Towle D, Lincoln N B, Mayfield L M
Stroke Research Unit, General Hospital, Nottingham, UK.
J Neurol Neurosurg Psychiatry. 1989 Apr;52(4):519-22. doi: 10.1136/jnnp.52.4.519.
OBJECTIVE To compare the provision of health and social services between a social work intervention and non-intervention group. DESIGN Depressed stroke patients were randomly assigned to either an intervention or non-intervention group. Over a 4 month period both groups were visited three times by an independent assessor who rated them on service provision and functional independence. SETTING Patients' homes. PATIENTS 44 depressed stroke patients. INTERVENTION Both groups were given an information booklet and the intervention group were then visited regularly by a research social worker over a period of 4 months. The social worker adopted a pragmatic approach which included providing counselling and information on services and benefits. MAIN RESULTS The study groups did not differ in level of social independence (p greater than 0.05) or total number of financial benefits (p greater than 0.05), services (p greater than 0.05) or aids (p greater than 0.05) received either before or after intervention. When the results from the two groups were combined, home help and meals-on-wheels were the most frequently provided services (25% of patients). Walking aids (72% of patients) and bath aids (59% of patients) were the most frequently provided aids to daily living. CONCLUSION Social work assistance had little effect on service provision or level of functional independence.
目的 比较社会工作干预组与非干预组之间健康和社会服务的提供情况。设计 将抑郁症中风患者随机分为干预组或非干预组。在4个月的时间里，由一名独立评估员对两组患者进行三次家访，评估员对他们的服务提供情况和功能独立性进行评分。地点 患者家中。患者 44名抑郁症中风患者。干预 两组均收到一本信息手册，干预组在4个月的时间里由一名研究社会工作者定期家访。社会工作者采用务实的方法，包括提供咨询以及有关服务和福利的信息。主要结果 研究组在社会独立性水平（p>0.05）、经济福利总数（p>0.05）、服务（p>0.05）或辅助器具（p>0.05）方面，干预前后均无差异。当将两组结果合并时，上门护理和送餐服务是最常提供的服务（25%的患者）。助行器（72%的患者）和沐浴辅助器具（59%的患者）是最常提供的日常生活辅助器具。结论 社会工作援助对服务提供或功能独立水平影响甚微。
