Britton M
Statens beredning för medicinsk utvärdering (SBU), Stockholm.
Nord Med. 1997 Nov;112(9):323-6.
To find an answer to the question whether domiciliary rehabilitation after stroke is better or cheaper than alternative forms of rehabilitation, a systematic literature review of controlled trials was performed. Three large and two smaller, more preliminary studies of all together a thousand patients were found and regarded methodologically acceptable. Efficacy as regards functional, emotional and qualitative outcome of patients was equivalent for various modes of care. So was the degree of stress, social function and quality of life for the main carers. Home treatment costed less than regular day care but more than routine care including a mixture of outpatient and day care, as considered required. Domiciliary rehabilitation seems to be a good and cost effective alternative for stroke patients who need and cannot manage frequent out-patients visits without ambulance or other exhausting and expensive transports.
为了找到中风后居家康复是否比其他康复方式更好或更便宜的答案，我们对对照试验进行了系统的文献综述。我们找到了三项大型研究和两项较小的、更初步的研究，总共涉及一千名患者，并且认为这些研究在方法上是可接受的。对于患者的功能、情感和定性结果，各种护理模式的疗效相当。主要照顾者的压力程度、社会功能和生活质量也是如此。家庭治疗的费用低于常规日间护理，但高于包括门诊和日间护理混合的常规护理，这被认为是必要的。对于那些需要但无法在没有救护车或其他疲惫且昂贵的交通工具的情况下频繁门诊就诊的中风患者来说，居家康复似乎是一个良好且具有成本效益的选择。
