WISSDOM Center, Medical University of South Carolina, Charleston, SC.
Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL.
Arch Phys Med Rehabil. 2018 Nov;99(11):2378-2388. doi: 10.1016/j.apmr.2018.01.032. Epub 2018 Mar 6.
Adults with mild stroke face substantial challenges resuming valued roles in the community. The term "mild" provides false representation of the lived experience for many adults with mild stroke who may continue to experience persistent challenges and unmet needs. Rehabilitation practitioners can identify and consequently intervene to facilitate improved independence, participation, and quality of life by facilitating function and reducing the burden of lost abilities among adults with mild stroke. The Health and Wellness Task Force identified 2 important, and often interdependent, goals that frequently arise among adults living with mild stroke that must be addressed to facilitate improved community reintegration: (1) return to driving and (2) return to work. Adults with mild stroke may not be receiving adequate rehabilitative services to facilitate community reintegration for several reasons but primarily because current practice models are not designed to meet such needs of this specific population. Thus, the Health and Wellness Task Force convened to review current literature and practice trends to (1) identify opportunities based on the evidence of assessment and interventions, for return to driving and return to work; and (2) identify gaps in the literature that must be addressed to take advantage of the opportunities. Based on findings, the task force proposes a new interdisciplinary practice model for adults with mild stroke who are too often discharged from the hospital to the community without needed services to enable successful return to driving and work.
成年人轻度中风后在社区中恢复有价值的角色面临巨大挑战。“轻度”这个术语并不能准确描述许多轻度中风成年人的实际生活经历，他们可能会持续面临各种挑战和未满足的需求。康复从业者可以通过促进功能恢复和减少轻度中风成年人丧失能力的负担，来识别并干预这些问题，从而帮助他们提高独立性、参与度和生活质量。健康与保健工作组确定了 2 个重要且经常相互依存的目标，这些目标经常出现在轻度中风患者中，必须加以解决以促进其更好地融入社区：（1）恢复驾驶能力；（2）重返工作岗位。成年人轻度中风后可能无法获得足够的康复服务来促进其社区融入，原因有几个，但主要是因为当前的实践模式并非专为满足这一特定人群的需求而设计。因此，健康与保健工作组召集会议，审查当前的文献和实践趋势，以（1）根据评估和干预的证据，确定与恢复驾驶和工作相关的机会；（2）确定文献中的差距，以便利用这些机会。基于研究结果，工作组为那些经常从医院出院到社区而没有获得必要服务以成功恢复驾驶和工作能力的轻度中风成年人提出了一种新的跨学科实践模式。
