Mountain Anita, Patrice Lindsay M, Teasell Robert, Salbach Nancy M, de Jong Andrea, Foley Norine, Bhogal Sanjit, Bains Naresh, Bowes Rebecca, Cheung Donna, Corriveau Helene, Joseph Lynn, Lesko Dana, Millar Ann, Parappilly Beena, Pikula Aleksandra, Scarfone David, Rochette Annie, Taylor Trudy, Vallentin Tina, Dowlatshahi Dar, Gubitz Gord, Casaubon Leanne K, Cameron Jill I
Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Canada.
Nova Scotia Rehabilitation Centre Site, Queen Elizabeth II Health Sciences Centre, Halifax, Canada.
Int J Stroke. 2020 Oct;15(7):789-806. doi: 10.1177/1747493019897847. Epub 2020 Jan 27.
The sixth update of the is a comprehensive set of evidence-based guidelines addressing issues faced by people following an acute stroke event. Establishing a coordinated and seamless system of care that supports progress achieved during the initial recovery stages throughout the transition to the community is more essential than ever as the medical complexity of people with stroke is also on the rise. All members of the health-care team engaged with people with stroke, their families, and caregivers are responsible for partnerships and collaborations to ensure successful transitions and return to the community following stroke. These guidelines reinforce the growing and changing body of research evidence available to guide ongoing screening, assessment, and management of individuals following stroke as they move from one phase and stage of care to the next without "falling through the cracks." It also recognizes the growing role of family and informal caregivers in providing significant hours of support that disrupt their own lives and responsibilities and addresses their support and educational needs. According to Statistics Canada, in 2012, eight million Canadians provided care to family members or friends with a long-term health condition, disability, or problems associated with aging. These recommendations incorporate aspects that were previously in the rehabilitation module for the purposes of streamlining, and both modules should be reviewed in order to provide comprehensive care addressing recovery and community reintegration and participation. These recommendations cover topics related to support and education of people with stroke, families, and caregivers during transitions and community reintegration. They include interprofessional planning and communication, return to driving, vocational roles, leisure activities and relationships and sexuality, and transition to long-term care.
《[指南名称]》第六版更新内容是一套全面的循证指南，旨在解决急性中风患者所面临的问题。随着中风患者的医疗复杂性也在增加，建立一个协调且无缝的护理系统以支持患者在从初始康复阶段到过渡至社区的整个过程中取得的进展，比以往任何时候都更为重要。与中风患者、其家人及护理人员打交道的所有医疗团队成员都有责任建立伙伴关系与合作，以确保中风患者成功过渡并回归社区。这些指南强化了现有的不断增长且不断变化的研究证据体系，以指导中风患者在从一个护理阶段过渡到下一个阶段时，持续进行筛查、评估和管理，避免出现“脱节”情况。它还认识到家庭和非正式护理人员在提供大量支持方面所发挥的日益重要的作用，这些支持打乱了他们自己的生活和责任，并满足了他们的支持和教育需求。根据加拿大统计局的数据，2012年，800万加拿大人为患有长期健康问题、残疾或与衰老相关问题的家庭成员或朋友提供护理。这些建议纳入了先前康复模块中的一些方面，以实现简化，两个模块都应进行审查，以便提供全面护理，涵盖康复以及社区重新融入和参与。这些建议涵盖了与中风患者、其家人及护理人员在过渡和社区重新融入期间的支持和教育相关的主题。它们包括跨专业规划与沟通、恢复驾驶、职业角色、休闲活动与人际关系及性方面，以及向长期护理的过渡。
