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西班牙医疗中心卒中单元住院患者的治疗体验:一种定性研究方法

Patients' Experiences of the Treatment Received During Their Stay in the Stroke Unit at Spanish Healthcare Centers: A Qualitative Approach.

作者信息

Pérez-de la Cruz Sagrario

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain.

出版信息

Medicina (Kaunas). 2025 Jun 29;61(7):1185. doi: 10.3390/medicina61071185.

DOI:10.3390/medicina61071185
PMID:40731815
Abstract

: Stroke is a condition that seriously impairs the personal, family, social and professional lives of those affected. The aim of this study was to explore the perceptions of patients who have experienced a stroke and received care in stroke units across various health centers in Spain, as well as to gain insight into their rehabilitation process. : A qualitative study was carried out with individual interviews involving 30 patients who voluntarily wished to collaborate, recounting their personal experience of the treatment and professionalism with which they were treated in these units. : Four themes emerged in this study: healthcare, the role of health professionals in the rehabilitation process, the professional-patient relationship, and barriers and facilitators of this relationship. The participants showed the variability in the care protocols for acute stroke patients, as well as the importance of a close relationship with physiotherapists and the demand for professionalism. : The heterogeneity in the implementation of action protocols by healthcare professionals in stroke units has been demonstrated, leading to inequality in the approach and treatment of these patients. These findings may be useful to identify ways of approaching acute patients in stroke units and to design a comprehensive and coordinated rehabilitation program for these patients.

摘要

中风是一种严重损害患者个人、家庭、社会和职业生活的疾病。本研究的目的是探讨在西班牙各健康中心的中风单元接受治疗的中风患者的看法,并深入了解他们的康复过程。:开展了一项定性研究,对30名自愿参与合作的患者进行了个人访谈,他们讲述了自己在这些单元接受治疗的个人经历以及所感受到的专业治疗。:本研究出现了四个主题:医疗保健、健康专业人员在康复过程中的作用、专业人员与患者的关系以及这种关系的障碍和促进因素。参与者展示了急性中风患者护理方案的差异,以及与物理治疗师建立密切关系的重要性和对专业性的要求。:已经证明中风单元的医疗保健专业人员在实施行动方案方面存在异质性,导致对这些患者的治疗方法不平等。这些发现可能有助于确定中风单元治疗急性患者的方法,并为这些患者设计一个全面协调的康复计划。

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本文引用的文献

1
Challenges in Accessing Community-Based Rehabilitation and Long-Term Care for Older Adult Stroke Survivors and Their Caregivers: A Qualitative Study.老年中风幸存者及其照顾者获得社区康复和长期护理的挑战:一项定性研究。
J Multidiscip Healthc. 2024 Oct 23;17:4829-4838. doi: 10.2147/JMDH.S476993. eCollection 2024.
2
Stroke Survivor's Satisfaction and Experience with Rehabilitation Services: A Qualitative Systematic Review.中风幸存者对康复服务的满意度及体验:一项定性系统评价
J Clin Med. 2023 Aug 20;12(16):5413. doi: 10.3390/jcm12165413.
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Factors impacting the access and use of formal health and social services by caregivers of stroke survivors: an interpretive description study.
影响脑卒中幸存者照顾者获取和使用正规卫生及社会服务的因素:阐释性描述研究。
BMC Health Serv Res. 2022 Apr 1;22(1):433. doi: 10.1186/s12913-022-07804-x.
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Comprehensive Stroke Care and Outcomes: Time for a Paradigm Shift.综合卒中护理与结局:范式转变之时。
Stroke. 2021 Jan;52(1):385-393. doi: 10.1161/STROKEAHA.120.029678. Epub 2020 Dec 22.
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Learning from Gothenburg model of person centred healthcare.借鉴哥德堡以患者为中心的医疗保健模式。
BMJ. 2020 Sep 1;370:m2738. doi: 10.1136/bmj.m2738.
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Action Plan for Stroke in Europe 2018-2030.《2018 - 2030年欧洲中风行动计划》
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Stroke survivors' and informal caregivers' experiences of primary care and community healthcare services - A systematic review and meta-ethnography.中风幸存者及非正式照护者对初级保健和社区医疗服务的体验——一项系统评价与元民族志研究
PLoS One. 2018 Feb 21;13(2):e0192533. doi: 10.1371/journal.pone.0192533. eCollection 2018.
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Cochrane Database Syst Rev. 2016 Dec 21;12(12):CD011058. doi: 10.1002/14651858.CD011058.pub2.
10
Economic impact of patients admitted to stroke units in Spain.西班牙卒中单元收治患者的经济影响。
Eur J Health Econ. 2017 May;18(4):449-458. doi: 10.1007/s10198-016-0799-9. Epub 2016 Apr 15.