Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, St Stephen's Green, Dublin 2, Ireland.
BMC Geriatr. 2010 Jan 27;10:4. doi: 10.1186/1471-2318-10-4.
Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency.
A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment.
Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place.
This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.
尽管中风是导致入住疗养院的主要因素，但缺乏关于中风导致疗养院残疾和依赖程度的数据。一项在疗养院进行的全国性研究可以量化疗养院中风患者的数量、他们的残疾程度和依赖程度。
采用横断面调查研究设计。在全国范围内共确定了 572 家公立和私立疗养院，并对 60 家有 3239 名居民的疗养院进行了分层随机选择。在一半的疗养院（n=30）中，努力对所有中风患者进行访谈。使用调查工具从中风患者和疗养院经理那里收集数据，内容包括人口统计学、患者残疾和治疗情况。
在所有疗养院（n=60）中，18%（n=570）的居民曾患有中风。在接受访谈的疗养院（n=30）中，仅有 7%（n=18）能够自行回答问题的中风患者接受了访谈。其余 93%（n=239）的患者数据由疗养院经理提供。护士经理报告称，73%的中风患者依赖性很高。每两个中风患者中就有一个被开了抗抑郁药或镇静药。只有 21%的中风患者被开了抗凝剂，42%的开了抗血小板药物，36%的开了降胆固醇药物。中风康复指南缺乏，68%的疗养院报告称没有正式的审查程序。
本研究提供了爱尔兰中风和疗养院服务的重要发现。我们现在知道，在全国性调查中，每六名疗养院居民中就有一名是中风患者，他们有各种各样的残疾。目前，爱尔兰疗养院中风幸存者的护理（除了一般护理）很少或根本没有结构化。
