Fakes Kristy, Carey Mariko, Waller Amy, Forbes Erin, Czerenkowski Jude, Dizon Joshua, Sanson-Fisher Robert
Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health Medicine and Wellbeing, University of Newcastle.
Hunter Medical Research Institute.
Rehabil Psychol. 2025 May;70(2):154-161. doi: 10.1037/rep0000568. Epub 2024 Jul 25.
PURPOSE/OBJECTIVE: To examine, among survivors of stroke: (a) the prevalence of and most frequently reported unmet needs; and (b) the sociodemographic and clinical factors associated with higher counts of unmet needs.
RESEARCH METHOD/DESIGN: A cross-sectional study was undertaken with survivors of stroke recently discharged from eight hospitals in Australia, with institutional board approval. Survivors were mailed one survey for completion after their discharge from hospital. Unmet needs were measured by the Longer-Term Unmet Needs After Stroke (LUNS) tool. The number and percentage of participants who reported unmet needs were calculated. The association of sociodemographic factors, type of stroke, and thrombolysis treatment to total LUNS scores was examined using mixed ordinal logistic regression.
A total of 402 survivors (35% of those approached) between April 2018 to December 2019 returned a completed survey. 83% reported at least one unmet need. The most frequently reported unmet need was needing more information about their stroke ( = 239, 61%). Those who identified as Aboriginal and/or Torres Strait Islander had approximately 5.6-fold higher odds ( = 5.59, = .025) of having more longer-term unmet needs compared to those who did not identify as Aboriginal and/or Torres Strait Islander.
CONCLUSIONS/IMPLICATIONS: Unmet needs are common in recently discharged survivors of stroke. These findings may be used to inform strategies that support recovery. Providing more information may help reduce unmet needs among survivors of stroke. Enhanced hospital discharge planning and enhanced community services for survivors may help better prepare them and their caregivers for the return home. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的/目标：在中风幸存者中研究：（a）未满足需求的患病率及最常报告的未满足需求；（b）与未满足需求数量较多相关的社会人口学和临床因素。
研究方法/设计：在澳大利亚八家医院近期出院的中风幸存者中进行了一项横断面研究，并获得了机构委员会的批准。幸存者在出院后收到一份调查问卷以供填写。未满足需求通过中风后长期未满足需求（LUNS）工具进行测量。计算报告有未满足需求的参与者的数量和百分比。使用混合有序逻辑回归分析社会人口学因素、中风类型和溶栓治疗与LUNS总分之间的关联。
在2018年4月至2019年12月期间，共有402名幸存者（占所联系人数的35%）返回了完整的调查问卷。83%的人报告至少有一项未满足需求。最常报告的未满足需求是需要更多关于其中风的信息（n = 239，61%）。与未将自己认定为原住民和/或托雷斯海峡岛民的人相比，将自己认定为原住民和/或托雷斯海峡岛民的人有更多长期未满足需求的几率高出约5.6倍（OR = 5.59，p = .025）。
结论/启示：未满足需求在近期出院的中风幸存者中很常见。这些发现可用于为支持康复的策略提供信息。提供更多信息可能有助于减少中风幸存者的未满足需求。加强出院计划和为幸存者提供强化社区服务可能有助于他们及其照顾者更好地为回家做好准备。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
