Relationship Between Symptom Experiences, Symptom Management, and Stroke Severity of Patients with Acute Ischemic Stroke

Main Article Content

Rapeepath Charmnanpoh
Hathairat Sangchan
Tippamas Chinnawong

Abstract

          This research study aimed to investigate the relationship between symptom experiences, symptom management, and stroke severity based on the concept of symptom management model. The sample included 125 patients with acute ischemic stroke, who were admitted in hospital and received stroke fast tract management within 4.5 hours. The set of instruments comprised (1) the Demographic Data Sheet, (2) the Acute Ischemic Stroke Symptom Experiences Questionnaire, (3) the Acute Ischemic Stroke Symptom Management Questionnaire, and (4) the National Institutes of Health Stroke Scale [NIHSS], which were validated by experts. Test-retest was applied to evaluate the reliability of the Acute Ischemic Stroke Symptom Experiences Questionnaire, and yielded a percentage agreement of .95. The reliability of the Acute Ischemic Stroke Symptom Management Questionnaire was examined and yielded Kuder-Richardson (KR-20) of 0.72. The inter-rater reliability of the NIHSS was .98. The data were analyzed using Pearson Product Moment Correlation, and Spearman Rank Correlation.
          The results showed that the mean score of total symptom experiences was at a moderate level (M = 0.40, SD = 0.17). The mean score of total symptom management was at a moderate level (M = 0.66, SD = 0.33). The mean score of initial stroke severity was at a moderate level (M = 7.8, SD = 4.7) and the median of stroke severity after 24 hours was at a low level (Mdn = 2.00, IQR = 5.00). There were significant positive correlations between both the symptom experiences and the symptom management and the initial stroke severity (r = .217, p < .05; r = .384, p < .05, respectively). There were significant positive correlations between both the symptom management and the initial stroke severity and the stroke severity 24
hours after treatment (r = .478, p < .05; r = .355, p < .01, respectively). The findings were benefits for nurses in improving service system for patients to receive better care and access as quickly and safety as possible.

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Charmnanpoh, R. ., Sangchan, H. ., & Chinnawong, T. . (2020). Relationship Between Symptom Experiences, Symptom Management, and Stroke Severity of Patients with Acute Ischemic Stroke. Songklanagarind Journal of Nursing, 40(1), 140–153. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/240711
Section
Research Articles

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