School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Institut du Savoir Montfort, Ottawa, Canada.
Disabil Rehabil. 2022 Jun;44(13):2948-2957. doi: 10.1080/09638288.2020.1851780. Epub 2020 Dec 5.
Finding and accessing social services and community resources are a challenge for stroke survivors and care partners. The purpose of this systematic review was to identify and review interventions that aimed to increase access and use of such services and resources post stroke.
A systematic review of the published literature was performed using MEDLINE, CINAHL, PsycINFO, and ProQuest Nursing and Allied Health (January 2008 to May 2020). Studies were included if they were quantitative designs and reported on outcomes of interventions addressing post-stroke access to social services or community resources. Results were synthesised narratively.
3566 titles and abstracts were reviewed. Ten articles met the inclusion criteria. The interventions included in this review varied in terms of target group, timing, and type of support provided (passive or active tailored information provision, referral service, navigation assistance). Outcome measures, for social service and community resource access, included discharge preparedness measures, service counts, observations, satisfaction evaluations, interviews, and open-ended questions.
Overall, interventions demonstrated some improvements in information received and access to social services and community resources following stroke. Future research should focus on carrying out high quality studies that examine the effectiveness of various social service and community resource interventions, and on setting valid and reliable outcome measures.IMPLICATIONS FOR REHABILITATIONStroke survivors and care partners have unmet social service and community resource needs.Stroke survivors and care partners can benefit from interventions that provide information, referrals, and ongoing support to access services and resources.Clearly identifying social service and community resource needs is important for tailoring interventions to individual situations.Interventions should ideally be provided throughout the hospital stay, in acute care and rehabilitation, and continue on in the community.
寻找和利用社会服务和社区资源对中风幸存者及其护理人员来说是一项挑战。本系统评价的目的是确定和审查旨在增加中风后获得和使用此类服务和资源的干预措施。
使用 MEDLINE、CINAHL、PsycINFO 和 ProQuest 护理和联合健康（2008 年 1 月至 2020 年 5 月）对已发表的文献进行系统评价。如果研究是定量设计，并报告了针对中风后社会服务或社区资源获取的干预措施的结果，则纳入研究。结果以叙述性方式进行综合。
共审查了 3566 篇标题和摘要。有 10 篇文章符合纳入标准。本综述中纳入的干预措施在目标人群、时间和提供的支持类型（被动或主动定制信息提供、转介服务、导航协助）方面存在差异。社会服务和社区资源获取的结果衡量指标包括出院准备措施、服务计数、观察、满意度评估、访谈和开放式问题。
总体而言，干预措施在中风后信息的获取和社会服务及社区资源的获取方面显示出了一些改善。未来的研究应侧重于开展高质量的研究，检验各种社会服务和社区资源干预措施的有效性，并制定有效和可靠的结果衡量指标。
中风幸存者及其护理人员存在未满足的社会服务和社区资源需求。中风幸存者及其护理人员可以从提供信息、转介和持续支持以获取服务和资源的干预措施中受益。明确识别社会服务和社区资源需求对于将干预措施针对个人情况进行定制非常重要。干预措施最好在整个住院期间、急性护理和康复期间提供，并在社区中继续进行。
