Outreach nurse support after stroke: a descriptive study on patients' and carers' needs, and applied nursing interventions
Outreach nurse support after stroke: a descriptive study on patients' and carers' needs, and applied nursing interventions
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DOI：
10.1191/0269215504cr713oa
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发表时间：
2004-03-01
影响因子：
3
通讯作者：
de Haan, RJ
中科院分区：
文献类型：
--
作者：
Boter, H;Rinkel, GJE;de Haan, RJ
目的：描述成功联系居家卒中患者及其照顾者的问题数量和类型，以及采取的护理干预措施。设计：在荷兰的这项多中心定量研究中，中风患者和护理人员在出院后六个月内接受了外展护士支持，包括三次电话联系和一次家访。标准化的清单描述了广泛的潜在问题，用于记录问题和干预措施。研究对象：173名因中风入院并出院的患者和148名护理人员。结果：173例患者中，联系166例（96%），提及162例（1419个问题）。被提及最多的是身体问题（92%;153/166），其次是情绪问题（60%;99/166）。患者出现问题的比例从第一次接触时的94%（142/151）下降到最后一次接触时的74%（108/145）。在148名护理人员中，联系了118名（80%），其中84名提到了266个问题。“心理社会负担”被提及最多（45%;53/118）。有问题的护理人员在第一次接触时占56%(54/96)，在最后一次接触时占37%（26/70）。在对患者的864项干预措施中，中风护士最常使用的是“支持性倾听”（55%;471/864）和“安慰或鼓励”（12%;107/864），在对护理人员的258项干预措施中，45%（115/258）是“支持性倾听”，17%（43/258）是“告知”。结论：几乎所有患者和大多数护理人员都得到了联系。虽然在连续接触中需求的数量减少了，但许多患者和护理人员在最后一次接触中仍然提出了问题。护士最常用的干预是“支持性倾听”。
Objective: To describe the number and types of problems mentioned by successfully contacted home-dwelling stroke patients and their carers, and nursing interventions applied.Design: In this multicentre quantitative study in the Netherlands, stroke patients and carers received outreach nurse support consisting of three telephone contacts and one home visit within six months after discharge. Standardized checklists describing a wide range of potential problems were used to record problems and interventions.Subjects: A sample of 173 patients admitted for a stroke and discharged home, and 148 carers.Results: Of 173 patients, 166 (96%) were contacted and 162 mentioned in total 1419 problems. Physical problems were mentioned most frequently (92%; 153/166), followed by emotional problems (60%; 99/166). The proportion of patients with problems decreased from 94% (142/151) at the first contact to 74% (108/145) at the last contact. Of 148 carers, 118 (80%) were contacted and 84 mentioned 266 problems. 'Psychosocial burden' was mentioned most frequently (45%; 53/118). Proportions of carers with problems were 56% (54/96) at the first contact and 37% (26/70) at the last contact. Of 864 interventions to patients, stroke nurses most frequently applied 'supportive listening' (55%; 471/864) and 'reassuring or encouraging' (12%; 107/864), and of 258 interventions to carers 45% (115/258) were 'supportive listening' and 17% (43/258) 'informing'.Conclusions: Almost all patients and most carers were contacted. Though the number of needs decreased during the consecutive contacts, many patients and carers still raised problems during the last contact. Nurses most frequently applied the intervention 'supportive listening'.