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信息和培训提供对脑卒中康复患者和照护者满意度的影响。

Effects of information and training provision in satisfaction of patients and carers in stroke rehabilitation.

机构信息

Physical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital de l'Esperança, Hospital del Mar.) Research group on Rehabilitation, Institut Hospital del Mar d'Investigacions Mèdiques, (IMIM), Universitat Autònoma de Barcelona, Barcelona, Spain.

出版信息

NeuroRehabilitation. 2013;33(4):639-47. doi: 10.3233/NRE-130989.

Abstract

BACKGROUND

Active information and training improves patient and carer knowledge of stroke and aspects of patient satisfaction, as well as reduces patient depression.

OBJECTIVE

To evaluate the effect of a post-stroke information and carer training intervention provided in the rehabilitation hospital setting on patient and carers' satisfaction.

METHODS

Nonrandomized, controlled trial with 241 patients consecutively admitted in a post-stroke rehabilitation unit and their carers. The first 140 underwent a standard rehabilitation program (control group) and the 131 following attended an additional class (intervention group). Satisfaction was assessed with the Satisfaction Pound Scale administered by telephone 6 months after stroke in 74 patients and 85 carers from the control group and in 76 patients and 73 carers from the intervention group.

RESULTS

Over 80% of patients in both groups were satisfied with information, care and therapy during hospitalization. The amount of therapy and support at discharge were the issues that arouse greater dissatisfaction. Patient and carers' satisfaction with information, support and accessibility to rehabilitation team after hospital discharge improved after the intervention (p < 0.001).

CONCLUSIONS

Systematic active information, training and community support provision for stroke patients and carers improves satisfaction with stroke rehabilitation programs and support received after hospital discharge.

摘要

背景

积极的信息和培训可以提高患者和照护者对中风的了解以及患者满意度的某些方面,同时还可以减轻患者的抑郁程度。

目的

评估在康复医院环境中提供中风后信息和照护者培训干预对患者和照护者满意度的影响。

方法

采用非随机对照试验,纳入 241 例连续入住中风康复病房的患者及其照护者。前 140 例接受标准康复计划(对照组),随后的 131 例参加了额外的课程(干预组)。在中风后 6 个月,通过电话对 74 例患者和 85 名照护者(对照组)以及 76 例患者和 73 名照护者(干预组)进行满意度评估,使用满意度庞德量表进行评估。

结果

两组患者中超过 80%对住院期间的信息、护理和治疗感到满意。出院时的治疗和支持量是引起更多不满的问题。在干预后,患者和照护者对出院后康复团队的信息、支持和可及性的满意度提高(p<0.001)。

结论

为中风患者和照护者提供系统的积极信息、培训和社区支持,可以提高对中风康复计划和出院后支持的满意度。

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