Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Pretoria, South Africa.
Department of Science, Mathematics and Technology Education, Faculty of Education, University of Pretoria, Pretoria, South Africa.
Int J Speech Lang Pathol. 2022 Jun;24(3):330-340. doi: 10.1080/17549507.2021.1987521. Epub 2021 Oct 12.
: The study aimed to explore the practices of a sample of South African speech-language pathologists (SLPs) in providing psychosocial care to people with aphasia. People with aphasia are at risk of adverse psychosocial disruptions and access to appropriate support may be particularly challenging for individuals with compromised communication abilities. The study considered the multilingual and multicultural context of South Africa. By understanding current practices, direction for improved psychosocial care to clients as well as support to SLPs is highlighted.: A 20-item previously published online survey was completed by 56 South African SLPs. Purposive and snowball sampling were used to recruit participants. Descriptive and inferential statistics, and qualitative content analysis, were used.: Respondents recognised addressing psychosocial wellbeing to be very important. A variety of psychosocial approaches were used in practice. However, 67.9% of the sample felt ill-equipped to provide psychosocial care to people with aphasia. Further barriers included: time/caseload pressures (60.7%) and feeling out of their depth (48.2%). Enablers were: access to more training opportunities (89.3%), adequate time (62.5%), and ongoing support from skilled professionals (55.4%). The majority of respondents also perceived mental health professionals to have limited expertise in working with people with aphasia, making onward referral challenging.: Respondents support people with aphasia's psychosocial wellbeing by employing counselling strategies, including family, and person-centred goal-setting. However, many challenges to the provision of psychosocial care to people with aphasia were identified. To improve services, more training opportunities, improved role definition and interprofessional collaboration, are required.
: 本研究旨在探索南非言语治疗师（SLP）样本在为失语症患者提供心理社会关怀方面的实践情况。失语症患者面临不良心理社会干扰的风险，对于沟通能力受损的个体来说，获得适当的支持可能特别具有挑战性。本研究考虑了南非的多语言和多元文化背景。通过了解当前的实践情况，为改善客户的心理社会关怀以及为 SLP 提供支持指明了方向。: 56 名南非 SLP 通过 20 项先前发布的在线调查完成了研究。采用目的抽样和滚雪球抽样招募参与者。使用描述性和推断性统计以及定性内容分析。: 受访者认识到解决心理社会健康问题非常重要。在实践中使用了各种心理社会方法。然而，67.9%的受访者觉得自己没有能力为失语症患者提供心理社会护理。进一步的障碍包括：时间/病例量的压力（60.7%）和感觉力不从心（48.2%）。促进因素包括：更多培训机会（89.3%）、足够的时间（62.5%）和来自熟练专业人员的持续支持（55.4%）。大多数受访者还认为心理健康专业人员在与失语症患者合作方面的专业知识有限，因此转诊具有挑战性。: 受访者通过采用咨询策略，包括家庭和以患者为中心的目标设定，来支持失语症患者的心理社会健康。然而，为失语症患者提供心理社会关怀方面存在许多挑战。为了改善服务，需要更多的培训机会、更好的角色定义和跨专业合作。
