Clarke David J, Forster Anne
Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford, UK.
J Multidiscip Healthc. 2015 Sep 22;8:433-42. doi: 10.2147/JMDH.S68764. eCollection 2015.
Stroke is a leading cause of serious, long-term disability, the effects of which may be prolonged with physical, emotional, social, and financial consequences not only for those affected but also for their family and friends. Evidence for the effectiveness of stroke unit care and the benefits of thrombolysis have transformed treatment for people after stroke. Previously viewed nihilistically, stroke is now seen as a medical emergency with clear evidence-based care pathways from hospital admission to discharge. However, stroke remains a complex clinical condition that requires health professionals to work together to bring to bear their collective knowledge and specialist skills for the benefit of stroke survivors. Multidisciplinary team working is regarded as fundamental to delivering effective care across the stroke pathway. This paper discusses the contribution of team working in improving recovery at key points in the post-stroke pathway.
中风是导致严重长期残疾的主要原因,其影响可能会持续很长时间,不仅给患者本人,也给他们的家人和朋友带来身体、情感、社会和经济方面的后果。中风单元护理的有效性证据以及溶栓治疗的益处已经改变了中风患者的治疗方式。中风以前被消极看待,现在则被视为一种医疗急症,从入院到出院有明确的循证护理路径。然而,中风仍然是一种复杂的临床病症,需要卫生专业人员共同努力,运用他们的集体知识和专业技能,以造福中风幸存者。多学科团队协作被认为是在整个中风治疗过程中提供有效护理的基础。本文讨论了团队协作在改善中风后治疗过程关键节点的康复情况方面所发挥的作用。