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通过关于卒中后生活质量的跨专业深思熟虑的对话培养残疾倡导者。

Developing Disability Advocates Through Deliberate Interprofessional Conversations Regarding Quality of Life After Stroke.

机构信息

University of the Pacific, Thomas J. Long School of Pharmacy, Stockton, CA, USA.

University of the Pacific, School of Health Sciences, Sacramento, CA, USA.

出版信息

Am J Pharm Educ. 2024 Sep;88(9):100761. doi: 10.1016/j.ajpe.2024.100761. Epub 2024 Jul 20.

Abstract

OBJECTIVE

Stroke can result in significant mental and physical impairment. Training health care professionals on effective strategies for mitigating stroke-related quality-of-life issues is crucial in facilitating comprehensive stroke management. This study aimed to evaluate the impact of an interprofessional education (IPE) experience on students' attitudes regarding poststroke disability.

METHODS

In this pre-post interventional study, pharmacy and medical students received an electronic patient chart and a store-and-forward video depicting physical and cognitive impairment in a patient with stroke. Students were instructed to discuss the acute management and postdischarge needs of the patient from an advocacy perspective. After the IPE experience, students completed the Student Perceptions of Interprofessional Clinical Education-Revised, version 2 and an unvalidated disability attitudes survey. The surveys were analyzed using a paired t test. In addition, students reflected on the prompt, "What are some things you had NOT considered prior to this IPE?"

RESULTS

A total of 708 students completed the surveys. After IPE, there was a significant improvement in all domains of the Student Perceptions of Interprofessional Clinical Education-Revised, version 2. On the disability survey, there was significant improvement on all statements, including "rate your comfort with…": "discussing the expected disabilities associated with new-onset stroke" and "discussing strategies for improving the quality of life of a patient who has long-term disabilities." On the self-reflections, 31.7% (n = 211) had not considered the need for poststroke care services before this IPE.

CONCLUSION

This IPE experience was instrumental in improving student perspectives regarding poststroke disability.

摘要

目的

中风可导致严重的身心障碍。培训医疗保健专业人员关于减轻与中风相关的生活质量问题的有效策略对于促进全面的中风管理至关重要。本研究旨在评估跨专业教育(IPE)体验对学生对中风后残疾态度的影响。

方法

在这项前后干预研究中,药学和医学专业的学生收到了一份电子病历和一个存储转发视频,描绘了一位中风患者的身体和认知障碍。学生们被指示从倡导的角度讨论患者的急性管理和出院后的需求。在 IPE 体验之后,学生们完成了学生对跨专业临床教育的感知修订版,第 2 版和未经验证的残疾态度调查。使用配对 t 检验分析这些调查。此外,学生们反思了这样一个提示:“在进行这次 IPE 之前,您有哪些事情没有考虑到?”

结果

共有 708 名学生完成了调查。IPE 后,学生对跨专业临床教育的感知修订版,第 2 版的所有领域都有显著改善。在残疾调查中,所有陈述都有显著改善,包括“评估您对以下内容的舒适度”:“讨论新发病中风相关的预期残疾”和“讨论改善长期残疾患者生活质量的策略。”在自我反思中,31.7%(n=211)在进行这次 IPE 之前没有考虑过中风后护理服务的需求。

结论

这种 IPE 体验有助于改善学生对中风后残疾的看法。

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