Nursing interventions in stroke care delivery: An evidence-based clinical review

Theofanidis, Dimitrios; Gibbon, Bernard

doi:10.1016/j.jvn.2016.07.001

Cited by 39 publications

(51 citation statements)

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“…Estimulação quanto a realização de atividades recreativas Fontes et al, 2017;Klinke et al, 2015;Rosbergen et al, 2017 Incentivo a autonomia Loft et al, 2017;Morais et al, 2015 Avaliação da capacidade de eliminação intestinal e vesical Theofanidis et al, 2016 Estímulo a realização de exercícios motores Clarke et al, 2015;Klinke et al, 2015 Redução da ansiedade da família e do paciente Fontes et al, 2017 Avaliação do nível de consciência Fontes et al, 2017;Nonnenmacher et al, 2017;Theofanidis et al, 2016;Tulek et al, 2017 Balanço hídrico Tulek et al, 2017 Avaliação da capacidade de deglutição Hines et al, 2016;Liu et al, 2016;Loft et al, 2017;Palli et al, 2017;Theofanidis et al, 2016;Tulek et al, 2017 Mudança de decúbito a cada duas horas Theofanidis et al, 2016;Tulek et al, 2017 Cuidado emocional Brito-Brito et al, 2015;Cavalcante et al, 2018;Nunes et al, 2017;Theofanidis et al, 2016;Tulek et al, 2017 Verificação de sinais vitais Nonnenmacher et al, 2017;Theofanidis et al, 2016 Avaliação sensorial Nonnenmacher et al, 2017 Preparação e administração de medicamentos Araújo et al, 2015;Nonnenmacher et al, 2017;Fontes et al, 2017 Monitoramento hemodinâmico não invasivo Nonnenmacher et al, 2017 Cuidados com o acesso venoso periférico Nonnenmacher et al, 2017 Observação dos efeitos colaterais das medicações…”

Section: Cuidados Assistenciais Artigo (N=17)unclassified

O Papel Do Enfermeiro Na Atenção Básica

Silva¹,

Oliveira²,

Correia³

2020

Inovação E Tecnologia Para O Cuidar Em Enfermagem

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. A Atena Editora não se responsabiliza por eventuais mudanças ocorridas nos endereços convencionais ou eletrônicos citados nesta obra. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.

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Section: Cuidados Assistenciais Artigo (N=17)unclassified

O Papel Do Enfermeiro Na Atenção Básica

Silva¹,

Oliveira²,

Correia³

2020

Inovação E Tecnologia Para O Cuidar Em Enfermagem

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“… 24 To facilitate early recovery, advanced nursing care should include a large variety of specific nursing interventions, including early mobilisation. 25 Because acute inpatient rehabilitation is the first level of the three-level rehabilitation system in China, it is feasible and essential to conduct a rehabilitation nursing programme. There is currently, however, a lack of high-quality RCTs investigating in acute stroke rehabilitation, 26 27 and no recommended acute rehabilitation nursing programmes.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

et al. 2020

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IntroductionStroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysisWe will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and disseminationThe study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration numberNCT03702452.

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“…10 Research indicates that up to 51% of deaths in the first month after an ischemic stroke were due to complications of immobility and over 62% of these complications occurred in the first seven days of the stroke. 8,11 When patients are bedridden and immobile, the most common complications are pressure injuries (PIs), 1,2,8,12,13 pneumonia, 2,8,[13][14][15][16][17][18] deep vein thrombosis (DVT), 2,8,13,[16][17][18][19][20][21] urinary tract infections (UTIs), 1,13,17,18,22 and constipation. 13,16 These complications present barriers to optimal recovery and positive post-stroke outcomes and, when non-fatal, increase the length of hospital stays as well as the cost of hospital care.…”

Section: Introductionmentioning

confidence: 99%

“…Many of the stroke complications can be prevented or, when prevention is not possible, reduced by appropriate nursing care. 8,12,23 For example, a recent study estimated that nursing intervention, such as specific oral care associated with pneumonia, could reduce pneumonia rates by 1.8%. 24 An American study found that standardized nursing interventions, such as the routine practice of general body support, pressure redistribution surfaces, and positioning aids, can prevent the development of PIs.…”

Section: Introductionmentioning

confidence: 99%

The effects of a standardized nursing intervention model on immobile patients with stroke: a multicenter study in China

Liu

Zhu

Cao

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Immobility complications, including pressure injuries (PIs), deep vein thrombosis (DVT), pneumonia, and urinary tract infections (UTIs), affect the clinical outcomes of stroke patients. A standardized nursing intervention model (SNIM) was constructed and implemented to improve the quality of care and clinical outcomes among immobile patients with stroke. Aims: To assess the benefit of SNIM for immobility complication rates, including PIs, DVT, pneumonia, and UTIs, and mortalities in immobile patients with stroke. Methods: A before and after study design was used. Patients were divided into a pre- and post-SNIM training original cohort and matched for socioeconomic, demographic, and disease characteristics using propensity score. We fitted logistic regression models to examine the effect of SNIM, and whether the benefit differed between tertiary and non-tertiary hospitals. Results: In the original cohort, the rate of pneumonia, UTIs, and mortality was lower after SNIM training. Furthermore, in the matched cohort, the difference in PI rates was significant. Logistic regression analysis revealed that the probability of PIs, pneumonia, UTIs, and mortality were significantly reduced after SNIM training in the original cohort and this estimated value changed little in the matched cohort. Our results show that the decreased rates of pneumonia, UTIs, and mortality were mainly among non-tertiary hospitals. Conclusions: A structured and systematic SNIM benefited immobile stroke patients’ clinical outcomes, but mainly in non-tertiary hospitals in China. Standardized nursing training is needed in non-tertiary hospitals.

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Nursing interventions in stroke care delivery: An evidence-based clinical review

Cited by 39 publications

References 50 publications

O Papel Do Enfermeiro Na Atenção Básica

O Papel Do Enfermeiro Na Atenção Básica

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

The effects of a standardized nursing intervention model on immobile patients with stroke: a multicenter study in China

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