Bahadoram Somayeh, Arsalani Narges, Fallahi-Khoshknab Masoud, Mohammadi-Shahbolaghi Farahnaz, Dalvandi Asghar
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Center on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):503-514. doi: 10.4103/ijnmr.ijnmr_42_23. eCollection 2024 Sep-Oct.
Patients With Stroke (PWS), like patients with other chronic health conditions, need long-term care in home settings. Patient transfer from hospital to home is associated with challenges such as care quality impairment and ineffective patient need fulfillment. The aim of this study was to assess the principles of Home Care (HC) for PWS.
This integrative review was conducted in 2023 using the method recommended by Whittemore and Knafl. The Web of Science, Google Scholar, ScienceDirect, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, and specific databases for stroke care guidelines were searched to find relevant articles published between 2010 and 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening and selection. The data were analyzed using the constant comparison method.
Primarily, 2608 documents were retrieved, and 22 of them were included in data analysis. The principles of HC for PWS were categorized into six main categories: principles of transition from hospital care to HC, principles of assessment for HC, principles of education for HC, principles of designing an HC plan, principles of HC measures, and principles of discharge from HC centers.
The present study provides a detailed overview of the principles of HC for PWS, which can be used to develop standard guidelines and improve the quality of HC for PWS.
与患有其他慢性健康问题的患者一样，中风患者（PWS）需要在家中接受长期护理。患者从医院转至家中会面临诸多挑战，如护理质量受损以及患者需求无法得到有效满足。本研究旨在评估针对中风患者的居家护理（HC）原则。
本综合综述于2023年采用惠特莫尔和克纳夫推荐的方法进行。检索了科学网、谷歌学术、科学Direct、ProQuest、Scopus、护理及相关健康文献累积索引、PubMed以及中风护理指南的特定数据库，以查找2010年至2023年间发表的相关文章。采用系统评价和Meta分析的首选报告项目（PRISMA）声明进行文献筛选和选择。使用持续比较法对数据进行分析。
最初检索到2608篇文献，其中22篇纳入数据分析。针对中风患者的居家护理原则分为六大类：从医院护理过渡到居家护理的原则、居家护理评估原则、居家护理教育原则、制定居家护理计划的原则、居家护理措施原则以及从居家护理中心出院的原则。
本研究详细概述了针对中风患者的居家护理原则，可用于制定标准指南并提高中风患者的居家护理质量。
