Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals
Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals
复制标题
DOI：
10.1016/j.jstrokecerebrovasdis.2019.06.012
复制
发表时间：
2019-09-01
影响因子：
2.5
通讯作者：
Adams, Robert
中科院分区：
文献类型：
--
作者：
Magwood, Gayenell S.;Ellis, Charles;Adams, Robert
简介和目标：中风是一种严重的健康状况，相对于非西班牙裔白人，它严重影响非洲裔美国人。在没有明确定义的原因，种族差异的中风恢复和随后的中风结果，在减轻不良中风结果的关键的第一步是探索潜在的障碍和促进中风后恢复的非洲裔美国成年人中风。本研究的目的是从非裔美国成年中风患者、非裔美国成年中风患者的照顾者和具有中风护理专业知识的卫生保健专业人员的角度，定性地探讨整个护理连续体中的中风后恢复。材料和方法：这项定性描述性研究包括与卫生保健提供者（n = 10）和中风患者焦点小组的深入关键信息提供者访谈（n = 20人）及其家庭成员或照顾者（n = 19人）。数据进行了分析，使用主题分析，根据社会生态模型，使用归纳和演绎的approaches.Findings：人与中风和他们的照顾者确定的社会支持，资源和知识与中风恢复相关的最突出的因素。感知的康复障碍包括：（1）身体和认知缺陷，情绪;（2）药物问题;（3）缺乏支持和资源;（4）耻辱，文化和信仰。卫生保健提供者确定的知识/信息，护理协调，并在社区的资源作为关键，以促进中风恢复outcome.Conclusions：从这项研究的主要结果可以纳入干预措施，旨在改善中风后恢复的结果，并可能减少目前的种族-民族差距。
Introduction and Goal: Stroke is a serious health condition that disproportionally affects African-Americans relative to non-Hispanic whites. In the absence of clearly defined reasons for racial disparities in stroke recovery and subsequent stroke outcomes, a critical first step in mitigating poor stroke outcomes is to explore potential barriers and facilitators of poststroke recovery in African-American adults with stroke. The purpose of this study was to qualitatively explore poststroke recovery across the care continuum from the perspective of African-American adults with stroke, caregivers of African-American adults with stroke, and health care professionals with expertise in stroke care.Materials and Methods: This qualitative descriptive study included in-depth key informant interviews with health care providers (n = 10) and focus groups with persons with stroke (n = 20 persons) and their family members or caregivers (n = 19 persons). Data were analyzed using thematic analysis according to the Social Ecological Model, using both inductive and deductive approaches.Findings: Persons with stroke and their caregivers identified social support, resources, and knowledge as the most salient factors associated with stroke recovery. Perceived barriers to recovery included: (1) physical and cognitive deficits, mood; (2) medication issues; (3) lack of support and resources; (4) stigma, culture, and faith. Health care providers identified knowledge/information, care coordination, and resources in the community as key to facilitating stroke recovery outcomes.Conclusions: Key findings from this study can be incorporated into interventions designed to improve poststroke recovery outcomes and potentially reduce the current racial-ethnic disparity gap.