Assessment of spatial neglect in clinical practice: A nationwide survey
Assessment of spatial neglect in clinical practice: A nationwide survey
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DOI：
10.1080/09602011.2020.1778490
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发表时间：
2020-06-13
影响因子：
2.7
通讯作者：
Nordfang, Maria
中科院分区：
文献类型：
--
作者：
Evald, Lars;Wilms, Inge;Nordfang, Maria
这项研究是一项全国性、匿名、开放的互联网调查的一部分，该调查针对丹麦的医疗保健专业人员进行，旨在评估和治疗空间忽视（SN）。目的是描述不同医疗保健部门和专业当前临床实践中 SN 评估的知识和实践。数据包括 SN 的认知患病率、评估方法和观察结果、亚型和鉴别诊断。共有 525 名专业人士参与了此次调查。绝大多数 (81.5%) 表示 SN 评估是由其工作场所提供的。 SN 感知患病率的中位数为 35% (IQR 22-51)，但不同职业之间存在重大差异。职业治疗师和心理学家似乎参与评估最多，而护理人员和言语治疗师参与最少。主观观察是最常见的评估方法（90%）。相反，系统的 ADL 观察、纸笔测试、对抗性测试和计算机化测试则不太常见。调查显示，不同医疗保健专业人士对 SN 症状各方面（亚型和鉴别诊断）的评估方法和认识存在很大差异。结果强调需要制定关于如何评估 SN 并区分不同亚型和鉴别诊断的国际多学科临床指南。
This study was part of a nationwide, anonymous, open Internet survey conducted amongst healthcare professionals in Denmark on the assessment and treatment of spatial neglect (SN). The objective was to describe knowledge and practices in the assessment of SN in current clinical practice across different healthcare sectors and professions. Data included the perceived prevalence, assessment methods and observations, subtypes and differential diagnostics of SN. A total of 525 professionals participated in the survey. The vast majority (81.5%) reported that assessment of SN was provided by their workplace. The median of perceived prevalence of SN was 35% (IQR 22-51) but major differences were found between professions. Occupational therapists and psychologists appeared to be most involved in assessment, whilst nursing staff and speech therapists were least involved. Subjective observations were the most common assessment method (90%). Conversely, systematic ADL observations, paper-and-pencil tests, confrontational tests and computerized tests were less common. The survey revealed large differences in the assessment methods and awareness of various aspects of SN symptoms (subtypes and differential diagnostics) between different healthcare professions. The results emphasize the need for international multidisciplinary clinical guidelines on how to assess SN and distinguish between different subtypes and differential diagnoses.