Rehabilitation Needs of Stroke Survivors After Discharge From Hospital in India
Rehabilitation Needs of Stroke Survivors After Discharge From Hospital in India
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DOI：
10.1016/j.apmr.2016.02.008
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发表时间：
2016-09-01
影响因子：
4.3
通讯作者：
Kuper, Hannah
中科院分区：
文献类型：
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作者：
Kamalakannan, Sureshkumar;Venkata, Murthy Gudlavalleti;Kuper, Hannah
目的：为了评估印度钦奈的中风幸存者出院后的康复需求，设计：混合方法研究设计，设置：家庭为基础，参与者：中风幸存者（n=50;平均年龄SD，58.9 ± 10.5岁）和这些中风幸存者的主要照顾者（n=50;平均年龄SD，43.1 ± 11.8岁）参加了定量调查。卒中幸存者（n=12）、主要照顾者（n=10）和卫生保健专业人员（n=8）的子样本参加了定性深入访谈。干预措施：不适用。主要结果测量：出院后的康复需求。约82%的中风幸存者表达的需求和92%的照顾者表达的需求表明，他们有大量的信息需求。中风幸存者和照顾者报告的经济需求比例分别为70%和75%。定性数据显示，在获得中风康复服务方面存在重大差距。服务提供者认为，服务的可得性和可负担性是关键问题。中风幸存者及其照顾者认为缺乏中风信息是中风康复服务可及性的主要障碍。照顾者表示非常需要支持，以管理家庭dynamics.Conclusions：这项研究突出了一个相当大的未满足的需要中风后康复服务。鉴于印度缺乏康复资源，开发一种可获得的、创新的、以患者为中心的、文化敏感的康复干预措施具有公共卫生重要性。对于像印度这样的中低收入国家来说，制定技术驱动的中风康复策略以满足中风幸存者日益增长的康复需求至关重要。(C)2016年美国康复医学大会。爱思唯尔公司出版。
Objective: To assess the rehabilitation needs of stroke survivors in Chennai, India, after discharge from the hospital.Design: Mixed-methods research design.Setting: Home-based.Participants: Stroke survivors (n=50; mean age SD, 58.9 +/- 10.5y) and primary caregivers of these stroke survivors (n=50; mean age SD, 43.1 +/- 11.8y) took part in the quantitative survey. A subsample of stroke survivors (n=12), primary caregivers (n=10), and health care professionals (n=8) took part in the qualitative in-depth interviews.Interventions: Not applicable.Main Outcome Measure: Rehabilitation needs after hospital discharge.Results: About 82% of the needs expressed by stroke survivors and 92% of the needs expressed by caregivers indicated that they had a substantial need for information. The proportion of financial needs reported by the stroke survivors and the caregivers was 70% and 75%, respectively. The qualitative data revealed major gaps in access to stroke rehabilitation services. Service providers identified availability and affordability of services as key problems. Stroke survivors and their caregivers identified lack of information about stroke as major barriers to accessibility of stroke rehabilitation services. Caregivers expressed a tremendous need for support to manage family dynamics.Conclusions: The study highlights a considerable unmet need for poststroke rehabilitation services. Given the lack of rehabilitation resources in India, developing an accessible, innovative, patient-centered, culturally sensitive rehabilitation intervention is of public health importance. It is crucial for low- and middle-income countries like India to develop technology-driven stroke rehabilitation strategies to meet the growing rehabilitation needs of stroke survivors. (C) 2016 by the American Congress of Rehabilitation Medicine. Published by Elsevier Inc.