文献类型：期刊文献

英文题名：Long-term unmet needs after stroke: systematic review of evidence from survey studies

作者：Chen, Ting[1];Zhang, Bo[1];Deng, Yan[1];Fan, Jing-Chun[2];Zhang, Liansheng[1];Song, Fujian[3]

第一作者：Chen, Ting

通信作者：Song, FJ[1]

机构：[1]Wuhan Univ Sci & Technol, Sch Publ Hlth, Med Coll, Wuhan, Hubei, Peoples R China;[2]Gansu Univ Tradit Chinese Med, Sch Publ Hlth, Lanzhou, Gansu, Peoples R China;[3]Univ East Anglia, Norwich Med Sch, Dept Publ Hlth & Epidemiol, Norwich, Norfolk, England

第一机构：Wuhan Univ Sci & Technol, Sch Publ Hlth, Med Coll, Wuhan, Hubei, Peoples R China

通信机构：[1]corresponding author), Univ East Anglia, Norwich Med Sch, Dept Publ Hlth & Epidemiol, Norwich, Norfolk, England.

年份：2019

卷号：9

期号：5

外文期刊名：BMJ OPEN

收录：;Scopus(收录号：2-s2.0-85065969704);WOS:【SSCI(收录号:WOS:000471192800330)，SCI-EXPANDED(收录号:WOS:000471192800330)】；

语种：英文

外文关键词：health and social care; needs assessment; patient-centered; stroke medicine

摘要：Objectives To synthesise evidence on longer term unmet needs perceived by stroke survivors, and psychometric properties of the tools used to evaluate unmet care needs after stroke. Design Systematic review. Setting Community or patients' home. Participants Stroke survivors. Methods We searched PubMed, PsycINFO, CINAHL, EMBASE from inception to 31 March 2018 to identify survey studies that evaluated unmet needs perceived by stroke survivors after hospital discharge. Reported unmet needs were categorised under three domains: body functioning, activity/participation and environmental factors. Ranges of prevalence rates of unmet needs reported in studies were presented. Results We included 19 eligible studies, with considerable heterogeneity in patients, survey methods and results. Psychometric properties of two stroke-specific tools were formally evaluated, indicating their moderate reliability and content/concurrent validity. The median number of reported unmet needs per stroke survivor was from two to five, and the proportion of stroke survivors with at least one unmet needs was on average 73.8% (range 19.8%-91.7%). Unmet needs perceived by stroke survivors included 55 records of unmet body functioning needs, 47 records of unmet activities/participatory needs and 101 records of unmet environmental needs. Common unmet service needs were unmet information needs (3.1%-65.0%), transport (5.4%-53.0%), home help/personal care (4.7%-39.3%) and therapy (2.0%-35.7%). Conclusions The prevalence of unmet long-term needs is high among stroke survivors, and there is considerable heterogeneity in type and frequency of specific unmet needs. More research is required to link regular assessment of long-term unmet needs of stroke survivors with the provision of cost-effective patient-centred health and social care services.