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斜视矫正师与沟通障碍患者合作的视角。

Perspectives of Orthoptists Working with Patients with Communication Impairments.

作者信息

Lau Sonia, Power Emma, French Amanda

机构信息

Discipline of Orthoptics, Graduate School of Health, University of Technology Sydney, Sydney, Australia.

Discipline of Speech Pathology, Graduate School of Health, University of Technology Sydney, Sydney, Australia.

出版信息

Br Ir Orthopt J. 2024 Jan 3;20(1):16-30. doi: 10.22599/bioj.321. eCollection 2024.

Abstract

AIMS

To survey orthoptists' confidence in communicating with patients with communication impairments and to investigate resources orthoptists are currently using to aid assessment and management and to explore future resources that may be beneficial.

METHODS AND PROCEDURES

Practicing orthoptists (n = 63; median age range: 31-35 years old) completed an online survey with quantitative and qualitative questions which investigated approaches to adult and paediatric patients with communication impairments and any communication tools used. Analysis of quantitative survey responses was conducted using IBM SPSS v27. Content analysis of qualitative responses was done.

OUTCOMES AND RESULTS

Simple communication strategies (e.g., eye contact and body language, repeating/rephrasing sentences) were commonly used with both adult and paediatric patients while more complex strategies (e.g., electronic visual aids, writing key words/concepts) were rarely used. Usage of communication strategies was not affected by length of work experience, workplace clinical speciality or training during their clinical degree or after graduation (p < 0.05). Most participants (71.2%) reported being unaware of resources available for orthoptists to assist in the assessment and management of patients with communication impairments.

CONCLUSIONS AND IMPLICATIONS

Orthoptists have adopted some communication strategies to improve their interactions with patients with communication impairments, despite limited resources. With proper resources, such as training in supportive communication techniques, they can provide optimal patient care, making it essential to identify what kind of resources would be most appropriate.

摘要

目的

调查斜视矫正师与有沟通障碍的患者沟通时的信心,调查斜视矫正师目前用于辅助评估和管理的资源,并探索可能有益的未来资源。

方法和程序

执业斜视矫正师(n = 63;年龄中位数范围:31 - 35岁)完成了一项包含定量和定性问题的在线调查,该调查研究了针对有沟通障碍的成人和儿童患者的方法以及所使用的任何沟通工具。使用IBM SPSS v27对定量调查回复进行分析。对定性回复进行内容分析。

结果

简单的沟通策略(如眼神交流和肢体语言、重复/重新表述句子)在成人和儿童患者中都常用,而更复杂的策略(如电子视觉辅助工具、书写关键词/概念)很少使用。沟通策略的使用不受工作年限、工作场所临床专业或临床学位期间或毕业后培训的影响(p < 0.05)。大多数参与者(71.2%)报告不知道有可供斜视矫正师用于协助评估和管理有沟通障碍患者的资源。

结论和启示

尽管资源有限,斜视矫正师已采用一些沟通策略来改善与有沟通障碍患者的互动。有了适当的资源,如支持性沟通技巧培训,他们就能提供最佳的患者护理,因此确定哪种资源最合适至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c6/10768565/758425ef5c5e/bioj-20-1-321-g1.jpg

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