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从脑卒中患者及其照顾者和医护人员的角度理解早期支持性出院的体验:定性综述。

Understanding the Experience of Early Supported Discharge from the Perspective of Patients with Stroke and Their Carers and Health Care Providers: A Qualitative Review.

机构信息

Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, CS6.110 Charles Sprague Building, 5161 Harry Hines Boulevard, Dallas, TX 75390, USA.

Department of Occupational Therapy, School of Occupational Therapy, Texas Woman's University, 5500 Southwestern Medical Avenue, Dallas, TX 75235, USA.

出版信息

Nurs Clin North Am. 2019 Sep;54(3):367-384. doi: 10.1016/j.cnur.2019.04.006. Epub 2019 Jun 15.

Abstract

A systematic review of qualitative studies that examined the experience of early supported discharge (ESD) from the perspective of patients with stroke and their caregivers and health care providers revealed an emphasis on psychosocial aspects-the patient-provider relationship, the value of the home environment, and the ability to tailor treatment to meet patient-oriented goals. Patients, caregivers, and providers stressed the importance of clear and systematic communication throughout the ESD process to support transitions, prevent duplication of services, foster trust in relationships, and ensure that patients and caregivers have the knowledge and skills required to manage a chronic condition long term.

摘要

一项系统评价的定性研究,考察了从经历早期支持出院(ESD)的角度来看,患者中风和他们的照顾者和医疗保健提供者揭示了对社会心理方面的重视 - 医患关系,家庭环境的价值,以及调整治疗以满足以患者为中心的目标的能力。患者、照顾者和提供者强调了在 ESD 过程中进行清晰和系统的沟通的重要性,以支持过渡,防止服务重复,促进关系中的信任,并确保患者和照顾者具备长期管理慢性疾病所需的知识和技能。

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