Görres S, Meier-Baumgartner H P, Zamory P
Medizinisch-Geriatrische Klinik des Albertinen-Hauses, Hamburg.
Rehabilitation (Stuttg). 1988 May;27(2):63-70.
Between Oct. 1984 and March 1985, a total of 120 former patients of our clinic were visited at home or in residential facilities for care of the elderly, and interviewed by a physician and a social scientist regarding their current health and psychosocial situation. All patients had had a primary diagnosis of stroke, and had been discharged from hospital an average 16 months ago. The sample comprised 44 men (36.7%) and 76 women (63.3%), the average age was 74.8 years, average length of hospitalization 48.6 days. The study results presented show that (even in cases where the treatment in a rehabilitation clinic is viewed in positive terms) the rehabilitation process as a whole cannot be regarded as completed; instead, continuation of aftercare by provision of differentiated assistance and support to the ex-patients, their relatives, and the farther social environment must be considered; this includes assistance with home care; support of family self-help efforts; effective use of available social services; continued provision of physical and, above all, speech therapy; and, finally, increased involvement and linkages of self-help activities (self-help groups) with other providers of aftercare.
在1984年10月至1985年3月期间,我们诊所对120名曾就诊的患者进行了家访,这些患者有的在家中,有的在老年护理机构,由一名医生和一名社会科学家就他们目前的健康状况和社会心理状况进行了访谈。所有患者的初步诊断均为中风,平均在16个月前出院。样本包括44名男性(36.7%)和76名女性(63.3%),平均年龄为74.8岁,平均住院时间为48.6天。所呈现的研究结果表明,(即使在康复诊所的治疗被视为积极的情况下)整个康复过程也不能被视为已完成;相反,必须考虑通过向出院患者、其亲属及更广泛的社会环境提供差异化的援助和支持来继续进行后续护理;这包括家庭护理援助;支持家庭自助努力;有效利用现有的社会服务;持续提供物理治疗,尤其是言语治疗;最后,加强自助活动(自助小组)与其他后续护理提供者的参与和联系。