关键词: Disability Interprofessional education Patient advocacy Quality of life Telehealth

Mesh : Humans Quality of Life / psychology Stroke / psychology Students, Pharmacy / psychology Interprofessional Relations Students, Medical / psychology Female Male Surveys and Questionnaires Disabled Persons / psychology Attitude of Health Personnel Interprofessional Education / methods Education, Pharmacy / methods Adult Patient Advocacy Communication

来  源:   DOI:10.1016/j.ajpe.2024.100761

Abstract:
OBJECTIVE: Stroke can result in significant mental and physical impairment. Training health care professionals on effective strategies for mitigating stroke-related quality-of-life issues is crucial in facilitating comprehensive stroke management. This study aimed to evaluate the impact of an interprofessional education (IPE) experience on students\' attitudes regarding poststroke disability.
METHODS: In this pre-post interventional study, pharmacy and medical students received an electronic patient chart and a store-and-forward video depicting physical and cognitive impairment in a patient with stroke. Students were instructed to discuss the acute management and postdischarge needs of the patient from an advocacy perspective. After the IPE experience, students completed the Student Perceptions of Interprofessional Clinical Education-Revised, version 2 and an unvalidated disability attitudes survey. The surveys were analyzed using a paired t test. In addition, students reflected on the prompt, \"What are some things you had NOT considered prior to this IPE?\"
RESULTS: A total of 708 students completed the surveys. After IPE, there was a significant improvement in all domains of the Student Perceptions of Interprofessional Clinical Education-Revised, version 2. On the disability survey, there was significant improvement on all statements, including \"rate your comfort with…\": \"discussing the expected disabilities associated with new-onset stroke\" and \"discussing strategies for improving the quality of life of a patient who has long-term disabilities.\" On the self-reflections, 31.7% (n = 211) had not considered the need for poststroke care services before this IPE.
CONCLUSIONS: This IPE experience was instrumental in improving student perspectives regarding poststroke disability.
摘要:
目的:卒中可导致严重的精神和身体损害。培训医疗保健专业人员缓解卒中相关生活质量问题的有效策略对于促进全面卒中管理至关重要。这项研究旨在评估跨专业教育(IPE)经验对学生对中风后残疾的态度的影响。
方法:在这项介入前研究中,药学和医科学生收到了一份电子病人图表和一份储存和转发的视频,描述了一名中风患者的身体和认知障碍。指示学生从倡导的角度讨论患者的急性管理和出院后需求。在经历了IPE之后,学生完成了学生对跨专业临床教育修订工具(SPICE-R2)的看法和未经验证的残疾态度调查。使用配对t检验对调查进行分析。此外,学生反思提示,“在此IPE之前,您没有考虑过哪些事情?”
结果:7108名学生完成了调查。后IPE,SPICE-R2的所有结构域均有显著改善.关于残疾调查,所有陈述都有显著改善,包括评价你的舒适度;1.)讨论与新发中风和2相关的预期残疾。)讨论改善长期残疾患者生活质量的策略。关于自我反思,31.7%(N=211)在本次IPE之前没有考虑过中风后护理服务的需要。
结论:这种IPE经验有助于改善学生对卒中后残疾的看法。
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