Gaveel Ties J, Tosserams Anouk, Nijkrake Maarten J, Nonnekes Jorik
Physical Therapy Sciences, Program in Clinical Health Sciences, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Centre, Nijmegen, The Netherlands.
J Parkinsons Dis. 2025 Jun 26:1877718X251354928. doi: 10.1177/1877718X251354928.
BackgroundCompensation strategies have been shown to improve functional mobility in people with Parkinson's disease (PD) who live independently. However, knowledge on its utilization in in long-term care (LTC) settings is unknown.ObjectiveThis study aimed to establish the knowledge and utilization of compensation strategies for functional mobility for individuals with PD among healthcare professionals working in LTC facilities in the Netherlands. Secondary aims included assessing subgroup differences among healthcare professionals and exploring perceived barriers to utilizing these strategies in LTC.MethodsA cross-sectional online survey design was conducted with (allied) healthcare professionals working in LTC facilities across the Netherlands.ResultsOverall knowledge and utilization of compensation strategies among 130 healthcare professionals was high, with a median of 5 out of 7 known categories, 4 out of 7 used for gait, and 3 out of 5 for transfers. Variations among professions existed, with physiotherapists and occupational therapists demonstrating higher scores than nurses and personal care assistants. Professionals specifically trained in PD care and those working in specialized PD departments demonstrated a higher level of knowledge. Main identified barriers for utilization were limited knowledge and time of the healthcare professionals, and concerns regarding limited feasibility in patients with severe cognitive impairments.ConclusionsWhile knowledge and utilization of compensation strategies for PD in LTC facilities was widespread, the findings highlight a need for tailored training programs for healthcare professionals to improve patient care. Future research should evaluate the feasibility and usefulness of such training programs.
背景
补偿策略已被证明可改善独立生活的帕金森病(PD)患者的功能移动性。然而,关于其在长期护理(LTC)环境中的应用情况尚不清楚。
目的
本研究旨在确定荷兰长期护理机构中工作的医疗保健专业人员对PD患者功能移动性补偿策略的了解和应用情况。次要目的包括评估医疗保健专业人员之间的亚组差异,并探讨在长期护理中使用这些策略的感知障碍。
方法
对荷兰各地长期护理机构的(联合)医疗保健专业人员进行了横断面在线调查。
结果
130名医疗保健专业人员对补偿策略的总体了解和应用程度较高,在7个已知类别中,中位数为5个;在步态方面,7个中有4个被使用;在转移方面,5个中有3个被使用。不同职业之间存在差异,物理治疗师和职业治疗师的得分高于护士和个人护理助理。接受过PD护理专门培训的专业人员以及在专门的PD科室工作的人员表现出更高的知识水平。确定的主要应用障碍是医疗保健专业人员的知识和时间有限,以及对严重认知障碍患者可行性有限的担忧。
结论
虽然长期护理机构中对PD补偿策略的了解和应用很普遍,但研究结果强调需要为医疗保健专业人员制定量身定制的培训计划,以改善患者护理。未来的研究应评估此类培训计划的可行性和实用性。