中风幸存者的药物治疗、合并症和医疗并发症：CAReS研究
Medications, comorbidities, and medical complications in stroke survivors: the CAReS study.
作者信息
Ostwald Sharon K, Wasserman Joan, Davis Sally
机构信息
Center on Aging, University of Texas School of Nursing, Houston, TX 77030, USA.
出版信息
Rehabil Nurs. 2006 Jan-Feb;31(1):10-4. doi: 10.1002/j.2048-7940.2006.tb00004.x.
Stroke survivors enter rehabilitation units with many medical comorbidities and often experience significant complications during their stays. The 97 stroke survivors discharged home in this study received prescriptionsfor a mean of 11.3 medications from 5.4 different drug classifications. There were significant correlations between the number of comorbidities and after stroke complications and the number of different classifications of drugs that were ordered. This article (1) identifies the types of medications prescribed for stroke survivors who are being discharged home from rehabilitation, (2) explores correlations between medication prescriptions and the number of stroke-related comorbidities and medical complications, (3) identifies the cost of medications and the potential effect of medication costs on stroke survivors, and (4) discusses the nurse's role in preparing stroke survivors and their caregivers for medication use after discharge. Rehabilitation nurses bear the major responsibility for teaching stroke survivors and their caregivers about their discharge medications.
中风幸存者进入康复单元时伴有多种合并症，且在住院期间常出现严重并发症。本研究中出院回家的97名中风幸存者平均从5.4种不同药物类别中接受了11.3种药物的处方。合并症数量、中风后并发症与所开不同药物类别的数量之间存在显著相关性。本文（1）确定了从康复机构出院回家的中风幸存者所开药物的类型，（2）探讨了药物处方与中风相关合并症数量和医疗并发症之间的相关性，（3）确定了药物成本以及药物成本对中风幸存者的潜在影响，（4）讨论了护士在为中风幸存者及其护理人员做好出院后用药准备方面的作用。康复护士在教导中风幸存者及其护理人员有关出院药物方面承担主要责任。
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