技术方面存在障碍。建议为职业治疗师提供有针对性的教育和在线资源，以提高他们对可用于帮助痴呆症患者及其护理人员的辅助技术类型的认识。
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