Faculty of Medicine and Health Sciences, Division of Rehabilitation and Ageing, Queens Medical Centre, Nottingham, UK.
Clin Rehabil. 2013 Aug;27(8):750-7. doi: 10.1177/0269215512474030. Epub 2013 Mar 1.
To investigate patients' and carers' experiences of Early Supported Discharge services and inform future Early Supported Discharge service development and provision.
Semi-structured interviews were completed with 27 stroke patients and 15 carers in the Nottinghamshire region who met evidence-based Early Supported Discharge service eligibility criteria. Participants were either receiving Early Supported Discharge or conventional services.
Community stroke services in Nottinghamshire, UK.
A thematic analysis process was applied to identify similarities and differences across datasets. Themes specific to participants receiving Early Supported Discharge services were: the home-based form of rehabilitation; speed of response; intensity and duration of therapy; respite time for the carer; rehabilitation exercises and provision of technical equipment; disjointed transition between Early Supported Discharge and ongoing rehabilitation services. Participants receiving Early Supported Discharge or conventional community services experienced difficulties related to: limited support in dealing with carer strain; lack of education and training of carers; inadequate provision and delivery of stroke-related information; disjointed transition between Early Supported Discharge and ongoing rehabilitation services.
Accelerated hospital discharge and home-based rehabilitation was perceived positively by service users. The study findings highlight the need for Early Supported Discharge teams to address information and support needs of patients and carers and to monitor their impact on carers in addition to patients, using robust outcome measures.
调查患者和护理人员对早期支持出院服务的体验，为未来的早期支持出院服务发展和提供提供信息。
在诺丁汉郡地区，对符合循证早期支持出院服务资格标准的 27 名中风患者和 15 名护理人员进行了半结构化访谈。参与者要么接受早期支持出院服务，要么接受常规服务。
英国诺丁汉郡的社区中风服务。
应用主题分析过程来识别数据集之间的相似点和不同点。专门针对接受早期支持出院服务的参与者的主题有：基于家庭的康复形式；响应速度；治疗的强度和持续时间；护理人员的休息时间；康复练习和技术设备的提供；早期支持出院和持续康复服务之间的脱节过渡。接受早期支持出院或常规社区服务的参与者在以下方面遇到困难：应对护理人员压力方面的支持有限；护理人员缺乏教育和培训；缺乏与中风相关的信息的提供和交付；早期支持出院和持续康复服务之间的脱节过渡。
加速的医院出院和基于家庭的康复得到了服务使用者的积极评价。研究结果强调了早期支持出院团队需要解决患者和护理人员的信息和支持需求，并使用可靠的结果测量指标，除了患者之外，还监测其对护理人员的影响。
