2.50
Hdl Handle:
http://hdl.handle.net/10755/601598
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Prevention of Aspiration in Patients during the Acute Stage of Stroke
Author(s):
de Souza Oliveira, Ana Railka; Bonates, Lara Anisia; Sampaio Filho, Silvestre P'ricles Cavalcante; Carvalho de Sousa, Vanessa Emille; Sousa Costa, Alice Gabrielle; Araujo, Thelma Leite Araujo; Carvalho, Emilia Campos
Lead Author STTI Affiliation:
Non-member
Author Details:
Ana Railka de Souza Oliveira, RN, ana.railka@gmail.com; Lara Anisia Bonates, RN; Silvestre P'ricles Cavalcante Sampaio Filho, RN; Vanessa Emille Carvalho de Sousa, RN; Alice Gabrielle Sousa Costa, RN; Thelma Leite Araujo Araujo, PhD, MSc; Emilia Campos Carvalho, PhD
Abstract:
Session presented on Sunday, July 26, 2015: Purpose: To evaluate the indicators of the nursing outcome Prevention of aspiration in patients during the acute stage of stroke.' Methods: This is a descriptive, exploratory, and cross-sectional study. The population consisted of 146 patients in the acute stage of stroke, who were admitted to a neuro-intensive care unit. The study was conducted from January to July 2014 in the city of Fortaleza, Brazil. Inclusion criteria were (1) age over 18 years; and (2) being alert and able to provide the necessary information, or being accompanied by a caregiver who was able to provide information on the patient's health. Exclusion criteria included the presence of hemodynamic instability, risk of complications, or using an invasive ventilation. Ethical approval was received from the Federal University of Cear' Ethics Committee. A nurse who has been previously trained by the researchers conducted the data collection. Each patient was evaluated based on an instrument that was previously submitted to a face and content validation. This instrument contained questions about the socio-demographic profile (gender, age, marital status, education, and occupation), the patients' current clinical condition (type, location, and number of episodes of stroke), the stroke severity evaluation based on the National Institutes of Health Stroke Scale - NIHSS (ranging from 0 to 21), and the functional capacity evaluation based on the Rankin scale (ranging from 0 to 6). For the Prevention of aspiration outcome evaluation, the nurse used an instrument containing a list of NOC indicators and their operational definitions. For each indicator, the nurse attributed a score ranging from 1 to 5. The higher the score, the better the health condition of the patient. For the presentation of descriptive statistics, data were compiled in Excel 8.0, and were analyzed in SPSS version 20.0.' Results: Patients were predominantly women (54.11%), living with a partner (64.38%), and unemployed (69.18%). The mean age was 60.97 years (SD=17.77), and the average years of education was 4.39 years (SD=4.38). Regarding the patients' health status, 98.63% of the patients have had ischemic stroke, 28.77% have had totally compromised anterior cerebral circulation, 20.55% have had partially compromised anterior cerebral circulation, and 18.49% have had lacunar lesions. Regarding the number of stroke episodes, the average was 1.44 (SD=0.81), and the average length of hospital stay was 6.69 days (SD=6.71). Regarding the severity of the stroke, the average NIHSS score was 6.31 (SD=5.98). For the functional capacity, 35.86% of the patients have had moderately severe disability, 20% have had no significant disabilities, and 15.86% have had moderate disability. Regarding the Prevention of aspiration outcome, all NOC indicators were assessed. The indicators that were more compromised (scores below 4) were: Maintains oral hygiene (68.48%) and Remains upright for 30 minutes after eating (60.96%). The indicator Administers enteral tube feedings as recommended was assessed in only 39 patients and had good scores (4 and 5). The other indicators had high scores as follows: Identifies risk factors (3.94 ' 1.19); Positions self upright for eating and drinking (4.68 ' 0.86); Selects food and fluid of proper consistency (3.87 ' 1.67), and Uses suitable utensils to bring food to the mouth (4.81 ' 0.67). Conclusion: The indicators Maintains oral hygiene, and Remains upright for 30 minutes after eating had the lower scores in patients during the acute stage of stroke. It is important for nurses to identify such situations and target early interventions. Thus, studies like this can be helpful to determine which outcomes are sensitive to nursing care, and which outcomes can contribute to the effectiveness of the interventions. Further studies with this nursing outcome are needed, especially with patients in the rehabilitation stage, as the consequences can be different in this context.
