An Inter-disciplinary approach to persons with aphasia

针对失语症患者的跨学科方法

• 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
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672467/
• 关键词: aphasic person; inter-disciplinary approach; team approach; trans-disciplinary approach; collaboration; 失語症; Transdisciplinary; トランスディスプリナリーアプローチ; 態度; トランスディシプリナリー アプローチ

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患者生活质量的因素，探讨目前在康复机构中采用的团队方法，并为失语症患者制定一个跨学科的教育计划。方法：观察和访谈的基础上进行分析。医务人员对失语症患者的积极理解态度影响患者的生活质量。目前所采取的团队合作方式包括：1.团队成员间资料的一致性和电子病历的引入; 2.通过团队会议分享病人的目标，制定统一的治疗计划。3.团队成员共用一个工作站和一个工作室。4.物理和职业治疗师在晚上和早上参加病人护理（ADL护理）。5.病人的服务和责任被分担，卫生专业人员的正常界限模糊，出现了他们的身份冲突。5.言语治疗师可以提供给其他成员适当的方法，根据病人的日常活动在floor.Conclusions：失语症患者面临的问题是如此复杂，没有一个单一的学科可能会有效地应对他们。在康复环境中，制定了一种称为跨学科方法的非典型战略，其中心重点是改善病人护理，分担责任，模糊各种保健专业人员的正常界限。这些发现表明，跨学科健康教育将是未来护理教育的新要求