Premnazeer Meera, Munce Sarah E P, Bayley Mark T, Kokorelias Kristina M, Gill Monique, Scali Orianna L, Cameron Jill I
Temerty Faculty of Medicine, Rehabilitation Science Institute, University of Toronto, Toronto, Ontario, Canada.
KITE, Toronto Rehabilitation Institute, Toronto, Ontario, Canada.
PLoS One. 2025 May 9;20(5):e0323344. doi: 10.1371/journal.pone.0323344. eCollection 2025.
The needs of people with stroke and caregivers' change as they transition across the stroke care continuum from initial symptom onset to community living. Continuity of care interventions may support these changing needs. Continuity of care refers to care provided to individuals that is coherent, connected, and consistent across settings. Interventions have been developed to enhance continuity of care, but to date, no reviews have identified the core components of these interventions specific to various care transitions.
To examine the literature on continuity of care interventions that address the needs of people with stroke and/or their caregivers specific to stroke care transitions.
The study is guided by the Joanna Briggs Institute methodological framework for scoping reviews. The search will be conducted on Ovid MEDLINE, CINAHL Plus with Full Text, PsycINFO, and EMBASE, restricting to articles in English. Core concepts of stroke (e.g., ischemic or hemorrhagic stroke) and continuity of care (e.g., early supported discharge) and their synonyms will be used as search terms. Two reviewers will assess articles for inclusion. Data will be extracted and synthesised using quantitative descriptive analysis and deductive content analysis. A steering committee, consisting of people with lived experiences, researchers, and healthcare professionals, will discuss the charted data, and identify any gaps in the literature.
This research will identify the components of continuity of care interventions, the specific transitions that they address, and any variability in components across different transitions. This research will identify gaps in the continuity of care literature such as where transition interventions are needed.
从中风初始症状发作到社区生活，中风患者及其护理人员在整个中风护理连续过程中的需求会发生变化。连续性护理干预可能有助于满足这些不断变化的需求。连续性护理是指在不同环境中为个人提供连贯、衔接且一致的护理。已经开发了一些干预措施来加强连续性护理，但迄今为止，尚无综述确定这些干预措施针对各种护理过渡的核心组成部分。
审查关于连续性护理干预的文献，这些干预措施满足中风患者和/或其护理人员在中风护理过渡方面的特定需求。
本研究以乔安娜·布里格斯研究所的范围综述方法框架为指导。将在Ovid MEDLINE、CINAHL Plus with Full Text、PsycINFO和EMBASE上进行检索，仅限于英文文章。中风的核心概念（如缺血性或出血性中风）和连续性护理（如早期支持出院）及其同义词将用作检索词。两名评审员将评估文章是否纳入。将使用定量描述性分析和演绎性内容分析来提取和综合数据。一个由有实际经验的人、研究人员和医疗保健专业人员组成的指导委员会将讨论绘制的数据，并确定文献中的任何空白。
本研究将确定连续性护理干预的组成部分、它们所针对的具体过渡以及不同过渡中各组成部分的任何差异。本研究将确定连续性护理文献中的空白，例如哪些地方需要过渡干预。
