Effect of a Rehabilitation Nursing Program on Functional Outcomes of Patients with Stroke

2.50
Hdl Handle:
http://hdl.handle.net/10755/158620
Type:
Presentation
Title:
Effect of a Rehabilitation Nursing Program on Functional Outcomes of Patients with Stroke
Abstract:
Effect of a Rehabilitation Nursing Program on Functional Outcomes of Patients with Stroke
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Bayoumy, Hala
Contact Address:2996 South Moreland Blvd, Apartment 12, Cleveland, OH, 44120, USA
Co-Authors:Beverly L. Roberts
Stroke is a major cause of hospitalization, lengthy hospital stays, chronic disability, and death. In Egypt, resources for continued rehabilitation are limited in the hospital and therapy services are discontinued at discharge. Hospital nurses can coordinate and reinforce the efforts of other team members while maintaining a constant communications link between the team, the patient, and the family. However, the effects of a comprehensive nursing rehabilitation on discharge function of persons with a stroke have not been examined. Sixty patients, (M age=55.5; SD=8.7), with first ischemic stroke were randomly assigned to either experimental or control group (30 subjects each). The 18-item Functional Independence Measure was used to assess functional status on admission, 1, 2, 3 weeks later and before discharge. The investigator rated items from 1 “total dependence” to 7 “complete independence.” A total score and two subscale scores (cognitive and motor) were used. The control group received the routine hospital nursing management that did not include rehabilitation nursing interventions. The rehabilitation program was individualized to patient deficits because problems, recovery pattern, coping, social situations, and responses to treatment differed among individuals. It was built on three foundations (holistic, goal-directed management; early intervention; and family involvement) but focused primarily on motor skill development and enhancement of function. After assessment, a rehabilitation management plan was developed with functional and informational goals and the sequence and frequency of rehabilitation interventions. Rehabilitation activities were directed toward patient teaching, support, and assistance with activities of daily living, and prevention of complications. Although analysis of the data by repeated measure ANOVA has just begun, anecdotal comments of experimental subjects revealed that they felt more comfortable going home and stated that their families knew how to provide them with assistance when needed. AN: MN030137
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffect of a Rehabilitation Nursing Program on Functional Outcomes of Patients with Strokeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158620-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effect of a Rehabilitation Nursing Program on Functional Outcomes of Patients with Stroke</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bayoumy, Hala</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2996 South Moreland Blvd, Apartment 12, Cleveland, OH, 44120, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Beverly L. Roberts</td></tr><tr><td colspan="2" class="item-abstract">Stroke is a major cause of hospitalization, lengthy hospital stays, chronic disability, and death. In Egypt, resources for continued rehabilitation are limited in the hospital and therapy services are discontinued at discharge. Hospital nurses can coordinate and reinforce the efforts of other team members while maintaining a constant communications link between the team, the patient, and the family. However, the effects of a comprehensive nursing rehabilitation on discharge function of persons with a stroke have not been examined. Sixty patients, (M age=55.5; SD=8.7), with first ischemic stroke were randomly assigned to either experimental or control group (30 subjects each). The 18-item Functional Independence Measure was used to assess functional status on admission, 1, 2, 3 weeks later and before discharge. The investigator rated items from 1 &ldquo;total dependence&rdquo; to 7 &ldquo;complete independence.&rdquo; A total score and two subscale scores (cognitive and motor) were used. The control group received the routine hospital nursing management that did not include rehabilitation nursing interventions. The rehabilitation program was individualized to patient deficits because problems, recovery pattern, coping, social situations, and responses to treatment differed among individuals. It was built on three foundations (holistic, goal-directed management; early intervention; and family involvement) but focused primarily on motor skill development and enhancement of function. After assessment, a rehabilitation management plan was developed with functional and informational goals and the sequence and frequency of rehabilitation interventions. Rehabilitation activities were directed toward patient teaching, support, and assistance with activities of daily living, and prevention of complications. Although analysis of the data by repeated measure ANOVA has just begun, anecdotal comments of experimental subjects revealed that they felt more comfortable going home and stated that their families knew how to provide them with assistance when needed. AN: MN030137 </td></tr></table>en_GB
dc.date.available2011-10-26T21:14:04Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:14:04Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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