一项针对负责照顾患有痴呆症的住院患者行动能力及使用步态辅助器具的护士、物理治疗师和职业治疗师的调查。
A survey of nurses, physiotherapists and occupational therapists in mobility care and gait aid use for hospital patients with dementia.
作者信息
Lee Den-Ching A, Meyer Claudia, Burton Elissa, Kitchen Su, Williams Cylie, Hunter Susan W, Suttanon Plaiwan, Hill Keith D
机构信息
School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria 3199, Australia; Rehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, Victoria 3199, Australia.
Rehabilitation Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, Victoria 3199, Australia; Bolton Clarke Research Institute, Bolton Clarke, Forest Hill, Victoria 3131, Australia; Centre for Health Communication and Participation, La Trobe University, Bundoora, Victoria 3083, Australia.
出版信息
Geriatr Nurs. 2022 Mar-Apr;44:221-228. doi: 10.1016/j.gerinurse.2022.02.017. Epub 2022 Feb 28.
This study described mobility care practice of nurses, physiotherapists and occupational therapists and gait aid use for hospital patients with dementia. Two surveys, tailored to staff mobility care roles were distributed in Australian hospitals. Physiotherapists and occupational therapists were asked additional questions regarding assessments and factors for prescribing gait aids to patients with dementia. Descriptive statistics for closed-ended and summative content analyses for open-ended questions were undertaken. Nurses (n=56), physiotherapists (n=11) and occupational therapists (n=23) used various practices to ensure ambulation safety for patients with dementia. Nurses and occupational therapists commonly referred patients with dementia to physiotherapists for mobility and gait aid assessments. Therapists predominantly considered the severity of dementia, the person's learning ability and mobility history in deciding about gait aid use. Exploring ways to strengthen nursing and health professional education, and inter-professional practice for safe mobility in patients with dementia, with and without gait aids, could be helpful.
本研究描述了护士、物理治疗师和职业治疗师对痴呆症住院患者的移动护理实践以及助行器的使用情况。针对员工移动护理角色量身定制的两项调查在澳大利亚医院中进行。物理治疗师和职业治疗师被问及有关为痴呆症患者开具助行器的评估和因素的其他问题。对封闭式问题进行描述性统计，并对开放式问题进行总结性内容分析。护士（n = 56）、物理治疗师（n = 11）和职业治疗师（n = 23）采用了各种做法来确保痴呆症患者的行走安全。护士和职业治疗师通常会将痴呆症患者转介给物理治疗师进行移动能力和助行器评估。治疗师在决定是否使用助行器时主要考虑痴呆症的严重程度、患者的学习能力和移动史。探索加强护理和卫生专业教育的方法，以及针对有或无助行器的痴呆症患者进行安全移动的跨专业实践，可能会有所帮助。
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