Developing a stroke-vision care pathway: a consensus study
Developing a stroke-vision care pathway: a consensus study
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DOI：
10.1080/09638288.2020.1768302
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发表时间：
2020-05-27
影响因子：
2.2
通讯作者：
Helliwell, Brinton
中科院分区：
文献类型：
--
作者：
Rowe, Fiona J.;Hepworth, Lauren R.;Helliwell, Brinton
目的：我们的目的是为有视力障碍的中风幸存者制定一个中风视力护理路径。方法：文献综述检索了关键的电子书目数据库中与卒中/视力相关的护理路径。两个焦点小组会议使用半结构化/名义组技术达成共识的项目纳入中风视力护理路径。随着路径的发展，我们通过咨询患者和专业团体获得了反馈。结果：文献综述确定了两种相关的急性中风和一般视力障碍的护理途径。焦点小组的产出涉及中风幸存者如何出现视力问题;中风幸存者出现视力症状的时间点;不同类型的视力状况与不同视力服务的相关性;辅助医院服务的重要性;以及促进中风幸存者对视力问题认识的关键资源的重要性。路径的细化考虑了从中风发作、向服务报告症状以及根据视觉状况类型需要的路标/转诊的持续时间。结论：这一新的卒中-视力护理路径是一个过程路径，描述了视力障碍卒中幸存者获得医疗保健和获得与其特定视力问题相关的视力服务的适当转诊的潜在选择。
Purpose:We aimed to develop a stroke-vision care pathway for stroke survivors with visual impairment. Methods:A literature review searched key electronic bibliographic databases for care pathways related to stroke/vision. Two focus group meetings using semi-structured/nominal group technique reached consensus on items relevant for inclusion in a stroke-vision care pathway. Following the development of the pathway, we obtained feedback through consultation with patient and professional groups. Results:The literature review identified two care pathways relevant to acute stroke and generic vision disorders. Outputs from focus groups related to how stroke survivors present with vision problems; the time points at which stroke survivors present with vision symptoms; the relevance of different types of visual condition to different vision services; the importance of support services supplementary to hospital services and; the importance of key resources to promote awareness of vision problems in stroke survivors. Refinement of the pathway considered time duration from stroke onset, reporting of symptoms to services, and signposting/referrals required dependent on visual condition type. Conclusions:This new stroke-vision care pathway is a process pathway describing potential options for stroke survivors with visual impairment to access health care and obtain appropriate referral(s) to vision services relevant to their specific vision problem(s).