孟加拉国卒中后门诊患者对康复服务的期望与认知的相关因素

M. Hasan, Kantabhat Anusaksathien, Kanida Narattharaksa, Nahar Afrin
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摘要

目的:为了提高患者的参与度,本研究旨在确定与孟加拉国中风后门诊患者对康复服务的期望和认知相关的患者相关因素。方法:对342例脑卒中康复科门诊患者进行问卷调查。采用描述性统计分析测量患者的感知和期望。采用方差分析的Eta统计来检验患者相关因素与患者对康复服务的期望和感知之间的关系。结果:患者对康复服务各维度的期望均高于感知。因素如;(1)患者受教育程度(0.222,p=0.005)和脑卒中后残疾程度(0.447,p<0.001)与患者期望有显著相关。(二)患者的受教育程度(0.210,p=0.010)、职业(0.226,p=0.003)、家庭状况(0.180,p=0.048)、卒中前日常活动(0.169,p=0.044)、卒中后残疾(0.195,p=0.004)和家到医院的距离(0.190,p=0.006)与患者对康复服务的认知有显著关系。结论:本研究的结果表明,康复管理人员需要对这些因素进行研究,并建议制定继续教育计划,以尽量减少这些因素对康复服务的不良认识。
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Factors Relating to the Expectations and Perceptions of Post-Stroke Outpatients’ in the Rehabilitation Services of Bangladesh
Purpose: For enhancing patients’ participation, this study aims to identify the patient-related factors that relate to the expectations and perceptions of post-stroke outpatients’ in the rehabilitation services of Bangladesh. Methods: A questionnaire survey was administered to 342 outpatients from the stroke rehabilitation department. Descriptive statistical analysis was applied to measure patients’ perceptions and expectations. Eta statistic from ANOVA was applied to examine the relationship between patient-related factors and the patients’ expectations and perceptions of the rehabilitation services. Findings: Patients’ expectations rated higher than the perceptions in all the dimensions of rehabilitation services. Factors such as; (i) patients' education (0.222, p=0.005) and post-stroke disability (0.447, p<0.001) indicated a significant relationship with patients' expectations. (ii) Patients' education (0.210, p=0.010), occupation (0.226, p=0.003), family status (0.180, p=0.048) and daily activities before the stroke (0.169, p=0.044), post-stroke disability (0.195, p=0.004) and distance from home to the hospital (0.190, p=0.006) indicated a significant relationship with their perceptions in the rehabilitation services. Conclusion: The findings of this study concluded that the rehabilitation manager needs to work on these factors and recommended developing a continuing education program to minimize these factors of poor perceptions in the rehabilitation services.
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