Perceived challenges in delivering comprehensive care for patients following stroke: a qualitative study of stroke care providers in Guangdong Province, China.
Perceived challenges in delivering comprehensive care for patients following stroke: a qualitative study of stroke care providers in Guangdong Province, China.
复制标题
为中风患者提供全面护理所面临的挑战：对中国广东省中风护理人员的定性研究。
DOI：
10.1080/09638288.2020.1755896
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发表时间：
2022
影响因子：
2.2
通讯作者：
Wu C
中科院分区：
文献类型：
--
作者：
Wu C
目的了解广东省卒中康复期患者综合护理面临的挑战。方法对广东省中国南部两所具有不同社会经济特征的三级医院进行横断面定性研究。采访了16名中风护理人员，包括医生、护士、康复治疗师和护理人员。采访被录音、转录，并从普通话翻译成英语。本研究以专题分析的方式，从护理提供者对现有常规卒中护理服务的经验，以及对提供全面卒中护理的挑战的看法等方面，提出描述性与分析性主题。结果与卒中护理提供者的访谈突出了阻碍两家医院提供全面卒中护理能力的三个关键因素。首先，提供者和患者之间缺乏关于中风和中风护理的专业知识；其次，中风护理系统没有完全整合，中风团队协调不足，中风患者出院后护理不一致；第三，卒中患者社会支持不足。结论综合卒中护理已成为中国的首要任务，但我们的研究突出了目前卒中护理提供的一些重要差距。实施全面综合卒中护理是最大限度地发挥卒中服务效果的关键，在中国，需要进一步完善。多学科卒中护理体系应加强跨相关学科的协作，并应明确注册护士的角色。出院后的后续护理需要更多的家庭照顾者参与。
PurposeTo understand the challenges in delivering comprehensive care for patients recovering from stroke in Guangdong Province, China.MethodsA cross-sectional qualitative study was conducted in two tertiary hospitals with different socio-economic characteristics in Guangdong Province, Southern China. Interviews were conducted with 16 stroke care providers including doctors, nurses, rehabilitation therapists and care workers. The interviews were audiotaped, transcribed and translated from Mandarin to English. Thematic analysis was used to draw out descriptive and analytical themes relating to care providers’ experiences of existing routine stroke care services and the perceptions of challenges in delivering comprehensive stroke care.ResultsThe interviews with stroke care providers highlighted three key factors that hinder the capacity of the two hospitals to deliver comprehensive stroke care. First, expertise and knowledge regarding stroke and stroke care are lacking among both providers and patients; second, stroke care systems are not fully integrated, with inadequate coordination of the stroke team and inconsistency in care following discharge of stroke patients; third, stroke patients have insufficient social support.ConclusionsWhile comprehensive stroke care has become a priority in China, our study highlights some important gaps in the current provision of stroke care.IMPLICATIONS FOR REHABILITATIONComprehensive integrated stroke care is essential to maximize the effectiveness of stroke services and in China it needs to be further improved.Multidisciplinary stroke care systems should strengthen collaborations across all relevant disciplines and should include a clear role for registered nurses.Follow-up care after discharge needs more engagement with family caregivers.