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  4. Nurses and physiotherapists’ knowledge levels on autonomic dysreflexia in a rehabilitation hospital

Nurses and physiotherapists’ knowledge levels on autonomic dysreflexia in a rehabilitation hospital

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.1983313 · Published: July 1, 2023

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

Autonomic dysreflexia (AD) is a condition that can occur in people with spinal cord injuries, especially those with injuries at or above the T6 level. It involves an uncontrolled sympathetic nervous system response to stimuli below the level of injury. Nurses and physiotherapists are often the primary caregivers for individuals with spinal cord injuries, making their understanding of AD crucial for patient safety and well-being. This study aimed to assess the current knowledge level of AD among nurses and physiotherapists working in a rehabilitation hospital. The study used a questionnaire to evaluate the participants' knowledge of AD etiology, indications, symptoms, and treatment. The results indicated that the knowledge level of AD among the nurses and physiotherapists was generally low.

Study Duration
Not specified
Participants
68 (36 nurses, 32 physiotherapists)
Evidence Level
Single-center survey study

Key Findings

  • 1
    The average scores on the autonomic dysreflexia knowledge test were similar for nurses (6.63 ± 2.2) and physiotherapists (6.87 ± 1.89), with no significant difference between the two groups (P > 0.05).
  • 2
    Participants with prior experience treating patients with autonomic dysreflexia had significantly higher test scores than those without experience (P < 0.001), highlighting the importance of practical experience in managing this condition.
  • 3
    A significant difference was observed in the responses to specific questions, with physiotherapists demonstrating better knowledge of the causes of autonomic dysreflexia, while nurses showed better knowledge of the medications used in its treatment.

Research Summary

This study assessed the knowledge levels of nurses and physiotherapists regarding autonomic dysreflexia (AD) in a rehabilitation hospital. The results indicated a generally low level of knowledge among the participants, despite their crucial role in managing patients at risk of AD. Experience in treating patients with AD was associated with higher knowledge scores, emphasizing the importance of practical experience. However, the overall knowledge level was inadequate, suggesting a need for improved training. The study highlights the need for internationally standardized training programs for healthcare professionals, patients, and caregivers to improve the management of this life-threatening condition.

Practical Implications

Improve Training Programs

Develop and implement comprehensive, standardized training programs on autonomic dysreflexia for nurses and physiotherapists in rehabilitation settings.

Enhance Practical Experience

Incorporate simulated patient training and mentorship opportunities to enhance practical experience in managing AD.

Raise Awareness

Increase awareness of the potential causes, symptoms, and management of AD among healthcare professionals, patients, and caregivers through targeted educational initiatives.

Study Limitations

  • 1
    Limited number of participants
  • 2
    Single-center regional study
  • 3
    The study is limited by its reliance on a questionnaire, which may not fully capture the depth of knowledge and practical skills of the participants.

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