Unmet care needs of community-dwelling stroke survivors: a systematic review of quantitative studies.
Unmet care needs of community-dwelling stroke survivors: a systematic review of quantitative studies.
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DOI：
10.1136/bmjopen-2020-045560
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发表时间：
2021-04-20
期刊：
影响因子：
2.9
通讯作者：
Tong Y
中科院分区：
文献类型：
--
作者：
Lin BL;Mei YX;Wang WN;Wang SS;Li YS;Xu MY;Zhang ZX;Tong Y
了解社区居住的中风幸存者未得到满足的需求对于进一步干预至关重要。这一系统的审查是为了从定量的角度总结他们未得到满足的需求。使用系统评审和荟萃分析指南的首选报告项目进行系统评审。从开始到2020年2月，对6个数据库进行了全面搜索：PubMed、EMbase、CINAHL、SqucINFO、Scope us和CBM。对研究的方法学质量进行评估。对未满足的需求进行了分类，并对主要结果进行了汇总分析。我们纳入了定量研究，重点关注中风幸存者的未得到满足的需求，他们住在家里，而不是在任何其他制度化组织中。总共纳入了2660项研究中的32项，确定了1980项未得到满足的需求。未满足需求的患病率为15.08%~97.59%，中位数为67.20%；未满足需求的中位数为2~8例(0~31例)。未满足需求的发生率在卒中后6个 月(62.14%)和卒中后2 年(81.37%)较高。经过分类后，这些患者主要关心的是信息支持、身体功能和心理健康；少数研究报告了与休闲运动、重返工作岗位等相关的未得到满足的需求。此外，研究中使用的测量工具的差异会影响参与者报告的未得到满足的需求。充足、准确、个性化和动态的信息支持是社区居住的中风幸存者的优先事项。身体机能和精神健康也是重新实现社会参与的最大关切。必须设计和传播标准、有效和节省时间的工具，以评估未得到满足的需求。CRD42018112181。
Understanding the unmet needs of community-dwelling stroke survivors is essential for further intervention. This systematic review was performed to summarise their unmet needs from a quantitative viewpoint. Systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search of six databases was conducted from inception to February 2020: PubMed, EMBASE, CINAHL, PsycINFO, SCOPUS and CBM. The methodological quality of the studies was assessed. Unmet needs were categorised, and a pooled analysis of the main outcomes was conducted. We included quantitative studies focused on the unmet needs of stroke survivors who live at homes rather than in any other institutionalised organisation. In total, 32 of 2660 studies were included, and 1980 unmet needs were identified. The prevalence of patients with unmet needs ranged from 15.08% to 97.59%, with a median of 67.20%; the median number of unmet needs per patient ranged from 2 to 8 (0–31). The prevalence of unmet needs was high at 6 months post-stroke (62.14%) and 2 years post-stroke (81.37%). After categorisation, the main concerns among these patients were revealed to be information support, physical function and mental health; a few studies reported unmet needs related to leisure exercise, return to work and so on. Additionally, differences in the measurement tools used across studies affect what unmet needs participants report. Sufficient, accurate, individualised and dynamic information support is a priority among community-dwelling stroke survivors. Physical function and mental health are also the most significant concerns for re-achieving social participation. It is essential to design and disseminate standard, effective and time-saving tools to assess unmet needs. CRD42018112181.
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