患者在中风护理中的伙伴关系:一个范围审查
Hussain Bux1, Furkan Zurel2, Zakaria Rashid3
1Medical Education, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.
Cureus
|August 7, 2025
概括
患者伙伴关系是中风护理的关键,从父权主义转向协作方法. 在中风途径的各个阶段定制这种伙伴关系,并将其整合到医学教育中,可以改善患者的治疗结果,并塑造未来的临床医生.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 脑卒中康复治疗 脑卒中康复治疗
- 医疗教育 医学教育
背景情况:
- 患者伙伴关系越来越被认为是提供高质量的医疗保健的基础.
- 脑卒中恢复是复杂的,需要一个多维的方法来照顾病人.
- 当前的医学教育模式可能会促进交易式学习,而不是合作伙伴关系.
研究的目的:
- 探索在整个中风护理途径中实施患者伙伴关系.
- 检查医学教育如何促进向学生学习中的伙伴关系和协作转变.
- 确定最佳实践,以适应中风管理不同阶段的患者伙伴关系.
主要方法:
- 在Cochrane图书馆,Embase和PubMed进行了系统的文献搜索.
- 研究使用系统性审查的首选报告项目和扩展范围审查的元分析 (PRISMA-ScR) 准则进行了选.
- 包括11篇文章,使用关键评估技能计划 (CASP) 工具进行质量评估,并使用在中风正确护理路径上映的专题综合分析.
主要成果:
- 医疗保健正在从一种父权主义模式演变为一种强调临床医生与患者合作伙伴关系的模式.
- 有效的患者伙伴关系需要根据特定阶段量身定制策略:临床医生主导的超急性护理决策,急性护理的患者教育和目标设定以及协作性康复.
- 在医学教育中早期整合患者伙伴关系原则对于塑造未来医疗保健专业人员的态度和实践至关重要.
结论:
- 在中风途径的所有阶段,患者的伙伴关系至关重要,定制方法可以产生更好的结果.
- 在医学教育中嵌入患者伙伴关系对于开发协作式医疗保健提供者至关重要.
- 未来的研究应该集中在正式的培训策略上,并评估患者伙伴关系在各种临床环境和条件中的适用性.
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