■蛛网膜下腔出血(SAH)幸存下来的人经常面临持久的健康挑战,包括身体残疾。疲劳,认知障碍,心理障碍,降低了生活质量。虽然团体干预在解决慢性病中的类似问题方面取得了积极成果,特别涉及SAH的证据仍然很少。这项服务评估旨在探索SAH幸存者参加多学科团体支持计划的经验,以解决以前文献中确定的未满足的需求。最终目的是完善该计划的未来迭代并提高SAH后的护理质量。
■对参加该计划的12个人进行了半结构化访谈。对所得数据进行了主题分析。
■分析中出现了四个总体主题:(1)SAH后获得支持的障碍,(2)作为复苏推动者的因素,(3)分享生活经验以互相支持,(4)在导航组格式时感觉连接。
■缺乏沟通,恐惧,孤独,认知障碍可以成为参与支持的障碍,在接受和调整的同时,整体多学科投入,和心理支持可能代表成功的恢复推动者。讨论了对该计划未来迭代以及临床康复和服务开发的影响。
基于多学科小组的支持计划可能有助于蛛网膜下腔出血(SAH)后的康复。缺乏沟通等因素,恐惧,孤独,认知障碍可能成为参与的障碍,在接受和调整的同时,全面的多学科团队投入,和心理支持可以使恢复。服务部门可能希望监测沟通的有效性和频率,同时确保SAH患者出院时明确的支持途径和既定的转诊途径。为参与者提供书面材料,以便在每次会议期间使用,并允许更多的时间彼此联系,这可能有助于在小组会议期间解决认知困难。
UNASSIGNED: People who survive a subarachnoid haemorrhage (SAH) often face enduring health challenges including physical disability, fatigue, cognitive impairments, psychological difficulties, and reduced quality of life. While group interventions have shown positive results in addressing similar issues in chronic conditions, the evidence involving SAH specifically is still sparse. This service evaluation aimed to explore SAH survivors\' experiences of attending a multidisciplinary group-based support programme tailored to address unmet needs identified in previous literature, with the ultimate aim to refine future iterations of the programme and improve quality of care post-SAH.
UNASSIGNED: Semi-structured interviews were carried out with 12 individuals who attended the programme. The resulting data were analysed thematically.
UNASSIGNED: Four overarching themes emerged from the analysis: (1) Barriers to accessing support after a SAH, (2) Factors acting as enablers of recovery, (3) Sharing lived experience to support one another, (4) Feeling connected while navigating a group format.
UNASSIGNED: Lack of communication, fear, loneliness, and cognitive impairments can act as barriers to engagement with support, while acceptance and adjustment, holistic multidisciplinary input, and psychological support may represent successful enablers of recovery. Implications for future iterations of the programme as well as clinical rehabilitation and service development are discussed.
A multidisciplinary group-based support programme may help rehabilitation following a subarachnoid haemorrhage (SAH).Factors such as lack of communication, fear, loneliness, and cognitive impairments may act as barriers to engagement, while acceptance and adjustment, holistic multidisciplinary team input, and psychological support may enable recovery.Services may wish to monitor the effectiveness and frequency of their communication while making sure a clear pathway of support and established referral routes are in place when SAH patients are discharged from hospital.Providing participants with written materials to use during each session as well as allowing for more time to connect with one another other may help with cognitive difficulties during group sessions.