School of Rehabilitation Sciences, Faculty of Health and Social Care, St George's University of London & Kingston University, London, UK.
Panminerva Med. 2013 Mar;55(1):79-86.
Stroke is traditionally thought of as an acute condition and most rehabilitation is provided in the first six months poststroke. To date there has been minimal focus on strategies which could support people in the longer term and manage the transition towards successful adjustment and self-management. Stroke self-management programs whilst rare are now starting to emerge but while the feasibility and acceptability of delivering stroke self-management programs looks to be promising, there are minimal findings beyond phase II trials. A self-management program is a complex intervention and a carefully staged approach to research is required, one which addresses the issues around implementation and the skills required by those delivering the intervention. In addition there are a number of questions relating to maintenance of self-management skills beyond attendance at programs or after rehabilitation. Currently the sustainability of any impact from these programs is uncertain and it is unclear which are the best methods to enhance self-management skills over a longer time period. More work is required in order to develop and test different forms of support which could range from a simple goal setting interventions to more structured self-management programs delivered either as a group or individualized intervention.
中风传统上被认为是一种急性疾病，大多数康复治疗都在中风后六个月内提供。迄今为止，人们很少关注能够在更长时间内为人们提供支持并管理向成功调整和自我管理过渡的策略。中风自我管理计划虽然很少见，但现在开始出现，但尽管中风自我管理计划的可行性和可接受性看起来很有希望，但在第二阶段试验之外几乎没有发现。自我管理计划是一种复杂的干预措施，需要进行精心策划的研究方法，该方法需要解决实施问题以及提供干预措施的人员所需的技能。此外，还有一些与参加计划或康复后保持自我管理技能有关的问题。目前，这些计划的任何影响的可持续性都不确定，也不清楚在更长的时间内增强自我管理技能的最佳方法是什么。需要做更多的工作来开发和测试不同形式的支持，这些支持的范围可以从简单的目标设定干预到更结构化的自我管理计划，这些计划可以作为小组或个体化干预来提供。
