Ranawaka U K, Fernando M A H, Gunasekera T G S M, Senanayake B S N, Gunawardena D R R, Wijesekera J C, Fernando D J S
Institute of Neurology, National Hospital of Sri Lanka, Colombo.
Ceylon Med J. 2002 Sep;47(3):86-8. doi: 10.4038/cmj.v47i3.3435.
To audit the process of stroke care.
Retrospective case record evaluation using an audit package designed by the Royal College of Physicians of London.
Institute of Neurology, National Hospital of Sri Lanka, Colombo.
263 patients with stroke admitted over a period of 3 years.
Documentation of 60 audit items related to 13 aspects of stroke care.
The process of care was considered 'very good' for only 11 (18.3%), and 'good' for only 9 (15%) of the audit items. Care was 'average' for 5 (8.3%), 'poor' for 9 (15%) and 'very poor' for 26 (43.3%) of the items.
Stroke care was suboptimal in many aspects. Care related to rehabilitation oriented neurological assessments, initiation of secondary preventive measures, rehabilitation planning and discharge planning were especially deficient. Competing interests: none declared. Some of the data reported in this paper have been presented at the Annual Scientific Sessions of the Sri Lanka Medical Association, 1998.
审核卒中护理流程。
使用由伦敦皇家内科医师学院设计的审核包进行回顾性病例记录评估。
斯里兰卡科伦坡国立医院神经学研究所。
3年内收治的263例卒中患者。
与卒中护理13个方面相关的60项审核项目的记录情况。
在审核项目中，护理流程仅11项（18.3%）被评为“非常好”，仅9项（15%）被评为“好”。5项（8.3%）为“一般”，9项（15%）为“差”，26项（43.3%）为“非常差”。
卒中护理在很多方面未达最佳水平。与以康复为导向的神经学评估、二级预防措施的启动、康复计划和出院计划相关的护理尤其不足。利益冲突：未声明。本文报告的部分数据已在1998年斯里兰卡医学协会年度科学会议上发表。
