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澳大利亚脑卒中幸存者在脑卒中教育和信息提供方面有何需求?

What do stroke survivors want in stroke education and information provision in Australia?

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

Speech Pathology Department, Princess Alexandra Hospital, Metro South Health, Woolloongabba, Queensland, Australia.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e4864-e4872. doi: 10.1111/hsc.13896. Epub 2022 Jun 29.

Abstract

Despite evidence that stroke education is important and effective, low rates of stroke education are reported worldwide. Many stroke survivors and carers report that current stroke information does not meet their needs. The aim of the current study was to explore the perceptions of stroke survivors and carers towards stroke education in an Australian health context. A qualitative descriptive approach using focus groups was used to explore education received and preferred content, format and timing of education. Data were analysed inductively using qualitative content analysis to identify key categories, sub-categories and an overarching theme. Fifteen stroke survivors and four carers participated. Four categories emerged: the timing of stroke education, the content of stroke education, the format of stroke education, and reactions to stroke education. Each category contained a number of sub-categories. One overarching theme was woven through the transcripts: everyone is different and has different needs. Overall, participants generally expressed positive attitudes towards stroke education. Participants reported that education should occur at multiple timepoints and in a mixed format. All participants reported receiving stroke education in hospital, but not in the community. Stroke survivors preferred group education, while carers did not share this preference. Both stroke survivors and carers desired information about post-stroke physical changes and computer use; however, stroke survivors desired additional information spanning a variety of areas such as motivation and driving. Tailoring of stroke education for each individual is critical to ensure that education meets the needs of stroke survivors and carers from the hospital to the community.

摘要

尽管有证据表明中风教育很重要且有效,但全球范围内中风教育的普及率仍然很低。许多中风幸存者和照顾者报告说,目前的中风信息无法满足他们的需求。本研究旨在探讨澳大利亚健康背景下中风幸存者和照顾者对中风教育的看法。采用焦点小组的定性描述方法,探讨了他们所接受的教育以及对教育内容、形式和时间的偏好。使用定性内容分析对数据进行归纳分析,以确定关键类别、子类别和总体主题。共有 15 名中风幸存者和 4 名照顾者参与了研究。出现了四个类别:中风教育的时间、中风教育的内容、中风教育的形式和对中风教育的反应。每个类别都包含一些子类别。一个贯穿全文的主题是:每个人都是不同的,有不同的需求。总的来说,参与者对中风教育的态度普遍较为积极。他们报告说,教育应该在多个时间点以混合的形式进行。所有参与者都报告在医院接受过中风教育,但在社区没有接受过。中风幸存者更喜欢小组教育,而照顾者则没有这种偏好。中风幸存者和照顾者都希望获得有关中风后身体变化和计算机使用的信息;然而,中风幸存者还希望获得涵盖动机和驾驶等多个领域的额外信息。为确保教育满足中风幸存者和照顾者从医院到社区的需求,对中风教育进行个性化定制至关重要。

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