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

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.

• 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.