Centre for Heart Rhythm Disorders, University of Adelaide and Royal Adelaide Hospital, Australia.
Institute of Health, Medicine and Caring Sciences, Linköping University, Linköping. Sweden.
Eur J Cardiovasc Nurs. 2020 Aug;19(6):495-504. doi: 10.1177/1474515119895734. Epub 2020 Jan 30.
Cardiac and stroke conditions often coexist because of common risk factors. The occurrence of stroke may have significant consequences for patients with cardiac conditions and their caregivers and poses a major burden on their lives. Although both cardiac and stroke conditions are highly prevalent, primary stroke prevention in cardiac patients is crucial to avert disabling limitations or even mortality. In addition, specific interventions may be needed in the rehabilitation and follow-up of these patients. However, healthcare systems are often fragmented and are not integrated enough to provide specifically structured and individualised management for the cardiac-stroke patient. Cardiac rehabilitation or secondary prevention services are crucial from this perspective, although referral and attendance rates are often suboptimal. This state of the art review outlines the significance of primary stroke prevention in cardiac patients, highlights specific challenges that cardiac-stroke patients and their caregivers may experience, examines the availability of and need for structured, personalised care, and describes potential implications for consideration in daily practice.
由于存在共同的风险因素，心脏和中风疾病常常同时存在。中风的发生可能会对心脏疾病患者及其护理人员产生重大影响，并给他们的生活带来重大负担。尽管心脏和中风疾病都非常普遍，但对心脏疾病患者进行原发性中风预防对于避免致残限制甚至死亡至关重要。此外，这些患者的康复和随访可能需要特定的干预措施。然而，医疗保健系统往往是碎片化的，没有足够的整合来为心脏中风患者提供专门的结构化和个体化管理。从这个角度来看，心脏康复或二级预防服务至关重要，尽管转诊和参与率往往不理想。本综述概述了原发性中风预防对心脏疾病患者的重要性，强调了心脏中风患者及其护理人员可能面临的具体挑战，探讨了结构化、个性化护理的可及性和需求，并描述了对日常实践的潜在影响。
