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辅助技术:针对痴呆症患者的职业治疗评估与服务

Assistive technology: Occupational therapy assessment and services for people with dementia.

作者信息

Curnow Eleanor, Maclean Fiona, McCormack Brendan

机构信息

School of Health Sciences, Queen Margaret University, Edinburgh, UK.

Occupational Therapy and Allied Health & Social Care Science, Edinburgh Napier University, Edinburgh, UK.

出版信息

Br J Occup Ther. 2024 Sep;87(9):564-573. doi: 10.1177/03080226241252280. Epub 2024 May 21.

Abstract

INTRODUCTION

Research suggests that services are not effectively providing suitable assistive technology for people with dementia. There is a need to understand the challenges facing practitioners to identify where service changes should be focussed to improve this situation.

METHOD

This study used an online survey to explore the experiences of 41 occupational therapists working with people with dementia, and/or assistive technology. Eight participants subsequently agreed to participate in online discussion groups. Group discussions were transcribed and checked. Data responses from group discussions and open questions in the survey were analysed thematically using the person-centred framework to identify domains supporting or obstructing effective assistive technology service delivery.

RESULTS

Forty-one occupational therapist participants described challenges to providing person-centred assistive technology services. These included restricted access to assistive technology interventions, limited knowledge regarding developments in the field, variable funding, unsupportive systems, limited relevant training and difficulties working across health and social care sectors.

CONCLUSION

There is a need to revise the systems surrounding the provision of assistive technology for people with dementia. Occupational therapists need access to training relative to this field, and systems need to be adapted to support the provision of person-centred care by widening access to assistive technology.

摘要

引言

研究表明,服务机构未能有效地为痴呆症患者提供合适的辅助技术。有必要了解从业者所面临的挑战,以确定服务应在哪些方面做出改变,从而改善这种情况。

方法

本研究通过在线调查,探讨了41名从事痴呆症患者工作和/或辅助技术工作的职业治疗师的经历。随后,8名参与者同意参加在线讨论组。对小组讨论进行了转录和核对。使用以患者为中心的框架,对小组讨论和调查中的开放式问题的数据回答进行了主题分析,以确定支持或阻碍有效辅助技术服务提供的领域。

结果

41名职业治疗师参与者描述了提供以患者为中心的辅助技术服务所面临的挑战。这些挑战包括辅助技术干预措施的获取受限、对该领域发展的了解有限、资金不稳定、系统不支持、相关培训有限以及跨卫生和社会护理部门工作的困难。

结论

有必要修订为痴呆症患者提供辅助技术的相关系统。职业治疗师需要接受该领域的相关培训,并且系统需要进行调整,通过扩大辅助技术的获取渠道来支持以患者为中心的护理服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a5/11887907/622ec5829fb0/10.1177_03080226241252280-fig1.jpg

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