van de Port I G L, van den Bos G A M, Voorendt M, Kwakkel G, Lindeman E
Center of Excellence for Rehabilitation Medicine Utrecht, The Netherlands.
Disabil Rehabil. 2007 Dec 30;29(24):1841-6. doi: 10.1080/09638280601129157. Epub 2007 Mar 5.
To investigate the prevalence of unmet demands concerning autonomy and participation and to identify risk factors related to these unmet demands in patients with chronic stroke.
A cross-sectional study of 147 patients three years after stroke. We assessed perceived unmet care demands in relation to problems of participation and autonomy measured by the Impact on Participation and Autonomy Questionnaire (IPAQ). Socio-demographic and health characteristics were analysed as potential risk factors for the prevalence of unmet demands, using multivariate regression analysis.
A total of 33% of the patients perceived at least one unmet demand in one of the IPAQ subdomains. Risk factors significantly related to the presence of unmet demands were younger age, motor impairment, fatigue and depressive symptoms. Findings indicate that the model including these factors was fairly accurate in identifying patients having unmet demands and those not having unmet demands.
Unmet care demands were present in a substantial proportion of the stroke patients. The risk factors identified are helpful for clinicians and health care providers to recognize patients who are at risk of perceiving unmet care demands and to optimize care to patients with chronic stroke.
调查慢性卒中患者中未满足的自主和参与需求的患病率，并确定与这些未满足需求相关的风险因素。
对147例卒中三年后的患者进行横断面研究。我们使用参与和自主影响问卷（IPAQ）评估了与参与和自主问题相关的感知未满足护理需求。使用多变量回归分析，将社会人口统计学和健康特征作为未满足需求患病率的潜在风险因素进行分析。
共有33%的患者在IPAQ子领域中至少察觉到一项未满足的需求。与未满足需求的存在显著相关的风险因素是年龄较小、运动障碍、疲劳和抑郁症状。研究结果表明，包含这些因素的模型在识别有未满足需求的患者和没有未满足需求的患者方面相当准确。
相当一部分卒中患者存在未满足的护理需求。所确定的风险因素有助于临床医生和医疗保健提供者识别有感知未满足护理需求风险的患者，并优化对慢性卒中患者的护理。
