Role of Caregivers Training as Predictor of Outcome in Stroke Survivors – A Review

M. Rahman
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Abstract

There are many predictors of poor functional outcome in stroke survivors. Need of caregivers training to address the discharged patients for their home care management is often overlooked. Early discharge, lack of post-acute management facilities including home or community based services are other important predictors of poor functional outcome. Most of the patients are discharged home directly from hospital neurology unit after acute care management for inability to pay hospital costs. Rich patients who reside in the city can afford to receive treatment from trained nurse or physiotherapist at home but poor patients go home without any preparation for home care management of the patients. Hospital based rehabilitation management of stroke survivors are scarcely available in our country but thousands of inadequately treated patients are discharged home without any training to the caregivers. They come back to the outpatients department for next visit with multiple complications. This review article tried to find out the need and impact of caregivers training on outcome of stoke survivors. Bangladesh Journal of Neuroscience 2014; Vol. 30 (1): 50-52
护理人员培训作为中风幸存者预后预测因子的作用综述
有许多预测中风幸存者功能不良预后的因素。需要护理人员培训,以解决出院患者的家庭护理管理往往被忽视。早期出院,缺乏急性后管理设施,包括家庭或社区为基础的服务,是功能不良的其他重要预测因素。多数患者因无力支付住院费用而在急症护理后直接从医院神经内科出院。居住在城市的富裕患者可以负担得起在家接受训练有素的护士或物理治疗师的治疗,但贫困患者回家时没有为患者的家庭护理管理做好任何准备。在我国,以医院为基础的中风幸存者康复管理很少,但数千名治疗不充分的患者在没有对护理人员进行任何培训的情况下出院回家。他们带着多种并发症回到门诊部等待下一次就诊。这篇综述文章试图找出护理人员培训对中风幸存者预后的需求和影响。孟加拉国神经科学杂志2014;Vol. 30 (1): 50-52
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