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瑞士的脑卒中后健康知识:一项针对卫生专业人员的调查,了解当前的实践情况,并为实施基于技术的脑卒中幸存者教育计划提出建议。

Health knowledge after stroke in Switzerland: a survey among health professionals on current practice and suggestions for the implementation of a technology-based educational program for stroke survivors.

机构信息

Rehabilitation Engineering Laboratory, Swiss Federal Institute of Technology Zürich, Zurich, Switzerland.

Clinica Hildebrand Centro di Riabilitazione Brissago, Brissago, Switzerland.

出版信息

BMC Health Serv Res. 2024 Oct 19;24(1):1259. doi: 10.1186/s12913-024-11735-0.

DOI:10.1186/s12913-024-11735-0
PMID:39425149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11490157/
Abstract

BACKGROUND

It is estimated that 1 in 4 stroke survivors will experience a second stroke. Educating patients about risk factors for stroke and a generally healthier lifestyle may help prevent recurrent strokes, which are a burden on society and the healthcare system. The goals of this paper were to investigate the estimated level of knowledge of stroke patients regarding their disease, the methods of information commonly used in clinical practice, the topics that should be included in an educational program aimed at improving health knowledge among stroke survivors, and how such a program could be delivered with the help of technology-based education (i.e., information delivered by digital platforms such as smartphones or rehabilitation technologies).

METHODS

We performed a survey among health professionals working with stroke patients in Switzerland.

RESULTS

161 health professionals of different backgrounds took part in the survey, and 94 completed it. According to the results, only 33% of healthcare professionals thought that patients were well informed about stroke one month after stroke onset. These findings suggest that there is room for improvement in how stroke patients are educated about stroke, risk factors, and prevention. Additionally, it was highlighted that technology is not commonly used in clinical practice to support patients' education, although this is an acceptable method for healthcare professionals. The results also helped to identify key topics to be included in an educational program and recommendations for implementing such a program in rehabilitation technologies.

CONCLUSIONS

This work allowed gaining more insight into healthcare professionals' opinions on the potential of technology-based education and key aspects to consider when implementing it to support health and prevention knowledge after stroke.

摘要

背景

据估计,每 4 名中风幸存者中就有 1 人会经历第二次中风。教育患者了解中风的风险因素和更健康的生活方式可能有助于预防中风复发,这对社会和医疗保健系统都是一个负担。本文的目的是调查中风患者对自身疾病的知识水平、临床实践中常用的信息方法、旨在提高中风幸存者健康知识的教育计划中应包含的主题,以及如何在基于技术的教育(即通过智能手机或康复技术等数字平台提供的信息)的帮助下实施此类计划。

方法

我们在瑞士对从事中风患者治疗的卫生专业人员进行了一项调查。

结果

共有 161 名不同背景的卫生专业人员参与了调查,其中 94 人完成了调查。结果显示,只有 33%的医疗保健专业人员认为患者在中风发作一个月后对中风有很好的了解。这些发现表明,在如何教育中风患者了解中风、风险因素和预防方面,还有改进的空间。此外,研究还强调,技术在临床实践中并未被广泛用于支持患者教育,尽管这是医疗保健专业人员可以接受的方法。调查结果还帮助确定了教育计划中应包含的关键主题,并为在康复技术中实施此类计划提出了建议。

结论

这项工作使我们更深入地了解医疗保健专业人员对基于技术的教育的看法,以及在实施该教育以支持中风后健康和预防知识方面需要考虑的关键方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/43316cd8ec85/12913_2024_11735_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/18f619e20d86/12913_2024_11735_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/c4fb67a7d762/12913_2024_11735_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/07e384afa8d1/12913_2024_11735_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/43316cd8ec85/12913_2024_11735_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/18f619e20d86/12913_2024_11735_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/c4fb67a7d762/12913_2024_11735_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/07e384afa8d1/12913_2024_11735_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f0/11490157/43316cd8ec85/12913_2024_11735_Fig4_HTML.jpg

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本文引用的文献

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Dela J Public Health. 2023 Aug 31;9(3):44-49. doi: 10.32481/djph.2023.08.010. eCollection 2023 Aug.
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Health literacy is associated with less depression symptoms, higher perceived recovery, higher perceived participation, and walking ability one year after stroke - a cross-sectional study.健康素养与较少的抑郁症状、更高的康复感知、更高的参与感知以及中风后一年的行走能力相关——一项横断面研究。
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What do stroke survivors want in stroke education and information provision in Australia?
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Health literacy among older adults in Switzerland: cross-sectional evidence from a nationally representative population-based observational study.瑞士老年人的健康素养:一项基于全国代表性人群观察研究的横断面证据。
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2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association.《2021年卒中与短暂性脑缺血发作患者卒中预防指南:美国心脏协会/美国卒中协会指南》
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