BMC Neurol:社会工作支持与卒中后生活中未得到满足的社会需求:一项横断面探索性研究

2020-04-06 MedSci原创 MedSci原创

脑卒中患者往往受长期残疾的影响,在社会问题方面的需求。相对而言,对患者的社会康复和重返工作、获得社会福利、参与日常生活活动、保持与家人和朋友的联系以及组织财务事务所需的支持考虑较少。在我们的研究中,我

脑卒中患者往往受长期残疾的影响,在社会问题方面的需求。相对而言,对患者的社会康复和重返工作、获得社会福利、参与日常生活活动、保持与家人和朋友的联系以及组织财务事务所需的支持考虑较少。在我们的研究中,我们旨在调查现有的工具是否充分记录了社会需求。我们分析了目前在中风后长期护理中提供的社会支持,以及未满足的社会需求是否与生活质量、护理者负担、整体功能和残疾程度有关。

 

我们的分析是脑卒中术后护理管理研究(MAS-I)的一部分,这是一项关于初次脑卒中后2-3年患者需求的横断面探索性研究。评估工具包括Nikolaus评分(社会状况)、EuroQoL(生活质量)、德国家庭照顾者负担量表(照顾者负担)、修改后的Rankin量表(残疾/依赖性)、中风影响量表(功能和残疾程度)和中风幸存者需求问卷(未满足的需求)。

 

结果总共57名患者被纳入MAS-I,其中10名患者根据Nikolaus-score分为急需社会经济支持。低于正常Nikolaus-score的患者的残疾程度较高。30%的患者从未接受过专业的社会支持。社会工作者的接触主要发生在急诊医院或康复机构的住院期间。只有4名患者(11%)在出院后报告说得到过长期的支持。除了在急性期护理期间与社工接触外,43%的患者在长期的善后护理中的需求没有得到满足。在所有纳入MAS-I的患者中,有40%的患者在深入分析其情况后,被建议进行社会工作干预。最后,我们看到,未满足的社会需求与生活质量降低和护理者负担增加有关。

 

总之,我们的数据表明,长期脑卒中患者的社会护理需求未得到满足。Nikolaus-score等社会需求未被满足的筛查工具并不能整体报告患者的需求。

 

原始出处:

 

Sophie LehnererBenjamin Hotter, et al., Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study. BMC Neurol. 2019; 19: 220.

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    2020-12-02 yinhl1978
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1671404, encodeId=c61416e1404d7, content=<a href='/topic/show?id=9f4e360191a' target=_blank style='color:#2F92EE;'>#卒中后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36019, encryptionId=9f4e360191a, topicName=卒中后)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ff7426824786, createdName=waiwai3039, createdTime=Tue Jan 05 09:38:10 CST 2021, time=2021-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041570, encodeId=a5d620415e048, content=<a href='/topic/show?id=a8de6299654' target=_blank style='color:#2F92EE;'>#横断面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62996, encryptionId=a8de6299654, topicName=横断面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Fri Jul 10 15:38:10 CST 2020, time=2020-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1975012, encodeId=637519e501251, content=<a href='/topic/show?id=f145355379' target=_blank style='color:#2F92EE;'>#BMC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3553, encryptionId=f145355379, topicName=BMC)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/101173734/363C99735735B7F4CB11D5F78F580525/100, createdBy=aab22500211, createdName=ms3025846204744509, createdTime=Fri Aug 07 09:38:10 CST 2020, time=2020-08-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2001012, encodeId=38942001012a7, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Dec 02 22:38:10 CST 2020, time=2020-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617009, encodeId=d32b161e009a1, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Wed Apr 08 08:38:10 CST 2020, time=2020-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026610, encodeId=f55810266104c, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Mon Apr 06 20:38:10 CST 2020, time=2020-04-06, status=1, ipAttribution=)]
    2020-04-06 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

    0

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