The development of a nursing care model for hemorrhagic stroke patients from hypertension
Keywords:
nursing care model, hemorrhagic stroke patients, hypertensionAbstract
This study of research and development was aimed to develop and to study outcomes of a nursing care model of hemorrhagic stroke patients from hypertension. The samples consisted of: 1) 14 multidisciplinary team (2 physicians and 12 registered nurses), 50 registered nurses, 42 patients with hemorrhagic stroke from hypertension and caregivers in each group. The study were divided into 4 phases as follows: 1st phase: situational analysis using focus group discussion of multidisciplinary team 12 persons, 2nd phase: develop nursing care model by using evidence based practice (EBP) of Soukup, 3rd phase: implementing of nursing care model, and 4th phase: outcomes evaluation were assessed. The instruments comprised nursing care model developed from EBP, and knowledge of using a model, assessment of caregiver’ knowledge and ability, questionnaire of nurses and caregivers’ satisfaction including clinical outcomes evaluation form. Data were analyzed using content analysis, descriptive statistics and paired t-test statistic.
The results showed that a nursing care model consisted of admission, nursing care, discharge planning and referral system. After implementation of a model, outcomes evaluation assessed the effective of a model as: 1) the knowledge of registered nurses was improved statistically significant at p<0.05, 2) registered nurses’ satisfaction were at the highest level (mean=4.28, S.D.=0.36), 3) the knowledge of care givers were improved statistically significant at p<0.05, 4) 94.49 % of caregivers could pass the evaluation and had abilities of caring patients with Stroke, 5) caregivers’ satisfaction were at the highest level (mean=4.30 , S.D.=0.28), and 6) evaluation of important clinical outcomes found three cases of ventilator association pneumonia, no mortality rate, and no pressure sore, including length of stay, and cost of care were decreased.
This nursing care model of hemorrhagic stroke patients from hypertension should be applied to care for Stroke patients at surgical ward to prevent complications and provide continuing care from hospital to home care.
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