Kalra Lalit, Langhorne Peter
Department of Stroke Medicine, King's College London School of Medicine, London, UK.
J Rehabil Med. 2007 Mar;39(2):97-102. doi: 10.2340/16501977-0043.
Despite dramatic advances in the management of thrombolysis and acute stroke, organized rehabilitation remains the cornerstone of recovery from stroke. The importance of organized stroke care in facilitating recovery has been recognized for the last 10 years, but it is still unclear how organized rehabilitation contributes to improved outcomes. This paper presents a synthesis of evidence of the benefits of organized care, especially with respect to stroke severity and different types of organized stroke care. It presents an overview of possible processes within organized rehabilitation that may contribute to good outcomes. The role of integrated care pathways within rehabilitation settings is discussed, highlighting the limitations of current evidence and uncertainty about their benefits. Finally, some key challenges have been identified for stroke units in improving rehabilitation outcomes over the next decade and for healthcare planners in investing adequately in organized stroke services.
尽管在溶栓和急性中风的治疗方面取得了显著进展，但有组织的康复治疗仍然是中风康复的基石。在过去十年中，有组织的中风护理对促进康复的重要性已得到认可，但目前仍不清楚有组织的康复治疗是如何改善治疗效果的。本文综合了有关有组织护理益处的证据，特别是关于中风严重程度和不同类型的有组织中风护理的证据。本文概述了有组织康复治疗中可能有助于取得良好治疗效果的过程。讨论了康复环境中综合护理路径的作用，强调了现有证据的局限性及其益处的不确定性。最后，确定了中风单元在未来十年改善康复效果方面以及医疗保健规划者在为有组织的中风服务提供充足投资方面面临的一些关键挑战。
