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巴西言语治疗师对痴呆症及其沟通障碍的认知和了解

Awareness and knowledge of dementia and its communication disorders amongst Brazilian speech and language therapists.

作者信息

Beber Bárbara Costa, Alves Emily Viega, Pereira Natalie, d'Ávila Freitas Maria Isabel, Silagi Marcela Lima, Fagundes Chaves Márcia Lorena, Lawlor Brian

机构信息

Department of Speech, Language and Hearing Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil.

Department of Speech, Language and Hearing Sciences, Universidade Federal de Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil.

出版信息

Int J Lang Commun Disord. 2024 Nov-Dec;59(6):2229-2238. doi: 10.1111/1460-6984.13079. Epub 2024 Jun 20.

Abstract

BACKGROUND

Speech and language therapists (SLTs) play an important role in assessing and rehabilitating communication disorders in people with dementia, but there is evidence to suggest that they do not receive appropriate training to provide management and support during their training.

AIM

To investigate the level of awareness and knowledge that practising SLTs from Brazil have about dementia and their role in the care of dementia through an online survey.

METHODS & PROCEDURES: An online survey tool was developed to collect information from practising Brazilian SLTs regarding their knowledge about dementia, awareness about their role in the care of people with dementia, and opinions on how SLTs may be better prepared to work in the dementia field. The survey was disseminated via social media, websites, and e-mail lists of researchers and stakeholders.

OUTCOMES & RESULTS: A total of 227 SLTs completed the survey. Participants showed good knowledge of dementia in general, while their answers were less accurate on primary progressive aphasia. Regarding the awareness by SLTs of their role in the care of people with dementia, most agreed or strongly agreed that SLTs could help people in the diagnosis, treatment and prevention of dementia (> 80%). However, fewer participants agreed or strongly agreed that they felt confident in contributing to the treatment and diagnosis process of dementia (about 50%). To improve the training of SLTs in Brazil, most participants believed that it would be necessary to improve the teaching of dementia at the undergraduate speech and language therapy curriculum level and to develop recommendations or guidelines about speech and language therapy practice in dementia.

CONCLUSIONS & IMPLICATIONS: The results of this survey point to a need for improvement in the knowledge and confidence of Brazilian SLTs about dementia. To reach this goal, targeted training courses and applied practice opportunities should be embedded within university curricula and training programmes.

WHAT THIS PAPER ADDS

What is already known on the subject Many studies confirm the importance of speech and language therapy in the non-pharmacological treatment of people with dementia. However, other evidence suggests to a possible lack of training for Brazilian SLTs, especially in the curriculum of undergraduate courses. What this paper adds to existing knowledge This study reveals that Brazilian SLTs have substantial knowledge of dementia and recognize the significance of their role in treating people with dementia. However, a minority expressed confidence in their ability to assess and treat people with dementia. What are the potential or actual clinical implications of this work? The findings of this research demonstrate that Brazilian SLTs have good knowledge of dementia and endorse their professional role in dementia care; however, they lack confidence in their own skills and expertise in diagnostic assessment and treatment of dementia. Interventions aimed at boosting the SLT's confidence level could lead to improved patients outcomes and overall quality of care within clinical settings.

摘要

背景

言语和语言治疗师在评估和康复痴呆症患者的沟通障碍方面发挥着重要作用,但有证据表明,他们在培训期间没有接受适当的培训以提供管理和支持。

目的

通过在线调查,调查巴西在职言语和语言治疗师对痴呆症的认识水平以及他们在痴呆症护理中的作用。

方法与步骤

开发了一种在线调查工具,以收集巴西在职言语和语言治疗师关于他们对痴呆症的了解、对其在痴呆症患者护理中作用的认识,以及关于言语和语言治疗师如何更好地为痴呆症领域工作做好准备的意见。该调查通过社交媒体、网站以及研究人员和利益相关者的电子邮件列表进行传播。

结果

共有227名言语和语言治疗师完成了调查。参与者总体上对痴呆症有较好的了解,而他们对原发性进行性失语症的回答不太准确。关于言语和语言治疗师对其在痴呆症患者护理中作用的认识,大多数人同意或强烈同意言语和语言治疗师可以在痴呆症的诊断、治疗和预防方面帮助患者(>80%)。然而,较少的参与者同意或强烈同意他们对为痴呆症的治疗和诊断过程做出贡献感到有信心(约50%)。为了改善巴西言语和语言治疗师的培训,大多数参与者认为有必要在本科言语和语言治疗课程层面改进痴呆症教学,并制定关于痴呆症言语和语言治疗实践的建议或指南。

结论与启示

本次调查结果表明,巴西言语和语言治疗师在痴呆症知识和信心方面需要改进。为了实现这一目标,应在大学课程和培训项目中纳入有针对性的培训课程和应用实践机会。

本文补充内容

关于该主题的已知情况 许多研究证实了言语和语言治疗在痴呆症患者非药物治疗中的重要性。然而,其他证据表明巴西言语和语言治疗师可能缺乏培训,尤其是在本科课程中。本文对现有知识的补充 本研究表明,巴西言语和语言治疗师对痴呆症有丰富的知识,并认识到他们在治疗痴呆症患者中的作用的重要性。然而,少数人对他们评估和治疗痴呆症患者的能力表示有信心。这项工作的潜在或实际临床意义是什么?这项研究的结果表明,巴西言语和语言治疗师对痴呆症有很好的了解,并认可他们在痴呆症护理中的专业角色;然而,他们对自己在痴呆症诊断评估和治疗方面的技能和专业知识缺乏信心。旨在提高言语和语言治疗师信心水平的干预措施可能会改善临床环境中的患者预后和整体护理质量。

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