目的:探讨脑卒中患者支持性护理需求的轨迹规律及影响因素。
方法:纵向研究。
方法:总共,2022年7月至2023年7月在徐州一家医院神经内科接受治疗的207例中风患者采用便利抽样方法进行了招募。问卷调查,包括支持性护理需求,医院焦虑抑郁量表,在基线和第1,3和6个月时对Barthel指数进行了调查.应用潜在的类增长模型来识别支持性护理需求轨迹。多元逻辑回归用于确定成员资格的预测因子。本研究遵循STROBE报告指南。
结果:确定了支持护理需求轨迹的三种模式:高需求缓慢下降组(20.8%),中等需求稳定组(56.5%)和中等需求快速下降组(22.7%)。基于进一步的分析,研究结果表明,年龄,教育水平,月收入,合并症,日常生活活动,焦虑和抑郁与卒中患者的支持治疗需求轨迹类别相关.
结论:本研究显示卒中患者支持护理需求变化的异质性。医疗保健提供者需要考虑这些不同类别的需求,并根据不同患者的特征制定个性化的护理措施。
结论:医疗保健提供者应该意识到中风患者在不同阶段的护理需求波动。此外,该研究旨在根据患者的情况确定患者的具体需求,监控康复过程,并通过多学科合作建立更个性化和优化的护理计划。最终目标是减轻症状困扰并满足患者的长期护理需求。
■没有患者或公众捐款。
OBJECTIVE: To investigate the trajectory patterns and influencing factors of supportive care needs in stroke patients.
METHODS: A longitudinal study.
METHODS: In total, 207 stroke patients who received treatment at the Department of Neurology in a hospital in Xuzhou between July 2022 and July 2023 were recruited using convenience sampling. Questionnaires including supportive care needs, hospital anxiety and depression scale, and the Barthel index were investigated at baseline and at 1, 3, and 6 months. A latent class growth model was applied to identify the supportive care needs trajectories. Multiple logistic regression was used to determine the predictors for membership. This study adheres to STROBE reporting guidelines.
RESULTS: Three patterns of supportive care needs trajectories were identified: A high needs slow decline group (20.8%), a medium needs stable group (56.5%) and a medium needs rapid decline group (22.7%). Based on further analysis, the findings indicated that age, education level, monthly income, comorbidity, activities of daily living, anxiety and depression were associated with the trajectory categories of supportive care needs with stroke patients.
CONCLUSIONS: This study demonstrates heterogeneity in changes in supportive care needs among stroke patients. Healthcare providers need to consider these different categories of needs and develop individualized care measures based on the characteristics of different patients.
CONCLUSIONS: Healthcare providers should be aware of the fluctuations in care needs of stroke patients at various stages. Additionally, the study aimed to identify patients\' specific needs based on their circumstances, monitor the rehabilitation process and establish a more personalized and optimized care plan through multidisciplinary collaboration. The ultimate goal was to alleviate symptomatic distress and address the long-term care needs of patients.
UNASSIGNED: No patient or public contribution.