在中风后过渡到家中及其他地方:对结果和需求的前性队列研究
Geraldine O'Callaghan1,2, Martin Fahy3, Sigrid O'Meara3
1iPASTAR Collaborative Doctoral Award Programme, School of Physiotherapy, RCSI University of Medicine and Health Sciences, 123 St. Stephen's Green, Dublin 2, Ireland. gocallaghan@rcsi.com.
BMC health services research
|April 10, 2024
概括
患有中风的人面临着重新融入社区的重大挑战,许多未满足的需求在出院后仍然存在. 了解这些需求对于为中风幸存者开发有效的支持干预措施至关重要.
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:
- 对于中风幸存者在医院出院期间和随后的六个月的需求,人们的了解有限.
- 这项研究旨在全面描述和记录这些不断变化的需求.
研究的目的:
- 识别和描述中风患者从医院转移到家庭的未满足需求.
- 在退院后的前六个月评估功能结果,生活质量和认知状态.
主要方法:
- 一项前性队列研究,涉及从三个医院转回家的中风患者.
- 数据收集包括验证的问卷和7-10天,3个月和6个月后的需求调查.
主要成果:
- 在出院时注意到严重的残疾 (51%的mRS≥3),身体和社会功能持续存在挑战.
- 40%的参与者在6个月后经历了认知障碍,未满足的需求包括护理决策参与,康复,信息和支持.
- 未满足需求的中位数是出院时的4个和6个月后的3个.
结论:
- 对于中风幸存者及其家属来说,重返社会是具有挑战性的,有大量未满足的需求.
- 在医院到家庭过渡期间,对结果和未满足的需求进行分析对于设计有针对性的支持干预措施至关重要.
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