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2021, Number 1

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Rev Cuba Enf 2021; 37 (1)

Nursing care efficacy concerning the rehabilitation of patients with cerebrovascular disease

Díaz AY, Del Valle HPI
Full text How to cite this article

Language: Spanish
References: 24
Page: 1-12
PDF size: 508.94 Kb.


Key words:

nursing care, cerebrovascular disease, rehabilitation disease.

ABSTRACT

Introduction: Cerebrovascular disease is one of the commonest causes of death and represents an important public health concern. Individual consequences are substantial, a reason why many affected patients require nursing care.
Objective: To assess nursing care efficacy concerning the rehabilitation of patients with cerebrovascular disease.
Methods: Quasiexperimental study, with pre- and post-test, carried out in the private ambulatory rehabilitation center of Santa Elena, Ecuador, during 2019. The universe was made up of 75 patients attending the rehabilitation center, out of 151 patients discharged from the General Hospital with a diagnosis of cerebrovascular disease. The general and clinical characteristics of the disease and the length of rehabilitation were assessed. The Utrecht scale and descriptive statistics, chi-square, were used for comparisons between sexes, location and type of disease. The differences were considered statistically significant with P≤0.05.
Results: The average age was 60.3±9.8 years. Most of the patients were male (68%), with location of cerebrovascular disease on the left side (46.6%) and of ischemic type (65.3%). It was observed that functional independence, mobility and self-care presented significant differences when comparing the values at the end of the interventions with the initial values (P<0.05). A significant increase in cognitive function, fatigue and mood was also observed, with changes in the scores (P<0.05).
Conclusion: Nursing cares are effective in the rehabilitation of patients with cerebrovascular disease.


REFERENCES

  1. Kaji R. Global burden of neurological diseases highlights stroke. Nat Rev Neurol. 2019;15(7):371-2. DOI: https://doi.org/10.1038/s41582-019-0208

  2. Owolabi M, Olowoyo P, Popoola F, Lackland D, Jenkins C, Arulogun O, et al. The epidemiology of stroke in Africa: A systematic review of existing methods and new approaches. J Clin Hypertens (Greenwich). 2018;0(1):47-55. DOI: https://doi.org/10.1111/jch.13152.

  3. Ekker MS, Boot EM, Singhal AB, Tan KS, Debette S, Tuladhar AM, et al. Epidemiology, aetiology, and management of ischaemic stroke in young adults. Lancet Neurol. 2018 [acceso: 22/07/2019];17(9):790-801. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30129475/ https://doi.org/10.1016/S1474-4422

  4. Kobayashi A, Czlonkowska A, Ford GA, Fonseca AC, Luijckx GJ, Korv J, et al. European Academy of Neurology and European Stroke Organization consensus statement and practical guidance for pre-hospital management of stroke. Eur J Neurol. 2018 [acceso: 22/07/2019];25(3):425-33. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29218822/ https://doi.org/10.1111/ene.13539

  5. Clarke DJ. Nursing practice in stroke rehabilitation: systematic review and meta-ethnography. J Clin Nurs. 2014;23(9-10):1201-26. DOI: https://doi.org/10.1111/jocn.12334

  6. Schlick S, Peyras V. Multi-professional care and treatment of strokes. Rev Infirm. 2019 [acceso: 22/07/2019];68(248):42-3. Disponible en: https://www.linguee.com/english-spanish/translation/bore+and+stroke.html

  7. Skogestad IJ, Kirkevold M, Indredavik B, Gay CL, Lerdal A. NORFAST (Norwegian Study of Fatigue After Stroke) Group. Lack of content overlap and essential dimensions - A review of measures used for post-stroke fatigue. J Psychosom Res. 2019;124. DOI: https://doi.org/10.1016/j.jpsychores.2019.109759

  8. Walters SJ, Stern C, Robertson-Malt S. The measurement of collaboration within healthcare settings: a systematic review of measurement properties of instruments. JBI Database System Rev Implement Rep. 2016;14(4):138-97. DOI: https://doi.org/10.11124/JBISRIR-2016-2159

  9. Hankins M. How discriminating are discriminative instruments? Health Qual Life Outcomes. 2008 [acceso: 22/07/2019];6:36. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18505550/ https://doi.org/10.1186/1477-7525-6-36

