心脏骤停后的认知查和康复:只有几个障碍需要克服
Janine A van Til1, Martin E W Hemels2,3, Jeannette Hofmeijer4,5
1Department of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, The Netherlands. j.a.vantil@utwente.nl.
概括
对心脏骤停幸存者的认知查是相关的,但实施面临诸如缺乏实际指导和资源等障碍. 解决这些问题可以改善对幸存者的护理.
科学领域:
- 神经科学是一个神经科学.
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 荷兰和欧洲的指导方针提倡在心脏骤停的幸存者中进行认知和情绪障碍的系统查.
- 认知障碍是心脏骤停的一个重要,但经常被忽视的后果.
研究的目的:
- 探讨有关心脏骤停幸存者的认知查和康复的利益相关者的意见.
- 为了确定在荷兰实施认知查的障碍和促进者.
- 制定改善心脏骤停后认知护理的建议.
主要方法:
- 与各种利益相关者进行了22次半结构面试.
- 使用了慢性疾病定制实施 (TICD) 检查清单框架.
主要成果:
- 关于认知查的重要性和卫生专业人员和患者的积极态度存在广泛的共识.
- 关键的障碍包括缺乏实际查指南,知识不足,跨学科合作不足,资源有限,还款证据薄弱等.
- 大多数障碍可以通过制定实用指南和加强医院内部协作来解决.
结论:
- 简单的认知查和量身定制的咨询可以通过完善国家指南和促进合作来实施.
- 更密集的认知康复需要更强有力的有效性证据来证明指导方针的认可和财务覆盖.
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