从急性环境中出院后,对于轻微中风幸存者而言,存在哪些后续干预,计划和途径? 一个范围审查审查
Jennifer Crow1,2, Matthew Savage3, Lisa Gardner4
1Department of Brain Sciences, Imperial College London, London, UK jcrow@ic.ac.uk.
BMJ open
|June 13, 2023
概括
这次范围审查检查了轻微中风后的随访护理,发现了各种干预措施和定义. 未来的护理途径应该是个性化的,整体的,并以理论为基础,以便更好地调整患者.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 轻微的中风 (也称为过渡性缺血性发作或TIA) 影响着大量人群,但后续护理的定义和交付方式不一致.
- 了解当前的做法对于开发有效的中风后护理途径至关重要.
- 现有的研究强调,需要对轻微中风后患者的管理采取标准化的方法.
研究的目的:
- 全面审查和综合现有关于小卒中后对个人进行后续干预的文献.
- 确定当前研究中使用的轻微中风的各种定义,干预组件,理论基础和结果措施.
- 为开发和可行性测试提供信息,为轻微中风幸存者提供标准化的护理途径.
主要方法:
- 进行了系统的范围审查,搜索了五个主要数据库 (EMBASE,MEDLINE,CINAHL,英国护理指数,PsycINFO) 和灰色文献.
- 选和全文审查由两名独立研究人员进行,第三名研究人员判断分歧.
- 数据提取使用了一个定制的模板,包含了干预描述和复制模板 (TIDieR) 检查清单,以确保详细的干预报告.
主要成果:
- 包括使用各种方法的25项研究,揭示了轻微中风的广泛定义.
- 干预措施主要集中在二次中风预防和风险管理上,不太重视解决残留损伤.
- 报告指出,家庭参与有限,初级和中级护理之间的专业间合作有限,干预组件,持续时间,交付和结果措施的变化也很大.
结论:
- 有越来越多的研究对中风后的随访,表明需要更标准化的方法.
- 未来的干预措施应该是个性化的,整体的,理论化的,整合教育和对生活调整的支持.
- 开发一个一致的,跨学科的后续护理途径对于优化轻微中风幸存者的结果至关重要.
更多相关视频
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
05:28Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
Published on: October 11, 2024
633
相关概念视频
01:28Acute Coronary Syndrome IV: Interprofessional Care
13
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
13
01:23Atherosclerosis IV: Nursing Management
26
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
26
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
01:31Discharge Summary Forms
787
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
787
01:23Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
01:27Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13