Phillips Stephen J, Eskes Gail A, Gubitz Gordon J
Department of Medicine, Dalhousie University and Queen Elizabeth II Health Sciences Centre, Halifax, NS.
CMAJ. 2002 Sep 17;167(6):655-60.
Clinical trials have demonstrated the superiority of coordinated interdisciplinary stroke unit care over conventional treatment of stroke patients on general medical wards. The evidence is so strong that several national bodies have recommended that stroke unit care be widely implemented. Translation of these research findings and care guidelines into clinical practice, however, represents a challenge for health care systems unaccustomed to managing stroke in a coordinated manner. This report describes the organization, operation and outcomes of the Acute Stroke Unit at the Queen Elizabeth II Health Sciences Centre in Halifax. By replicating and adapting the core characteristics identified in the randomized trials, we have been able to demonstrate the effectiveness of stroke unit care in a routine clinical setting. Our experience may help facilitate the development of organized stroke care in Canada.
临床试验已证明，相较于在普通内科病房对中风患者进行常规治疗，跨学科协作的中风单元护理具有优越性。证据十分确凿，以至于多个国家机构都建议广泛推行中风单元护理。然而，将这些研究结果及护理指南转化为临床实践，对于不习惯以协调方式管理中风患者的医疗保健系统而言是一项挑战。本报告描述了哈利法克斯伊丽莎白二世健康科学中心急性中风单元的组织架构、运作情况及成果。通过复制并调整随机试验中确定的核心特征，我们得以在常规临床环境中证明中风单元护理的有效性。我们的经验或许有助于推动加拿大有组织的中风护理发展。
