Nursing Care for Rehabilitation Stroke Patients: 2 Cases Study
Abstract
Objectives: This study was to compare the nursing care, nursing diagnosis, nursing care planning program, and evaluated the outcome of nursing care for rehabilitation stroke patients.
Methods: This two cases study of rehabilitation patients with stroke by purposive sampling. The data were collected from medical records, interviewed patients and their relative. The functional health pattern of Gordon was used to assess health problems to planning a holistic nursing care including nursing care, nursing diagnosis, nursing care planning program, and to evaluate the outcome of nursing care of rehabilitation patient with stroke.
Results: This two cases study of stroke patients. Patient case one, he is Thai man and age51 years old. The important symptoms including faint and confusion 30 minutes before came to the hospital. Then he has diagnosed for Right Basal Ganglia Hemorrhage. Patient case two, His is Thai man 62 years old. The important symptoms including drowsiness and weakness of left side of hand and leg one hour before came to the hospital. The he has diagnosis for Ischemic stroke with right subacute middle cerebral artery infarction subfalcine herniation to left. Of two patients have weakness one side of body because of hemorrhagic stroke and all of them have brain surgeries to remove intracerebral hemorrhage and hematoma. After surgeries patients were have complication because all of them have long time underwent with endotracheal tube, Mechanical ventilators and they have tracheostomy for life supported. The nurses have to surveillance of increased intracranial pressure and others complications of patients. After patients receive treatment and nursing care rehabilitation process all of them getting better.
Conclusion: The after nursing care rehabilitation process in the hospital overall symptoms better. The nursing care planning program at the first admitted, continue followed up patients and the systematic nursing care preparing for rehabilitation it will make patients have good quality of life.
Keywords: Stroke, rehabilitation, nursing care
References
Fang J, Yuan K, Gindi RM, Ward BW, Ayala C, Loustalot F. Association of Birthplace and Coronary Heart Disease and Stroke Among US Adults: National Health Interview Survey, 2006 to 2014. J Am Heart Assoc 2018 ;7(7).
Tian D, Yang Q, Dong Q, Li N, Yan B, Fan D. Trends in stroke subtypes and vascular risk factors in a stroke center in China over 10 years. Sci Rep 2018 ;8:5037.
Krishnamurthi RV, Barker-Collo S, Parag V, Parmar P, Witt E, Jones A, et al. Stroke Incidence by Major Pathological Type and Ischemic Subtypes in the Auckland Regional Community Stroke Studies: Changes Between 2002 and 2011. Stroke 2018;49:3–10.
WHO | The top 10 causes of death [Internet]. WHO. [cited 2018 Apr 5]. Available from: http://www.who.int/mediacentre/factsheets/fs310/en/
ThaiNCD.com. สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข [Internet]. [cited 2018 Apr 5]. Available from: http://thaincd.com/2016/mission3
Kongbunkiat K, Kasemsap N, Thepsuthammarat K, Tiamkao S, Sawanyawisuth K. National data on stroke outcomes in Thailand. J Clin Neurosci Off J Neurosurg Soc Australas 2015 ;22:493–7.
Lee H-J, Choi E-K, Lee S-H, Kim Y-J, Han K-D, Oh S. Risk of ischemic stroke in metabolically healthy obesity: A nationwide population-based study. PloS One 2018;13:e0195210.
Teh WL, Abdin E, Vaingankar JA, Seow E, Sagayadevan V, Shafie S, et al. Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study. BMJ Open 2018;8:e020285.
Hakulinen C, Pulkki-Råback L, Virtanen M, Jokela M, Kivimäki M, Elovainio M. Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality: UK Biobank cohort study of 479 054 men and women. Heart Br Card Soc 2018; 123-56
Sorgun MH, Kuzu M, Ozer IS, Yilmaz V, Ulukan C, Cotur Levent H, et al. Risk Factors, Biomarkers, Etiology, Outcome and Prognosis of Ischemic Stroke in Cancer Patients. Asian Pac J Cancer Prev APJCP 2018 27;19:649–53.
van Valburg MK, Arbous MS, Georgieva M, Brealey DA, Singer M, Geerts BF. Clinical Predictors of Survival and Functional Outcome of Stroke Patients Admitted to Critical Care. Crit Care Med 2018 ; 167-78
Pavol MA, Bassile CC, Lehman JR, Harmon E, Ferreira N, Shinn B, et al. Modified Approach to Stroke Rehabilitation (MAStR): feasibility study of a method to apply procedural memory concepts to transfer training. Top Stroke Rehabil 2018 ;1–8.
Hong I, Karmarkar A, Chan W, Kuo Y-F, Mallinson T, Ottenbacher KJ, et al. Discharge Patterns for Ischemic and Hemorrhagic Stroke Patients Going from Acute Care Hospitals to Inpatient and Skilled Nursing Rehabilitation. Am J Phys Med Rehabil 2018; 190-200
Wang H, Sandel ME, Terdiman J, Armstrong MA, Klatsky A, Camicia M, et al. Postacute care and ischemic stroke mortality: findings from an integrated health care system in northern California PM R. 2011;3:686–94.
Furlan AD, Irvin E, Munhall C, Giraldo-Prieto M, Fullerton L, McMaster R, et al. Rehabilitation service models for people with physical and/or mental disability living in low- and middle-income countries: A systematic review. J Rehabil Med 2018;345-55
Richards CL, Malouin F, Nadeau S. Stroke rehabilitation: clinical picture, assessment, and therapeutic challenge. Prog Brain Res 2015;218:253–80.
Hong I, Karmarkar A, Chan W, Kuo Y-F, Mallinson T, Ottenbacher KJ, et al. Discharge Patterns for Ischemic and Hemorrhagic Stroke Patients Going from Acute Care Hospitals to Inpatient and Skilled Nursing Rehabilitation. Am J Phys Med Rehabil 2018; 235-45
Xian Y, Thomas L, Liang L, Federspiel JJ, Webb LE, Bushnell CD, et al. Unexplained Variation for Hospitals’ Use of Inpatient Rehabilitation and Skilled Nursing Facilities After an Acute Ischemic Stroke. Stroke 2017;48:2836–42.
Craig LE, Wu O, Bernhardt J, Langhorne P. Approaches to economic evaluations of stroke rehabilitation. Int J Stroke Off J Int Stroke Soc 2014 ;9:88–100.
Dean SG, Poltawski L, Forster A, Taylor RS, Spencer A, James M, et al. Community-based Rehabilitation Training after stroke: protocol of a pilot randomised controlled trial (ReTrain). BMJ Open 2016;6:e012375.
Dean SG, Poltawski L, Forster A, Taylor RS, Spencer A, James M, et al. Community-based rehabilitation training after stroke: results of a pilot randomised controlled trial (ReTrain) investigating acceptability and feasibility. BMJ Open 2018;8:e018409.
Juntawises U, Woragul C, &Yeesakul C. Discharge planning for stroke patients in medical ward, Songklanagarind Hospital.Songkla Med J 2004;22:17-25.
Downloads
Published
How to Cite
Issue
Section
License
วารสารนี้เป็นลิขสิทธิ์ของโรงพยาบาลมหาสารคาม
