澳大利亚中风后获得出院护理计划的相关因素:一项链接注册表研究
Emma Polhill1, Monique F Kilkenny1,2, Dominique A Cadilhac1,2
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia.
Reviews in cardiovascular medicine
|July 30, 2024
概括
只有47%的中风患者获得了出院护理计划,尽管它对康复的重要性. 诸如年龄,出院时间和护理环境等因素影响了计划的收到,突出了改善中风护理过渡的领域.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 出院规划对于优化中风患者从急性护理到家庭的过渡至关重要.
- 对中风后出院计划的指导方针建议往往没有得到满足,许多患者缺乏护理计划.
- 关于影响为中风幸存者提供出院护理计划的因素的证据有限.
研究的目的:
- 评估患者,临床和系统因素,与接受急性中风后出院护理计划相关.
- 确定中风患者在出院护理计划提供方面的差异.
主要方法:
- 一项观察性队列研究,利用澳大利亚中风临床注册表的数据与医院行政数据 (2009-2013) 相联系.
- 包括急性中风患者退院到社区.
- 多变量后勤回归分析,以确定与收到出院护理计划相关的因素.
主要成果:
- 在7812名符合条件的中风患者中,只有47%获得了出院护理计划.
- 与接受计划积极相关的因素包括更高的社会经济地位,缺血性中风,更严重的中风和服用抗高血压药物的出院.
- 负面关联的因素包括年龄较大 (85岁以上),周末出院,出院到住院养老院以及在大型医院接受治疗.
结论:
- 需要针对老年患者,退院到养老院的患者或周末退院的患者进行有针对性的干预,以改善退院计划.
- 解决患者,临床和系统因素可以加强对中风幸存者的出院护理计划的提供.
- 改善出院规划对于优化中风后护理过渡和患者结果至关重要.
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