An Inter-disciplinary approach to persons with aphasia

针对失语症患者的跨学科方法

基本信息

批准号：
13672467
负责人：
OKABE Toshiko
金额：
$ 1.66万
依托单位：
Tokyo Metropolitan University of Health Sciences
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

Objectives : This study aimed to analyze factors affecting the QOL of the aphasics, to investigate the team approach presently made in rehabilitation settings, and to develop an interdisciplinary educational program for the aphasics.Method : Analyses based on observation and interview.Results The attitudes of health professional toward the aphasics were very important. Health professional's positive and understanding attitudes toward the aphasics affected patient' QOL. Prior contacts, frequency of contact, and kind of occupation were significantly related to such attitudes.The team approach presently made involved the following : 1.Uniformity of patient's data among team members and introduction of electron clinical records 2.Through team meetings they shared the patient' goal and developed uniform treatment plan. 3.Team members shared a staff station and a staff room. 4.Physical and occupational therapists took part in patient care (care of ADL) in the evenings and mornings. 5.Patient's services and responsibilities were shared, normal boundaries of the health professionals blurred, and their identity conflicts arose. 5.Speech therapists could provide to other members appropriate methods based on patient's daily activities on the floor.Conclusions : Problems facing persons with aphasia are so complex that no single discipline can possibly respond to them effectively. In the rehabilitation settings an atypical strategy called trans-disciplinary approach has been developed, whereby the central focus is to improve patient care in which responsibilities are shared and normal boundaries of the various health professionals are blurred. These finding suggest that in nursing education inter/trans-^disciplinary health education will be new demands for the very future

目的：本研究旨在分析影响失语症质量的因素，调查目前在康复环境中采取的团队方法，并制定一个失语症的跨学科教育计划。方法：基于观察和访谈的分析。回报。对失语症的卫生专业人员非常重要。卫生专业人员对失语症的积极和理解态度影响了患者的QoL。先前的接触，接触频率和类型的职业与此类态度显着相关。团队方法目前涉及以下内容：1。团队成员之间患者数据的均匀性以及电子临床记录的引入2.通过团队会议，他们分享了他们分享的患者的目标和制定的统一治疗计划。 3.团队成员共享了一个参谋场和一个员工室。 4.物理和职业治疗师在晚上和早晨参加了患者护理（ADL的护理）。 5.患者的服务和责任是分担的，卫生专业人员的正常界限模糊了，并且出现了他们的身份冲突。 5.语言治疗师可以根据患者在地板上的日常活动为其他成员提供适当的方法。结论：失语症患者面临的问题是如此复杂，以至于没有任何单一的学科无法有效地对他们做出反应。在康复环境中，已经开发了一种非典型策略，称为跨学科方法，其中核心重点是改善患者护理，在该护理中，共同的责任和各种卫生专业人员的正常界限被模糊。这些发现表明，在护理教育中/跨性别的纪律健康教育将是对未来的新需求