Development of a Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors
Development of a Poststroke Checklist to Standardize Follow-up Care for Stroke Survivors
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DOI：
10.1016/j.jstrokecerebrovasdis.2012.10.016
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发表时间：
2013-10-01
影响因子：
2.5
通讯作者：
Norrving, Bo
中科院分区：
文献类型：
--
作者：
Philp, Ian;Brainin, Michael;Norrving, Bo
背景资料：中风幸存者的长期护理是分散的，缺乏一个基于证据的，易于使用的工具，以确定中风幸存者中持续存在的长期问题，并简化转诊治疗。我们试图开发一个卒中后检查表（PSC），以帮助医疗保健专业人员识别适合治疗和随后转诊的卒中后问题。研究方法：在测量专家、国际卒中专家和卒中后护理利益相关者的支持下，成立了一个仪器开发团队，以开发长期PSC。一份长期中风后问题领域的清单是由一个国际性的、多学科的中风专家小组--全球中风社区咨询小组--产生的。使用德尔菲方法，就清单上哪些问题领域最重要和最相关，应列入方案支助费用问题达成了共识。工具开发团队同时创建了实际的检查表，该检查表提供了关于如何询问中风后问题区域的示例语言，并将患者的反应与特定的转诊过程联系起来。结果如下：参与德尔菲法的卒中专家（n = 12）对11个长期卒中后问题领域给予了高度一致的评价：二级预防、日常生活活动、活动能力、痉挛状态、疼痛、失禁、沟通、情绪、认知、卒中后生活以及与照顾者的关系。这些问题领域已列入长期方案支助费用。结论：PSC是一种简单易用的工具，旨在促进卫生保健提供者采用标准化方法来识别卒中幸存者的长期问题，并促进适当的转诊治疗。
Background: Long-term care for stroke survivors is fragmented and lacks an evidence-based, easy-to-use tool to identify persistent long-term problems among stroke survivors and streamline referral for treatment. We sought to develop a poststroke checklist (PSC) to help health care professionals identify poststroke problems amenable to treatment and subsequent referral. Methods: An instrument development team, supported by measurement experts, international stroke experts, and poststroke care stakeholders, was created to develop a long-term PSC. A list of long-term poststroke problem areas was generated by an international, multidisciplinary group of stroke experts, the Global Stroke Community Advisory Panel. Using Delphi methods, a consensus was reached on which problem areas on the list were most important and relevant to include in a PSC. The instrument development team concurrently created the actual checklist, which provided example language about how to ask about poststroke problem areas and linked patient responses to a specific referral process. Results: Eleven long-term poststroke problem areas were rated highly and consistently among stroke experts participating in the Delphi process (n = 12): secondary prevention, activities of daily living, mobility, spasticity, pain, incontinence, communication, mood, cognition, life after stroke, and relationship with caregiver. These problem areas were included in the long-term PSC. Conclusions: The PSC was developed to be a brief and easy-to-use tool, intended to facilitate a standardized approach for health care providers to identify long-term problems in stroke survivors and to facilitate appropriate referrals for treatment.