Post Ischemic Stroke Complication: How Much Nursing Diagnosis are Confirms by Neurologist?

Abstract

Background: Nursing role in post ischemic stroke is vulnerable by correct nursing recognition, due to limited study and evaluation of, this study was conducted. Material and method: It was a retrospective cross-sectional study that all patients admitted with a diagnosis of ischemic stroke in the Ayatollah Rouhani Hospital of Babol from 2015 to 2016. Data was analyzed by chi-square, t-test and coefficient, Kappa tests in spss21. Results: Of 300 ischemic stroke patients were studied, Distribution of sex was 154 (51.2%) female vs. 146 (48.5%) male, age range was 43-90 years with mean age of 65.8 ± 15.7 years. Pain in 107 patients (35.5%), depression in 101 patients (33.6) and fever in 94 patients (31.2) were the most common early complications of ischemic strokes. Coefficient was excellent agreement between the neurologist and nurses (yes 703 (84%), no 136(16%), Kappa=0.76). The highest amount of agreement was in relation to the diagnosis of pressure ulcer (accurate 70 (93%), misdiagnose 5 (7%), Kappa=0.83) and dysphasia (accurate 79 (91%), misdiagnose 8 (9%), Kappa = 0.84). Although the lowest rate of agreement was in relation to the diagnosis of CHF (accurate 4 (17%), misdiagnose 20(83%), Kappa=0.10). Conclusion: most common early complication was pain and the most accurate recognition by nurses was dysphagia and pressure ulcer. The total agreement between nurse and neurologist was favorable that nurses can play an important role to inform neurologist but continuous education to decrease misdiagnosis is recommended. It suggests a suitable feedback from neurologist to nurses. It can help nurses to analyzed how much it recognition was correct or need be more training.

Effect of Clinical Pathway Application on Stroke Patients’ Outcomes

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Vinpocetine and Ischemic Stroke

“…Therefore, astrocyte and glial cells act as bridge interaction between neurons and immune system through different pro-inflammatory cytokines, Figure 4 [49]. It has been shown that inflammatory changes, glial and astrocyte activations at poststroke period participating together in the induction of different PIS complications such as depression, epilepsy, dementia and cognitive dysfunctions [50]. Vardian study illustrated that VPN have noteworthy antioxidant, anti-inflammatory and anti-apoptotic effects with inhibitory effect on glial and astrocyte cells during and following IS.…”

Effect of Different Therapeutic Positions on Selected vital Parameters among Patients with Stroke: Randomized Control Trial

“…Four out of five strokes occur in low-and middle-income countries. The World Health Organization predicts by the end of 2020, stroke will be the second cause of death after ischemic heart disease in developing and developed countries (Ahangar et al, 2018& World Heart Federation, 2018. In Egypt stroke accounts for 6.4% of all deaths and thus ranks the third after heart disease and gastrointestinal diseases with a crude prevalence rate of 963/100000 inhabitants.…”