Temehy Basema, Rosewilliam Sheeba, Alvey George, Soundy Andrew
School of Sports, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2SA, UK.
Behav Sci (Basel). 2022 Oct 20;12(10):404. doi: 10.3390/bs12100404.
Healthcare providers must consider stroke survivors needs in order to enable a good quality of life after stroke. This review aimed to investigate the perceived needs of the stroke survivors across various domains of care following their discharge from hospital. A meta-ethnographic review of qualitative studies that reported needs of stroke patients after discharge from rehabilitation services was conducted. Main searches were conducted on the following electronic databases: Ovid Medline (1946 to 2021), CINAHL plus (EBSCO), AMED (EBSCO), PsycINFO (1967 to 2021), the Cochrane Library, and PubMed in June 2022. Main outcomes were related to stroke survivors' views, experiences, and preferences on physical, psychological, social, rehabilitation needs, and other identified needs. Twenty-seven studies were included in the final analysis. The findings show that existing rehabilitation provision for stroke survivors does not address the long-term needs of stroke survivors. Two main issues were revealed concerning the unmet needs of stroke survivors: (1) a lack of information availability and suitability and (2) inadequacy of care and services. It is crucial to further investigate the needs of patients in Asian countries and the Middle East as there is very limited understanding of patients' needs in the community in these regions.
医疗服务提供者必须考虑中风幸存者的需求,以便在中风后实现良好的生活质量。本综述旨在调查中风幸存者出院后在各个护理领域的感知需求。对报告中风患者康复服务出院后需求的定性研究进行了元民族志综述。主要检索了以下电子数据库:Ovid Medline(1946年至2021年)、CINAHL plus(EBSCO)、AMED(EBSCO)、PsycINFO(1967年至2021年)、Cochrane图书馆和2022年6月的PubMed。主要结果与中风幸存者对身体、心理、社会、康复需求以及其他已确定需求的看法、经历和偏好有关。最终分析纳入了27项研究。研究结果表明,现有的中风幸存者康复服务无法满足他们的长期需求。关于中风幸存者未得到满足的需求,揭示了两个主要问题:(1)信息的可获得性和适用性不足,(2)护理和服务不足。由于对亚洲国家和中东地区社区患者需求的了解非常有限,进一步调查这些地区患者的需求至关重要。