沟通是中风康复和恢复的关键吗? 国家链接中风数据研究研究
Sally Zingelman1,2,3, Sarah J Wallace1,2,3, Joosup Kim4,5
1Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia.
三分之二的中风幸存者需要沟通支持. 在中风康复中改善沟通与更好的长期结果和降低死亡率有关,这突显了对可获得护理的需求.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 关于中风幸存者与沟通支持需求的长期结果的数据有限.
- 了解这些结果对于改善中风护理和患者生活质量至关重要.
研究的目的:
- 调查中风康复期间的沟通成果与长期结果之间的关联.
- 根据中风后的沟通支持需求,检查生活质量 (EuroQOL-ED-3L) 和死亡率.
主要方法:
- 一项回顾性队列研究,使用澳大利亚中风注册表 (2014-2017) 的链接数据.
- 通过功能独立度量TM (FIMTM) 的理解和表达项目评估通信支持需求.
- 多变量多级和考克斯回归模型分析了与长期结果的关联.
主要成果:
- 在8,394名中风患者中,有三分之二的人有沟通支持需求,与失言症,年龄较大,中风严重程度和以前的中风有关.
- 90-180天后,FIMTM表达分数提高1分与自我报告的流动性,自我护理和通常活动困难的减少有关.
- 需要沟通支持的患者表现出更高的一年死亡率 (aHR 1.99).
结论:
- 绝大多数中风患者需要医疗保健参与的沟通支持.
- 在中风护理中,优先考虑通讯可访问的环境对于更好的患者结果和生存至关重要.
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