Zawawi N S M, Aziz N A, Fisher R, Ahmad K, Walker M F
Division of Ageing, Rehabilitation and Wellbeing, School of Medicine, University of Nottingham, UK.
Department of Family Medicine, Faculty of Medicine, National University of Malaysia Malaysia.
J Stroke Cerebrovasc Dis. 2020 Aug;29(8):104875. doi: 10.1016/j.jstrokecerebrovasdis.2020.104875. Epub 2020 May 23.
Facilitating stroke survivors and their caregivers to lead a fulfilling life after stroke requires service providers to think about their different needs. Poor post stroke care may lead to unmet needs in stroke survivors and stroke caregivers. This may compromise them in leading their lives optimally after stroke.
OBJECTIVES & METHODOLOGY: This systematic narrative review examines articles published from 1990 to 2017, generated from Ovid, MEDLINE, CINAHL, and PubMed. The search was also supplemented by an examination of reference lists for related articles via Scopus. We included 105 articles.
We found that the type of unmet needs in stroke survivors and the contributing factors were substantially different from their caregivers. The unmet needs in stroke survivors ranged from health-related needs to re-integration into the community; while the unmet needs in stroke caregivers ranged from information needs to support in caring for the stroke survivors and caring for themselves. Additionally, the unmet needs in both groups were associated with different factors.
More research is required to understand the unmet needs of stroke survivors and stroke caregivers to improve the overall post-stroke care services.
要帮助中风幸存者及其护理人员在中风后过上充实的生活,服务提供者需要考虑他们的不同需求。中风后护理不佳可能导致中风幸存者和中风护理人员的需求未得到满足。这可能会妨碍他们在中风后最佳地生活。
本系统叙述性综述研究了1990年至2017年发表的文章,这些文章来自Ovid、MEDLINE、CINAHL和PubMed。通过Scopus对相关文章的参考文献列表进行检查,对搜索进行了补充。我们纳入了105篇文章。
我们发现,中风幸存者未满足需求的类型及其影响因素与他们的护理人员有很大不同。中风幸存者未满足的需求范围从与健康相关的需求到重新融入社区;而中风护理人员未满足的需求范围从信息需求到在照顾中风幸存者和照顾自己方面的支持。此外,两组未满足的需求与不同因素相关。
需要更多研究来了解中风幸存者和中风护理人员未满足的需求,以改善整体中风后护理服务。