Outcome of Care Plan for Hemorrhagic stroke Patients Undergone Surgical Treatment

Abstract

Background: Stroke is one of major public health problems and cause significant deaths in Thailand. Some of the patients need surgical treatment for hemorragic stroke, standard nursing practice with cooperation of multidisciplinary health care team can improve the effectiveness of nursing care in these patients. Continuous evaluation of patients, using nursing care plan as a guide, can prepare these patients to be back home with accepted morbidity and quality of care.
Objectives: To compare complications, length of stay, cost of care, caregivers’ abilities and satisfactions before and after application of nursing care plan in patients undergone surgical treatment for hemorrhagicstroke.
Methods: This is a quasi-experimental study. The data were collected from 60 hemorrhagic stroke patients undergone surgical treatment, who had Glasgow coma scale greater than or equal to 8, and were admitted to female surgery ward, Surin Hospital. Patients were receiving into two groups selected by purposive sampling, 30 patients in control group received usual nursing care, and 30 patients in experimental group receiving nursing care plan. Control group data was collected between August 1St 2012 to September 30th 2012. Experimental group data was collected between 0ctober 1st 2012 to November 30th 2012. Complication, length of hospital stay, cost of care, caregivers’ abilities and satisfactions before and after application of nursing care plan for hemorrhagic stroke patients undergone surgery data were described by frequency and percentage, mean and standard deviation. Comparison of outcome between experimental group and control group was analyzed by independent t- test and Chi- square test.
Results: Complications, the average length of hospital stay, and cost of care in experimental group were statistically significant lower than that of the control group (p<0.05) and the average of caregivers’ abilities and satisfactions in the experimental group were significantly higher than that of the control group (p<0.01).
Conclusion: Applying nursing care plan for hemorragic stroke patients undergone surgery decrease complications, length of hospital stay, cost of care, improve caregivers’ abilities and satisfactions, prepare caregivers to provide patient care at home results in improvement quality of care.