Stevens T, Payne S A, Burton C, Addington-Hall J, Jones A
Lancaster University, Lancashire, UK.
Palliat Med. 2007 Jun;21(4):323-31. doi: 10.1177/0269216307079160.
The aim of this literature review was to identify the palliative care needs of stroke patients. Stroke results in high levels of mortality and morbidity, yet very little is known about the nature and extent of palliative care services that are available to this patient group, and the ways in which such services could be delivered. A critical review of the international literature found only seven papers that attempted to identify the palliative care needs of patients diagnosed with stroke. The results of the review showed that the preferences of stroke patients and their families in relation to palliative care services are largely unknown. The review also indicated the paucity of data in regard to the distinction between provision of palliative care services for patients who die in the acute phase of stroke and for those patients who die later. Establishing reliable assessments of need are central to designing and implementing effective interventions and further research is required in this area. Further data on how the input of palliative care experts and expertise could be of benefit to patients, and the most effective ways these inputs could be targeted and delivered is required.
本综述的目的是确定中风患者的姑息治疗需求。中风导致高死亡率和高发病率，但对于该患者群体可获得的姑息治疗服务的性质和范围，以及提供此类服务的方式，我们知之甚少。对国际文献的批判性综述发现，仅有七篇论文试图确定中风患者的姑息治疗需求。综述结果表明，中风患者及其家属对姑息治疗服务的偏好很大程度上尚不清楚。该综述还指出，关于为在中风急性期死亡的患者和那些稍后死亡的患者提供姑息治疗服务之间的区别，数据匮乏。建立可靠的需求评估对于设计和实施有效的干预措施至关重要，该领域需要进一步研究。需要更多关于姑息治疗专家的投入和专业知识如何能使患者受益，以及这些投入最有效的针对性和提供方式的数据。
