社区住宿中风幸存者的虚拟多学科中风护理诊所:一个随机对照试验
Suzanne Hoi Shan Lo1, Janita Pak Chun Chau1, Alexander Yuk Lun Lau2
1The Nethersole School of Nursing (S.H.S.L., J.P.C.C., K.C.C., K.M., S.K.Y.L.), Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR.
Stroke
|August 8, 2023
概括
一个虚拟的多学科中风护理诊所改善了中风幸存者的自我效能,社会参与,并减少了抑郁症. 需要进一步的研究来证实临床相关性,因为小到中等效果大小.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 卒中幸存者经常经历无助感,缺乏充足的退院后支持.
- 优化康复需要灵活和务实的护理解决方案.
- 正在探索虚拟的多学科护理模式,以满足这些需求.
研究的目的:
- 评估虚拟多学科中风护理诊所对患者治疗结果的影响.
- 评估自我效能,自我管理行为,社会参与和抑郁的变化.
- 为了确定新型远程医疗干预中风恢复的有效性.
主要方法:
- 一项随机对照试验,涉及来自10家医院的335名中风幸存者.
- 干预组接受了虚拟诊所服务 (在线咨询,电话,在线平台).
- 对照组接受了通常的护理;结果在基线,3个月和6个月使用经过验证的天平进行测量.
主要成果:
- 与对照组相比,虚拟诊所组在自我有效性,社会参与和抑郁症方面显著改善.
- 在自我管理行为方面没有观察到显著的改善.
- 干预的效果大小从0.19到0.36不等,表明小到中等效应.
结论:
- 虚拟多学科中风护理诊所在改善中风幸存者的关键结果方面表现有前途.
- 观察到的效果大小表明临床相关性的潜在限制,需要进一步调查.
- 需要进行额外的研究,以充分确定这种虚拟护理模型的有效性并优化其交付.
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