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脑卒中患者及其照护者的教育需求:文献系统综述。

Educational needs of patients with a stroke and their caregivers: a systematic review of the literature.

机构信息

Department of Rehabilitation, Nursing Science and Sport medicine, Rudolf Magnus Institute of Neuroscience, University Medical Center, Utrecht, The Netherlands.

出版信息

Patient Educ Couns. 2011 Oct;85(1):14-25. doi: 10.1016/j.pec.2010.07.046. Epub 2010 Sep 23.

DOI:10.1016/j.pec.2010.07.046
PMID:20869189
Abstract

OBJECTIVE

To systematically review the research on stroke patients' and caregivers' educational needs.

METHODS

A search of the literature prior to and including the year January 2009 was conducted using Medline, CINAHL, EMBASE, PsychINFO and the Cochrane Library, yielding 959 articles. Of these, 21 studies were included in the review.

RESULTS

Stroke patients and caregivers reported many and diverse educational needs, which often were not met. The educational needs of stroke patients and caregivers concerned knowledge about the clinical aspects of stroke, prevention, treatment and functional recovery. The most commonly reported needs of caregivers involved patients' moving and lifting, exercises, psychological changes and nutritional issues. Patients and caregivers wanted information that was tailored to their situation.

CONCLUSION

Patients and caregivers have many unmet educational needs. The findings call for improved education of patients and caregivers on various issues that are specific to the various recovery phases after stroke.

PRACTICE IMPLICATIONS

The findings of this review can be used to develop educational interventions for stroke patients and caregivers. Further research is needed to investigate the feasibility and effects of educational interventions and whether they meet the educational needs of patients and caregivers.

摘要

目的

系统回顾有关脑卒中患者和照护者教育需求的研究。

方法

在 Medline、CINAHL、EMBASE、PsychINFO 和 Cochrane 图书馆检索了 2009 年 1 月以前的文献,共获得 959 篇文章。其中 21 篇研究被纳入综述。

结果

脑卒中患者和照护者报告了许多不同的教育需求,但这些需求往往得不到满足。患者和照护者的教育需求涉及脑卒中的临床方面、预防、治疗和功能恢复等知识。照护者最常报告的需求涉及患者的移动和搬运、锻炼、心理变化和营养问题。患者和照护者希望获得针对其具体情况的信息。

结论

患者和照护者有许多未满足的教育需求。研究结果呼吁针对脑卒中后各个恢复阶段的具体问题,改善对患者和照护者的教育。需要进一步研究教育干预措施的可行性和效果,以及这些干预措施是否满足患者和照护者的教育需求。

实践意义

本综述的结果可用于为脑卒中患者和照护者制定教育干预措施。需要进一步研究教育干预措施的可行性和效果,以及这些干预措施是否满足患者和照护者的教育需求。

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