越南的社区康复工作者需要支持沟通和吞咽的帮助：可持续发展目标 3、4、8、10、17。
Community-based rehabilitation workers in Vietnam need assistance to support communication and swallowing: Sustainable Development Goals 3, 4, 8, 10, 17.
机构信息
Trinh Foundation Australia; Australian Catholic University, Australia.
Trinh Foundation Australia; The University of Sydney, Australia.
出版信息
Int J Speech Lang Pathol. 2023 Feb;25(1):107-111. doi: 10.1080/17549507.2022.2132292. Epub 2022 Nov 8.
PURPOSE
Communication and swallowing disabilities (CSwD) impact health and well-being (Sustainable Development Goal SDG 3), educational attainment (SDG 4) and employment (SDG 8) and contribute to poverty (SDG 1). In Vietnam, community-based rehabilitation (CBR) workers are often the first point of contact for people with CSwD. This commentary reports research exploring the knowledge, experiences and training needs of CBR workers and their preparedness to provide services to people with CSwD and their families living in a province of Vietnam.
METHOD
Two hundred and five CBR workers completed a written survey and eight participated in a semi-structured interview. Quantitative survey data were analysed using descriptive statistics and content analysis was used to analyse the qualitative data.
RESULT
Most participants were female, aged over 30 and worked in a variety of health settings. Multiple challenges to the delivery of services to people with CSwD were described, including lack of training and limited understanding of CSwD by CBR workers, communities and their leaders.
CONCLUSION
Limited knowledge and preparedness of CBR workers is threatening the achievement of the SDGs for people with CSwD in Vietnam. There is a need for comprehensive education, training and the raising of awareness of the cause and impact of CSwD, and for this to be in partnership with people who experience CSwD and their families, local speech-language pathologists, and international collaborators. Future research exploring the needs of people with CSwD in Vietnam is critical to guiding the development of contextually relevant services and support. This commentary focuses on good health and well-being (SDG 3), quality education (SDG 4), decent work and economic growth (SDG 8), reduced inequalities (SDG 10) and partnerships for the goals (SDG 17), and indirectly addresses no poverty (SDG 1).
目的
沟通和吞咽障碍（CSwD）影响健康和福祉（可持续发展目标 SDG 3）、教育程度（SDG 4）和就业（SDG 8），并导致贫困（SDG 1）。在越南，社区为基础的康复（CBR）工作者通常是 CSwD 患者的第一联系人。本评论报告了一项探索 CBR 工作者的知识、经验和培训需求以及他们为居住在越南某省的 CSwD 患者及其家属提供服务的准备情况的研究。
方法
205 名 CBR 工作者完成了一份书面调查，8 名工作者参加了半结构化访谈。使用描述性统计分析对定量调查数据进行分析，对定性数据进行内容分析。
结果
大多数参与者是女性，年龄在 30 岁以上，在各种卫生环境中工作。描述了向 CSwD 患者提供服务的多种挑战，包括 CBR 工作者、社区及其领导人缺乏培训和对 CSwD 的理解有限。
结论
CBR 工作者知识有限，准备不足，威胁到越南 CSwD 患者实现可持续发展目标。需要对 CBR 工作者进行全面的教育、培训和提高对 CSwD 的原因和影响的认识，并且要与 CSwD 患者及其家属、当地言语治疗师和国际合作伙伴合作。未来探索越南 CSwD 患者需求的研究对于指导制定相关服务和支持至关重要。本评论重点关注良好的健康和福祉（SDG 3）、优质教育（SDG 4）、体面工作和经济增长（SDG 8）、减少不平等（SDG 10）以及目标伙伴关系（SDG 17），并间接解决了无贫困（SDG 1）的问题。
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