Unmet supportive care needs among survivors of stroke in Australia: A cross-sectional study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-07-25 DOI:10.1037/rep0000568

Kristy Fakes, Mariko Carey, Amy Waller, Erin Forbes, Jude Czerenkowski, Joshua Dizon, Robert Sanson-Fisher

{"title":"Unmet supportive care needs among survivors of stroke in Australia: A cross-sectional study.","authors":"Kristy Fakes, Mariko Carey, Amy Waller, Erin Forbes, Jude Czerenkowski, Joshua Dizon, Robert Sanson-Fisher","doi":"10.1037/rep0000568","DOIUrl":null,"url":null,"abstract":"Purpose/objective: To examine, among survivors of stroke: (a) the prevalence of and most frequently reported unmet needs; and (b) the sociodemographic and clinical factors associated with higher counts of unmet needs.Research method/design: A cross-sectional study was undertaken with survivors of stroke recently discharged from eight hospitals in Australia, with institutional board approval. Survivors were mailed one survey for completion after their discharge from hospital. Unmet needs were measured by the Longer-Term Unmet Needs After Stroke (LUNS) tool. The number and percentage of participants who reported unmet needs were calculated. The association of sociodemographic factors, type of stroke, and thrombolysis treatment to total LUNS scores was examined using mixed ordinal logistic regression.Results: A total of 402 survivors (35% of those approached) between April 2018 to December 2019 returned a completed survey. 83% reported at least one unmet need. The most frequently reported unmet need was needing more information about their stroke (n = 239, 61%). Those who identified as Aboriginal and/or Torres Strait Islander had approximately 5.6-fold higher odds (OR = 5.59, p = .025) of having more longer-term unmet needs compared to those who did not identify as Aboriginal and/or Torres Strait Islander.Conclusions/implications: Unmet needs are common in recently discharged survivors of stroke. These findings may be used to inform strategies that support recovery. Providing more information may help reduce unmet needs among survivors of stroke. Enhanced hospital discharge planning and enhanced community services for survivors may help better prepare them and their caregivers for the return home. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Psychology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/rep0000568","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose/objective: To examine, among survivors of stroke: (a) the prevalence of and most frequently reported unmet needs; and (b) the sociodemographic and clinical factors associated with higher counts of unmet needs.

Research method/design: A cross-sectional study was undertaken with survivors of stroke recently discharged from eight hospitals in Australia, with institutional board approval. Survivors were mailed one survey for completion after their discharge from hospital. Unmet needs were measured by the Longer-Term Unmet Needs After Stroke (LUNS) tool. The number and percentage of participants who reported unmet needs were calculated. The association of sociodemographic factors, type of stroke, and thrombolysis treatment to total LUNS scores was examined using mixed ordinal logistic regression.

Results: A total of 402 survivors (35% of those approached) between April 2018 to December 2019 returned a completed survey. 83% reported at least one unmet need. The most frequently reported unmet need was needing more information about their stroke (n = 239, 61%). Those who identified as Aboriginal and/or Torres Strait Islander had approximately 5.6-fold higher odds (OR = 5.59, p = .025) of having more longer-term unmet needs compared to those who did not identify as Aboriginal and/or Torres Strait Islander.

Conclusions/implications: Unmet needs are common in recently discharged survivors of stroke. These findings may be used to inform strategies that support recovery. Providing more information may help reduce unmet needs among survivors of stroke. Enhanced hospital discharge planning and enhanced community services for survivors may help better prepare them and their caregivers for the return home. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

澳大利亚中风幸存者未满足的支持性护理需求：一项横断面研究。

目的/目标：研究方法/设计：研究方法/设计：在获得机构委员会批准后，对最近从澳大利亚 8 家医院出院的中风幸存者进行了横断面研究。幸存者在出院后会收到一份调查问卷。未满足的需求通过 "中风后长期未满足的需求"（LUNS）工具进行测量。计算了报告需求未得到满足的参与者人数和百分比。采用混合序数逻辑回归法研究了社会人口学因素、中风类型和溶栓治疗与 LUNS 总分的关系：在 2018 年 4 月至 2019 年 12 月期间，共有 402 名幸存者（占受访者的 35%）返回了填写完整的调查问卷。83%的人报告至少有一项需求未得到满足。最常报告的未满足需求是需要更多有关中风的信息（n = 239，61%）。与那些未被认定为土著居民和/或托雷斯海峡岛民的人相比，那些被认定为土著居民和/或托雷斯海峡岛民的人有更多长期未满足需求的几率要高出约 5.6 倍（OR = 5.59，p = .025）：未满足的需求在最近出院的中风幸存者中很常见。这些发现可用于制定支持康复的策略。提供更多信息可能有助于减少中风幸存者未满足的需求。为幸存者加强出院规划和社区服务可帮助他们及其照护者为回家做好更充分的准备。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.