  10. Post MW, van de Port IG, Kap B, Berdenis van Berlekom SH. Development and validation of the Utrecht Scale for Evaluation of Clinical Rehabilitation (USER). Clin Rehabil. 2009;23(10):909-17. DOI : https://doi.org/10.1177/0269215509341524

  11. Winke van Meijeren-Pont W, Volker G, Vliet Vlieland T, Goossens P. Comparison of the responsiveness of the Utrecht Scale for Evaluation of Rehabilitation (USER) and the Barthel Index in stroke patients. Clin Rehabil. 2019;33(10):1672-81. DOI: https://doi.org/10.1177/0269215519852130

  12. Moreno L. Ley Orgánica de Discapacidades. Asamblea Nacional República del Ecuador. 2017 [acceso: 22/07/2019];1(10):7-9. Disponible en: https://www.consejodiscapacidades.gob.ec/wp-content/uploads/downloads/2014/02/ley_organica_discapacidades.pdf

  13. Burton CR, Fisher A, Green TL. The organisational context of nursing care in stroke units: a case study approach. Int J Nurs Stud. 2009;46(1):85-94. DOI: https://doi.org/10.1016/j.ijnurstu.2008.08.001

  14. Inoue T, Karima R, Harada K. Bilateral effects of hospital patient-safety procedures on nurses' job satisfaction. Int Nurs Rev. 2017;4(3):437-45. DOI: https://doi.org/10.1111/inr.12336.

  15. Pryor J, Buzio A. Enhancing inpatient rehabilitation through the engagement of patients and nurses. J Adv Nurs. 2010;66(5):978-87. DOI: https://doi.org/10.1111/j.1365-2648.2009.05237

  16. Smith K, Lavoie-Tremblay M, Richer MC, Lanctot S. Exploring nurses' perceptions of organizational factors of collaborative relationships. Health Care Manag (Frederick). 2010;29(3):271-8. DOI: https://doi.org/10.1097/HCM.0b013e3181e9351a.

  17. Digby R, Bolster D, Perta A, Bucknall TK. The perspective of allied health staff on the role of nurses in subacute care. J Clin Nurs. 2018;27(21-22):4089-99. DOI: https://doi.org/10.1111/jocn.14553

  18. Müller C, Plewnia A, Becker S, Rundel M, Zimmermann L, Körner M. Expectations and requests regarding team training interventions to promote interdisciplinary collaboration in medical rehabilitation--A qualitative study. BMC Med Educ. 2015;15:135. DOI: https://doi.org/10.1186/s12909-015-0413-3

  19. Langhammer B, Sunnerhagen KS, Lundgren-Nilsson Å, Sällström S, Becker F, Stanghelle JK. Factors enhancing activities of daily living after stroke in specialized rehabilitation: an observational multicenter study within the Sunnaas International Network. Eur J Phys Rehabil Med. 2017;53(5):725-34. DOI: https://doi.org/10.23736/S1973-9087.17.04489-6

  20. Theofanidis D, Gibbon B. Nursing interventions in stroke care delivery: An evidence-based clinical review. J Vasc Nurs. 2016;34(4):144-151. DOI: https://doi.org/10.1016/j.jvn.2016.07.001

  21. Brady MC, Jamieson K, Bugge C, Hagen S, McClurg D, Chalmers C, et al. Caring for continence in stroke care settings: a qualitative study of patients' and staff perspectives on the implementation of a new continence care intervention. Clin Rehabil. 2016;30(5):481-94. DOI: https://doi.org/10.1177/0269215515589331

  22. Dreyer P, Angel S, Langhorn L, Pedersen BB, Aadal L. Nursing Roles and Functions in the Acute and Subacute Rehabilitation of Patients With Stroke: Going All In for the Patient. J Neurosci Nurs. 2016;48(2):108-15. DOI: https://doi.org/10.1097/JNN.0000000000000191

  23. Gordon C, Ellis-Hill C, Ashburn A. The use of conversational analysis: nurse-patient interaction in communication disability after stroke. J Adv Nurs. 2009;65(3):544-53. DOI: https://doi.org/10.1111/j.1365-2648.2008.04917

  24. Aadal L, Angel S, Langhorn L, Pedersen BB, Dreyer P. Nursing roles and functions addressing relatives during in-hospital rehabilitation following stroke. Care needs and involvement. Scand J Caring Sci. 2018 [acceso: 22/07/2019];32(2):871-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28869654/ https://doi.org/10.1111/scs.12518




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Rev Cuba Enf. 2021;37