Keywords:
Stroke; Nursing; Respiratory Aspiration
CINAHL Headings:
Aspiration--Prevention�and Control; Stroke--Complications
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST436
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titlePrevention of Aspiration in Patients during the Acute Stage of Strokeen
dc.contributor.authorde Souza Oliveira, Ana Railkaen
dc.contributor.authorBonates, Lara Anisiaen
dc.contributor.authorSampaio Filho, Silvestre P'ricles Cavalcanteen
dc.contributor.authorCarvalho de Sousa, Vanessa Emilleen
dc.contributor.authorSousa Costa, Alice Gabrielleen
dc.contributor.authorAraujo, Thelma Leite Araujoen
dc.contributor.authorCarvalho, Emilia Camposen
dc.contributor.departmentNon-memberen
dc.author.detailsAna Railka de Souza Oliveira, RN, ana.railka@gmail.com; Lara Anisia Bonates, RN; Silvestre P'ricles Cavalcante Sampaio Filho, RN; Vanessa Emille Carvalho de Sousa, RN; Alice Gabrielle Sousa Costa, RN; Thelma Leite Araujo Araujo, PhD, MSc; Emilia Campos Carvalho, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/601598-
dc.description.abstractSession presented on Sunday, July 26, 2015: Purpose: To evaluate the indicators of the nursing outcome Prevention of aspiration in patients during the acute stage of stroke.' Methods: This is a descriptive, exploratory, and cross-sectional study. The population consisted of 146 patients in the acute stage of stroke, who were admitted to a neuro-intensive care unit. The study was conducted from January to July 2014 in the city of Fortaleza, Brazil. Inclusion criteria were (1) age over 18 years; and (2) being alert and able to provide the necessary information, or being accompanied by a caregiver who was able to provide information on the patient's health. Exclusion criteria included the presence of hemodynamic instability, risk of complications, or using an invasive ventilation. Ethical approval was received from the Federal University of Cear' Ethics Committee. A nurse who has been previously trained by the researchers conducted the data collection. Each patient was evaluated based on an instrument that was previously submitted to a face and content validation. This instrument contained questions about the socio-demographic profile (gender, age, marital status, education, and occupation), the patients' current clinical condition (type, location, and number of episodes of stroke), the stroke severity evaluation based on the National Institutes of Health Stroke Scale - NIHSS (ranging from 0 to 21), and the functional capacity evaluation based on the Rankin scale (ranging from 0 to 6). For the Prevention of aspiration outcome evaluation, the nurse used an instrument containing a list of NOC indicators and their operational definitions. For each indicator, the nurse attributed a score ranging from 1 to 5. The higher the score, the better the health condition of the patient. For the presentation of descriptive statistics, data were compiled in Excel 8.0, and were analyzed in SPSS version 20.0.' Results: Patients were predominantly women (54.11%), living with a partner (64.38%), and unemployed (69.18%). The mean age was 60.97 years (SD=17.77), and the average years of education was 4.39 years (SD=4.38). Regarding the patients' health status, 98.63% of the patients have had ischemic stroke, 28.77% have had totally compromised anterior cerebral circulation, 20.55% have had partially compromised anterior cerebral circulation, and 18.49% have had lacunar lesions. Regarding the number of stroke episodes, the average was 1.44 (SD=0.81), and the average length of hospital stay was 6.69 days (SD=6.71). Regarding the severity of the stroke, the average NIHSS score was 6.31 (SD=5.98). For the functional capacity, 35.86% of the patients have had moderately severe disability, 20% have had no significant disabilities, and 15.86% have had moderate disability. Regarding the Prevention of aspiration outcome, all NOC indicators were assessed. The indicators that were more compromised (scores below 4) were: Maintains oral hygiene (68.48%) and Remains upright for 30 minutes after eating (60.96%). The indicator Administers enteral tube feedings as recommended was assessed in only 39 patients and had good scores (4 and 5). The other indicators had high scores as follows: Identifies risk factors (3.94 ' 1.19); Positions self upright for eating and drinking (4.68 ' 0.86); Selects food and fluid of proper consistency (3.87 ' 1.67), and Uses suitable utensils to bring food to the mouth (4.81 ' 0.67). Conclusion: The indicators Maintains oral hygiene, and Remains upright for 30 minutes after eating had the lower scores in patients during the acute stage of stroke. It is important for nurses to identify such situations and target early interventions. Thus, studies like this can be helpful to determine which outcomes are sensitive to nursing care, and which outcomes can contribute to the effectiveness of the interventions. Further studies with this nursing outcome are needed, especially with patients in the rehabilitation stage, as the consequences can be different in this context.en
dc.subjectStrokeen
dc.subjectNursingen
dc.subjectRespiratory Aspirationen
dc.subject.cinahlAspiration--Prevention�and Controlen
dc.subject.cinahlStroke--Complicationsen
dc.date.available2016-03-17T12:50:15Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:50:15Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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