医护人员对在脑卒中照护中为非正式照护者提供支持的看法。
Healthcare professionals' perceptions on providing support to informal carers within stroke care.
机构信息
School of Health Sciences, Western Sydney University, Sydney, NSW, Australia.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
出版信息
PLoS One. 2024 Oct 15;19(10):e0311915. doi: 10.1371/journal.pone.0311915. eCollection 2024.
BACKGROUND
The sudden nature of stroke onset does not provide carers with sufficient time to prepare for the demands associated with caring. Healthcare professionals can have a vital role in providing carers with support and training, which may reduce carer stress and strain, and allow for better health and rehabilitation outcomes for the stroke survivor. The experiences of healthcare professionals on supporting carers in stroke care, however, remain unclear.
OBJECTIVE
To understand the experiences and perceptions of healthcare professionals working in stroke care on implementing resources and support to informal stroke carers.
METHODS
Semi-structured interviews were conducted with 11 healthcare professionals (5 occupational therapists, 5 physiotherapists, 1 psychologist) with at least 12 months' experience in working with stroke survivors. Interviews ranged from 25-70 minutes in duration, and were recorded, transcribed, and analysed using thematic analysis.
RESULTS
Three overarching categories that were explored were: (1) Experiences of working in stroke care and supporting carers; (2) Recommendations for a program designed for carers; and (3) Future priorities in stroke care. Participants discussed a variety of strategies they utilised to support carers including collaborating with other healthcare professionals and utilising skills and experience. Healthcare professionals highlighted the need for additional resources that are designed specifically for carers and explored key topics including carer stress and fatigue, support services, stroke education, and how to look after oneself. Participants identified priorities for stroke care including additional professional training and resource availability.
CONCLUSION
This study provided a unique insight from the perspectives of healthcare professionals on supporting carers. Participants identified the need for additional training and resources to equip healthcare professionals to better support carers. Future programs designed for carers should be informed by the needs and experiences of both informal carers and healthcare professionals.
背景
中风发作的突发性使得照顾者没有足够的时间为照顾相关需求做好准备。医疗保健专业人员在为照顾者提供支持和培训方面可以发挥重要作用，这可能会减轻照顾者的压力和紧张，使中风幸存者获得更好的健康和康复结果。然而，医疗保健专业人员在支持中风患者照顾者方面的经验仍然不清楚。
目的
了解从事中风护理工作的医疗保健专业人员在为非专业中风照顾者实施资源和支持方面的经验和看法。
方法
对 11 名具有至少 12 个月与中风幸存者合作经验的医疗保健专业人员（5 名职业治疗师、5 名物理治疗师、1 名心理学家）进行了半结构化访谈。访谈时间从 25 分钟到 70 分钟不等，记录、转录和分析采用主题分析。
结果
探讨了三个总体类别：（1）在中风护理工作和支持照顾者方面的经验；（2）为照顾者设计的计划的建议；（3）中风护理的未来重点。参与者讨论了他们用于支持照顾者的各种策略，包括与其他医疗保健专业人员合作以及利用技能和经验。医疗保健专业人员强调需要专门为照顾者设计的额外资源，并探讨了关键主题，包括照顾者的压力和疲劳、支持服务、中风教育以及如何照顾自己。参与者确定了中风护理的重点，包括额外的专业培训和资源可用性。
结论
本研究从医疗保健专业人员的角度提供了支持照顾者的独特见解。参与者认为需要额外的培训和资源，以使医疗保健专业人员能够更好地支持照顾者。未来为照顾者设计的计划应根据非专业照顾者和医疗保健专业人员的需求和经验来制定。
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