一个经过修改的Delphi调查,以建立专家共识,在英国中风后认知变化增强护理途径的结构和内容在英国中风后认知变化
Georgina Hobden1, Eugene Yee Hing Tang2, Nele Demeyere3
1Department of Experimental Psychology, University of Oxford, Oxford, UK. georgina.hobden@psy.ox.ac.uk.
BMC health services research
|October 1, 2024
概括
专家们就英国中风后认知监测和精神教育干预的核心特征达成共识. 干预将包括认知查和评估心理变化,如情绪低落和焦虑.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 脑卒中后认知障碍需要增强的长期支持.
- 目前英国中风护理在认知护理提供方面存在差距.
- 需要一个务实的,可扩展的干预,集成到中风路径中.
研究的目的:
- 发展关于英国基于对中风后认知变化的监测和精神教育干预的核心特征的共识.
主要方法:
- 在英国的医疗保健专业人员和研究人员中使用了在线修改的Delphi调查.
- 候选特征是从指导方针,文献和实践经验中得出的.
- 使用描述性统计数据和模板分析分析了共识 (≥75%的同意).
主要成果:
- 在包括中风特异性认知查和评估心理变化 (低情绪,焦虑,疲劳) 方面达成共识.
- 专家们一致认为,中风幸存者应该至少接受一次评估,无论医院的认知情况如何.
- 在审查模式,对所有人的退院后审查,痴呆症查或神经心理评估电池方面没有达成共识.
结论:
- 干预措施应解决中风后的认知和相关的心理变化.
- 专家们同意了一套最低限度的干预特征.
- 建议可以为英国当地中风服务的改进提供信息.
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