对急性中风患者提供家庭护理服务的受控试验
Lancet (London, England)
|February 9, 1985
概括
在急性中风后的新家庭护理服务并没有改善情绪调整或减少住院使用. 功能恢复和亲属的压力保持不变,这表明短期利益有限.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性中风需要全面的出院后护理.
- 家庭护理服务旨在支持患者并减少住院再接收.
- 新型家庭服务的有效性需要严格的评估.
研究的目的:
- 评估一个新的家庭护理服务对急性中风后患者的影响.
- 评估服务对医院利用率,情绪调整和功能恢复的影响.
- 为了确定亲属所经历的压力的影响.
主要方法:
- 一项受控试验涉及440名接受新家庭护理服务的患者和417名对照患者.
- 数据收集的重点是医院住院日数,入院率,情绪调整,亲属压力和功能恢复.
- 随访期间涵盖了急性中风后的前6个月.
主要成果:
- 试验组的病床日数增加,入院率略高.
- 两组之间没有观察到对中风或压力对亲属的情绪调整的显著差异.
- 在家庭护理和对照组中,功能恢复是相同的,每个组的四分之一的患者仍然严重残疾.
结论:
- 引入新的家庭护理服务并没有改变短期临床决策,也没有减少医院使用.
- 建议对仅仅为了减少医院利用率而扩大家庭服务的扩张保持谨慎.
- 可能需要进一步的研究来确定长期益处或特定的患者子组,从这些服务中获益最多.
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