What are the components of effective stroke unit care?
What are the components of effective stroke unit care?
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DOI：
10.1093/ageing/31.5.365
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发表时间：
2002-09-01
期刊：
影响因子：
6.7
通讯作者：
Pollock, A
中科院分区：
文献类型：
--
作者：
Langhorne, P;Pollock, A
背景：有组织的住院（卒中病房）护理的有效性已在临床试验的系统评价中得到证实。然而，人们对中风病房护理的关键组成部分知之甚少。方法：我们对中风病房/病房的最新试验（1985-2000 年发表）进行了调查，这些试验证明了与中风病房系统评价一致的有益效果。结果：我们确定了 11 项符合条件的中风病房试验，其中大多数描述了类似的方法：i) 评估程序（医疗、护理和治疗评估），ii) 早期管理政策 （例如早期活动；避免导尿；治疗缺氧、高血糖和疑似感染），iii) 持续的康复政策（例如协调的多学科团队护理、出院早期评估）。结论：本次调查提供了中风病房护理的描述，可作为一般中风患者护理和未来临床研究的基准。
Background: the effectiveness of organized inpatient (stroke unit) care has been demonstrated in systematic reviews of clinical trials. However, the key components of stroke unit care are poorly understood.Methods: we conducted a survey of recent trials (published 1985-2000) of a stroke unit/ward which had demonstrated a beneficial effect consistent with the stroke unit systematic review.Results: we identified 11 eligible stroke unit trials of which the majority described similar approaches to i) assessment procedures (medical, nursing and therapy assessments), ii) early management policies (e.g. early mobilization; avoidance of urinary catheterization; treatment of hypoxia, hyperglycaemia and suspected infection), iii) ongoing rehabilitation policies (e.g. co-ordinated multidisciplinary team care, early assessment for discharge).Conclusions: this survey provides a description of stroke unit care which can serve as a benchmark for general stroke patient care and future clinical research.