出院干预改善结果和基于Web的门户网站参与中风和过渡性缺血性发作后:一个随机对照试验随机对照试验
Kristy Fakes1, Amy Waller1, Mariko Carey2
1Health Behaviour Research Collaborative, College of Health, Medicine and Wellbeing, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
概括
基于网络的中风护理干预改善了幸存者的生活质量,减少了抑郁症,并满足了未满足的需求. EnableMe门户显示了良好的接受度,尽管未来的研究应该提高在线资源参与度.
科学领域:
- 神经科学是一个神经科学.
- 数字健康数字健康
- 康复医学 康复医学 康复医学
背景情况:
- 对于中风和过渡性缺血性攻击 (TIA) 幸存者的出院后护理需要有效的策略来最大限度地提高患者的参与度.
- 基于网络的干预措施显示出支持中风幸存者在医院出院后的希望.
研究的目的:
- 评估 EnableMe 基于网络的门户网站和参与策略在改善生活质量,减少中风/TIA 幸存者的抑郁,焦虑和未满足需求方面的有效性.
- 评估EnableMe干预措施在幸存者及其支持人员的使用和接受度.
主要方法:
- 一个开放的,并行组,多中心随机对照试验 (RCT) 比较了EnableMe干预与通常的护理.
- 从八家医院招募了98名中风/TIA幸存者和30名支持人员.
- 评估生活质量,抑郁,焦虑和未满足需求的问卷在基线,3个月和6个月进行了管理.
主要成果:
- 干预组在3个月后显示出改善生活质量的实质证据.
- 中度至强度的证据表明,治疗对抑郁症得分有影响.
- 干预参与者在3个月和6个月后遇到的未满足需求较少,幸存者和支持人员对EnableMe门户网站的帮助率很高.
结论:
- 出院支持干预表明,对中风幸存者的生活质量,抑郁和未满足需求有显著的好处.
- 发现EnableMe门户是可以接受的,用户的态度是积极的.
- 建议进行进一步的研究,以探索改善在线中风护理资源的采用和参与的策略.
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