脳卒中の家族支援:ランダム化制御試験
1Department of Primary Care and General Practice, Medical School, University of Birmingham, Edgbaston, UK. j.w.mant@bham.ac.uk
Lancet (London, England)
|October 7, 2000
まとめ
家族支援サービスは,脳卒中の生存者の介護者の社会的活動と生活の質を大幅に改善しました. しかし,これらの介入は,脳卒中患者自身に有意な影響を及ぼさなかった.
科学分野:
- 神経学 神経学とは
- リハビリテーション医学 リハビリテーション医学
- 医療サービス 研究 医療サービス
背景:
- 脳卒中の生存者に対する家族支援サービスの有効性は不明である.
- ストロークの回復における家族のケアに焦点を当てることが増加しています.
- 脳卒中患者の家族に対する証拠に基づいた支援介入の必要性.
研究 の 目的:
- 脳卒中患者とその介護者に対する家族支援介入の影響を評価する.
- 介護者の福祉,知識,生活の質の変化を評価する.
- 患者の成果,サービスの利用,および満足度への影響を決定する.
主な方法:
- 急性脳卒中患者とその介護者を含む単盲,ランダム化制御試験.
- 介入群は家族の支援を受け,対照群は通常のケアを受けた.
- 脳卒中の6ヶ月後に実施された包括的な評価.
主要な成果:
- 介入群の介護者は,フランス語とアクティビティ・インデックススコア (p=0.03) の有意な改善を示した.
- サポートされた介護者において,生活の質の向上 (p=0.01) と脳卒中理解に対する満足度 (82%対71%,p=0.04) が観察されました.
- 患者の知識,障害,生活の質,またはサービスの満足度において,グループ間の有意な違いは見つかりませんでした.
結論:
- 家族支援の介入は,脳卒中の生存者の介護者の社会的活動と生活の質を効果的に高めます.
- この研究では,家族からのサポートを受けた脳卒中患者にとって,有意な利点はないことが判明しました.
- 発見は,脳卒中回復における非公式の介護者に対する標的型支援の重要性を強調しています.
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