Neurorehabilitation Research and Knowledge Centre, Rigshospitalet, Copenhagen, Denmark; Neurorehabilitation-Cph, Copenhagen, Denmark.
Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway; Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, Norway.
J Rehabil Med. 2024 May 14;56:jrm28793. doi: 10.2340/jrm.v56.28793.
To explore current hospital practice in relation to the assessment of vision problems in patients with acquired brain injury.
A survey study.
A total of 143 respondents from hospital settings, with background in occupational therapy and physical therapy, participated in the survey.
The survey questionnaire, developed collaboratively by Danish and Norwegian research groups, encompassed 22 items categorically covering "Background information", "Clinical experience and current practice", "Vision assessment tools and protocols", and "Assessment barriers". It was sent out online, to 29 different hospital departments and 18 separate units for occupational therapists and physiotherapists treating patients with acquired brain injury.
Most respondents worked in acute or subacute hospital settings. Few departments had an interdisciplinary vision team, and very few therapists had formal education in visual problems after acquired brain injury. Visual assessment practices varied, and there was limited use of standardized tests. Barriers to identifying visual problems included patient-related challenges, knowledge gaps, and resource limitations.
The study emphasized the need for enhanced interdisciplinary collaboration, formal education, and standardized assessments to address visual problems after acquired brain injury. Overcoming these challenges may improve identification and management, ultimately contributing to better patient care and outcomes in the future.
探讨当前医院在评估后天性脑损伤患者视觉问题方面的实践情况。
调查研究。
共有 143 名来自医院环境的受访者，他们的背景为职业治疗和物理治疗，参与了这项调查。
调查问卷由丹麦和挪威的研究小组合作开发，共有 22 个项目，分为“背景信息”、“临床经验和当前实践”、“视觉评估工具和方案”以及“评估障碍”。它以在线的方式发送给了 29 个不同的医院科室和 18 个治疗后天性脑损伤患者的职业治疗师和物理治疗师的独立单元。
大多数受访者在急性或亚急性医院环境中工作。很少有科室有跨学科的视觉团队，很少有治疗师接受过后天性脑损伤后视觉问题的正规教育。视觉评估实践存在差异，很少使用标准化测试。识别视觉问题的障碍包括患者相关的挑战、知识差距和资源限制。
研究强调需要加强跨学科合作、正规教育和标准化评估，以解决后天性脑损伤后的视觉问题。克服这些挑战可以改善识别和管理，最终有助于未来更好的患者护理和结果。
