Psychosocial outcomes for patients and carers after aneurysmal subarachnoid haemorrhage
| Autor: | L. Foulkes, D. A. Lang, G. Neil-Dwyer, Colin Pritchard |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Aftercare Cohort Studies Cost of Illness Surveys and Questionnaires Humans Medicine Direct consequence Community Health Services Clinical governance business.industry Vascular disease Communication Professional-Patient Relations General Medicine Continuity of Patient Care Middle Aged Subarachnoid Hemorrhage After discharge medicine.disease Surgery Hospitalization Treatment Outcome Caregivers England Patient Satisfaction Cohort Emergency medicine Cost analysis Female Subarachnoid haemorrhage Neurology (clinical) business Psychosocial |
| Zdroj: | British Journal of Neurosurgery. 15:456-463 |
| ISSN: | 1360-046X 0268-8697 |
| Popis: | As part of a 'clinical governance' initiative, a patient/carer led study was designed to determine the psychosocial outcome of a consecutive cohort of 137 aneurysmal sub-arachnoid haemorrhage (ASAH) patients of whom 45% had experienced a severe haemorrhage. Most patients were middle class (51%), female (63%), aged under 54 years (53%) and 30% had school-age children. Information booklets did not meet the need for case-specific answers and communication problems were identified despite the high rating of in-patient treatment. Substantial problems occurred after discharge because of a hiatus in care and support by community-based services. Carers carried major psychosocial burdens, fifty-one per cent reporting that their work was negatively affected, and after a year, employment cost to carers was pounds sterling 182,000 and pounds sterling 590,000 for patients. 11% of patients lost their jobs as a direct consequence of the ASAH. A cost-feasible solution to improve the communication-support problems was identified by these 'consumers'. |
| Databáze: | OpenAIRE |
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