对中风后情绪和认知问题的查和护理:对一个集群随机对照试验的前性混合方法过程评估
J P L Slenders1, J M A Visser-Meily2,3, V I H Kwa4
1Department of Neurology, OLVG Amsterdam, Jan Tooropstraat 164, Amsterdam, 1061AE, the Netherlands. j.p.l.slenders@olvg.nl.
BMC health services research
|March 4, 2025
概括
护士主导的治疗中风后情绪和认知问题的干预是可行的,并且执行得很好. 这种涉及查和自我管理支持的方法显示出高患者出席率和护士接受度.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 护理 护理 护理
背景情况:
- 脑卒中后的情绪和认知缺陷是常见的.
- 开发了一种干预措施,包括查,自我管理支持和转诊.
- 通过护士带领的门诊咨询在中风后六周提供.
研究的目的:
- 评估护士主导干预的范围,剂量和忠实性.
- 评估其实施的障碍和促进因素.
- 探索医疗保健提供者的干预经验.
主要方法:
- 混合方法研究使用注册表,障碍物和促进者工具 (BFAI) 和小组采访.
- 专门的护士填写了登记表,以达到,剂量和忠诚度.
- 与护士的小组采访被使用诱导主题分析来分析.
主要成果:
- 高患者出席率 (99.2%) 和查完成率 (88.9%).
- 联邦航空局表示,干预是可行的,不耗时,并没有受到上下文因素的阻碍.
- 护士们发现,尽管干预与通常的护理重叠,但干预提供了对中风后问题的更深入理解.
结论:
- 护士主导的治疗中风后情绪和认知问题的干预是很好地执行和可行的.
- 高的实施率表明了将其纳入临床实践的潜力.
- 进一步分析将确定临床和成本效益,以便更广泛地采用.
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