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  4. The knowledge about autonomic dysreflexia among nursing and physiotherapy students

The knowledge about autonomic dysreflexia among nursing and physiotherapy students

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1439432 · Published: January 1, 2019

Spinal Cord InjuryNeurologyEducation

Simple Explanation

Autonomic dysreflexia (AD) is a condition affecting individuals with spinal cord lesions, triggered by stimuli below the lesion level. It's crucial for healthcare professionals to recognize and manage AD to prevent life-threatening complications. The study aimed to assess the knowledge of AD among nursing and physiotherapy students. Results showed a low level of knowledge, highlighting the need for improved education. Nurses and physiotherapists are often the first healthcare professionals to interact with patients who have spinal cord injuries, making their understanding of AD particularly important for timely intervention and prevention of severe outcomes.

Study Duration
Not specified
Participants
91 nursing and physiotherapy students
Evidence Level
Single centre questionnaire study

Key Findings

  • 1
    Most students (73.6%) self-assessed their knowledge about autonomic dysreflexia as none or poor, indicating a significant gap in their understanding of the condition.
  • 2
    The average autonomic dysreflexia knowledge test score was low, with nursing students scoring slightly higher (5.6 points) than physiotherapy students (4.9 points), but the difference was not statistically significant.
  • 3
    Work experience did not significantly impact the autonomic dysreflexia knowledge test scores, suggesting that practical experience alone is not sufficient to compensate for the lack of formal education on the topic.

Research Summary

The study investigated the knowledge of autonomic dysreflexia among nursing and physiotherapy students in Croatia, revealing a low level of understanding of this critical condition associated with spinal cord lesions. The findings suggest a need for enhanced education and training on autonomic dysreflexia for healthcare professionals, including integrating it into university curricula and postgraduate programs. The authors emphasize the importance of early recognition and proper management of autonomic dysreflexia to prevent life-threatening complications and improve the quality of care for patients with spinal cord injuries.

Practical Implications

Curriculum Enhancement

Incorporate comprehensive education on autonomic dysreflexia into nursing and physiotherapy curricula to improve knowledge among future healthcare professionals.

Continuing Education

Provide continuing education opportunities, such as seminars and online modules, for practicing nurses and physiotherapists to update their knowledge and skills in managing autonomic dysreflexia.

Awareness Campaigns

Launch national-level awareness campaigns targeting healthcare professionals, patients with spinal cord injuries, and their families to promote early recognition and appropriate management of autonomic dysreflexia.

Study Limitations

  • 1
    Single-institution study
  • 2
    Most participants were from two counties in Croatia
  • 3
    Lack of assessment of actual clinical practice

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