Ing Marissa M, Linton Kristen F, Vento Megan A, Nakagawa Kazuma
Neuroscience Institute, The Queen's Medical Center, Honolulu, HI (MMI, MAV, KN).
Hawaii J Med Public Health. 2015 Apr;74(4):141-5.
The objective of this study was to assess the overall understanding and effectiveness of current inpatient stroke education practice by using the data from the Investigation of Stroke Needs (INVISION) Study, a qualitative study assessing various challenges and barriers of the hemorrhagic stroke survivors and their caregivers. Semi-structured interviews were conducted on patients who were recently hospitalized with intracerebral hemorrhage (ICH) and their caregivers during the follow-up visits. The electronic medical record for each patient was reviewed to assess whether they received standard stroke education material during their hospitalization. A phenomenological approach was utilized to identify gaps of education and knowledge in the targeted sample. A total of 21 participants were interviewed. Despite receiving formal stroke education material during their hospitalization, there were three major gaps in stroke knowledge that participants noted, including (1) lack of stroke knowledge/awareness, (2) need for stroke education, and (3) fear of recurrent stroke and comorbid diseases. The majority of ICH survivors had no memory of their hospitalization. This study suggests a need for increased continuity and communication with health-care providers to address the evolving educational and practical needs of stroke patients and their caregivers after hospital discharge.
本研究的目的是利用卒中需求调查（INVISION）研究的数据，评估当前住院卒中教育实践的整体理解和效果，该研究是一项定性研究，评估出血性卒中幸存者及其护理人员面临的各种挑战和障碍。在随访期间，对近期因脑出血（ICH）住院的患者及其护理人员进行了半结构化访谈。查阅了每位患者的电子病历，以评估他们在住院期间是否收到了标准的卒中教育材料。采用现象学方法确定目标样本中的教育和知识差距。共采访了21名参与者。尽管参与者在住院期间收到了正式的卒中教育材料，但他们指出了卒中知识方面的三个主要差距，包括：（1）缺乏卒中知识/意识；（2）需要卒中教育；（3）对复发性卒中和合并症的恐惧。大多数ICH幸存者对其住院情况没有记忆。本研究表明，需要加强与医疗保健提供者的连续性和沟通，以满足卒中患者及其护理人员出院后不断变化的教育和实际需求。
