Family carers of stroke survivors: needs, knowledge, satisfaction and competence in caring
Family carers of stroke survivors: needs, knowledge, satisfaction and competence in caring
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DOI：
10.1080/09638280600731599
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发表时间：
2007-01-30
影响因子：
2.2
通讯作者：
Mann, Helen
中科院分区：
文献类型：
--
作者：
Mackenzie, Ann;Perry, Lin;Mann, Helen
目的.探讨中风幸存者家属照顾者所需的支援。在急性卒中单元（ASU）出院前和出院后4-6周，对42名家庭照顾者进行需求、知识、满意度和照顾能力的调查。信息赤字处理心理，情绪和行为问题和当地服务信息的优先事项之前和之后出院。年轻的女性照顾者（56岁以下）与ASU工作人员的沟通最不满意。面对面的接触是有价值的。出院后，年轻的女性护理人员，特别是非白人群体的护理人员，报告说护理能力较低，负担较重。所有组的中风危险因素的知识都很低。对ASU的治疗和治疗满意度高，没有转移到社区。餐饮业报告的感觉孤独，并描述了不协调的服务。看护人能够预测自己的需求并确定其优先次序，重视与工作人员的沟通并参与出院规划，但年轻女性看护人和非白人群体的看护人遇到了特殊困难。在为来自混合族裔社区的家庭照料者制定有针对性的干预措施时，需要特别注意这一点。需要进行深入和纵向研究，以详细说明心理社会需求，并指导实践，特别是在非白人家庭照顾者中。
Purpose. To examine the support required by family carers for stroke survivors.Methods. Forty-two family carers were recruited for surveys of needs, knowledge, satisfaction, and competence in caring before and 4-6 weeks after discharge from an Acute Stroke Unit (ASU).Results. Information deficits about dealing with psychological, emotional, and behavioural problems and local service information were priorities before and after discharge. Younger female carers (under 56 years) were least satisfied with communication with ASU staff. Face to face contact was valued. After discharge younger female carers, particularly of non-White ethnic groups, reported lower levels of competence in caring and higher burden. Knowledge of stroke risk factors was low in all groups. High satisfaction with treatment and therapy in the ASU, was not transferred to the community. Caters reported feeling alone and described uncoordinated services.Conclusions. Carets are able to anticipate and prioritise their needs, value communication with staff and involvement with discharge-planning, but particular difficulties were experienced by younger female carets and those from non-White ethnic groups. This requires particular attention when developing targeted interventions for family carers from a mixed ethnic community. In-depth and longitudinal studies are needed to detail psychosocial needs and guide practice particularly amongst non-White family carers.