Clinical Nursing · Medical Nursing
Study on the supportive care needs of stroke patients:a mixed-methods study
Yu Weixia, Wang Haifang, Cai Jianzheng, Zhang Yingying, Xie Changqing
Published 2020-08-01
Cite as Chin J Prac Nurs, 2020, 36(22): 1704-1710. DOI: 10.3760/cma.j.cn211501-20191104-03211
Abstract
ObjectiveTo explore supportive care needs of patients with stable stroke in the acute phase and provide guidance for effective supportive care through mixed-methods.
MethodsA mixed-method study with convergent parallel design was used. A convenient sampling method was used to select neurological inpatients for questionnaire survey. At the same time, a purposive sampling was used to conduct semi-structured interviews with 15 stroke patients.
ResultsA total of 176 valid questionnaires were collected, and the average score of supportive care needs were 2.17±0.37, The top 3 were disease-related information needs (2.75 ± 0.40), daily life care needs (2.28 ± 0.51), and social support needs (2.26 ± 0.28). Knowing the causes of stroke ranked first in each entry. The theme of qualitative interviews included: assisting daily activities, management of impaired functions, early functional rehabilitation, disease-related knowledge, psychosocial support, and discharge guidance.
ConclusionsStroke patients have rich and high-level supportive care needs, and provide corresponding information needs based on patient needs. Implement early secondary prevention guidance to prevent stroke recurrence; cooperate with multidisciplinary teams to provide early rehabilitation, reduce functional impairment; timely identify negative emotions of patients, and jointly provide family with patients psychological support. Implement a case management model to promote full-course care for stroke patients.
Key words:
Stroke; Patients; Supportive care needs; Mixed-methods study
Contributor Information
Yu Weixia
School of Nursing, School of Medicine, Soochow University, 215006, China
Wang Haifang
Department of Nursing, the First Affiliated Hospital of Suzhou University, Suzhou 215006, China
Cai Jianzheng
Department of Nursing, the First Affiliated Hospital of Suzhou University, Suzhou 215006, China
Zhang Yingying
School of Nursing, School of Medicine, Soochow University, 215006, China
Xie Changqing
School of Nursing, School of Medicine, Soochow University, 215006, China