脑卒中患者支持护理需求的轨迹模式和影响因素:一项纵向研究
Yushan Xi1, Ranran Liu1, Yingmei Tang1
1School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu, People's Republic of China.
Journal of advanced nursing
|May 16, 2024
概括
脑卒中患者随着时间的推移表现出各种各样的支持性护理需求,并确定了不同的轨迹. 了解这些模式有助于为更好的结果量身定制护理.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 卒中是导致长期残疾的主要原因,需要持续的支持性护理.
- 患者的需求在中风后不断发展,这凸显了了解轨迹模式的重要性.
研究的目的:
- 确定中风患者支持性护理需求的独特轨迹模式.
- 为了确定影响这些支持性护理需求轨迹的因素.
主要方法:
- 长度研究涉及207名中风患者超过6个月.
- 使用了关于支持性护理需求,焦虑,抑郁和日常生活活动的问卷.
- 应用隐性类增长建模和后勤回归分析.
主要成果:
- 确定了三个支持性护理需求轨迹:高需求缓慢下降 (20.8%),中等需求稳定 (56.5%),中等需求快速下降 (22.7%).
- 与轨迹类别相关的因素包括年龄,教育,收入,并发症,日常生活活动,焦虑和抑郁.
结论:
- 脑卒中患者表现出异质的支持性护理需求轨迹.
- 考虑患者特征和不断变化的需求的个性化护理计划对于有效管理至关重要.
- 多学科合作可以优化护理,减轻患者的痛苦.
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