家庭对中风的支持:一个随机对照试验
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
概括
家庭支持服务显著改善了中风幸存者的护理人员的社会活动和生活质量. 然而,这些干预措施对中风患者本身没有显著影响.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于中风幸存者的家庭支持服务的有效性仍然不清楚.
- 在中风恢复中,关注家庭护理的重点正在增加.
- 需要为中风患者的家属提供基于证据的支持干预措施.
研究的目的:
- 评估家庭支持干预对中风患者及其照顾者的影响.
- 评估照顾者福祉,知识和生活质量的变化.
- 确定对患者结果,服务利用率和满意度的影响.
主要方法:
- 单盲,随机对照试验,涉及急性中风患者及其照顾者.
- 干预组得到家庭支持;对照组得到正常照顾.
- 在中风后6个月进行全面评估.
主要成果:
- 干预组的护理人员显示,法语和活动指数得分显著改善 (p=0.03).
- 在受支持的护理人员中,观察到改善生活质量 (p=0.01) 和对中风理解的满意度 (82%对71%,p=0.04).
- 两组之间在患者的知识,残疾,生活质量或服务满意度方面没有发现显著差异.
结论:
- 家庭支持干预措施有效地提高了中风幸存者的护理人员的社会活动和生活质量.
- 该研究发现,接受家庭支持的中风患者没有显著的益处.
- 调查结果强调了针对非正式护理人员在中风恢复过程中提供有针对性的支持的重要性.
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