Acute Stroke Nursing: Standards and practical applications Turkish Society of Cerebrovascular Disease and the Society of Neurological Nursing: Joint Strategy Project

Topçuoğlu, Mehmet Akif; Tülek, Zeliha; Boyraz, Sakine; Özdemi̇r, Atilla Özcan; Özakgül, Aylin; Güler, Ayşe; Nazlıel, Bijen; Işıkay, Canan Togay; Yaka, Erdem; Arsava, Ethem Murat; Çağlar, Gülşen; Şirin, Hadiye; Midi, İpek; Atmaca, Murat Mert; Alankaya, Naile; Ongun, Nedim; Yıldırım, Nurdan; Aykaç, Özlem; Küçükgüçlü, Özlem; Yeşilbalkan, Öznur Usta; Baydemir, Recep; Öztürk, Şerefnur; Acar, Türkan; Mollaoğlu, Mukadder; Karadakovan, Ayfer; Durna, Zehra

doi:10.5505/tbdhd.2020.41713

Cited by 5 publications

(4 citation statements)

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“…Even so, the implementation of treatment depends on the rapid referral of the appropriate patients to the appropriate clinical centers (11). Therefore, knowledge about stroke and awareness among physicians who first encounter patients with stroke in the acute period and during follow-up are important.…”

Section: Discussionmentioning

confidence: 99%

“…Recanalization and reperfusion are the primary goals of treatment for acute ischemic stroke, and, with those treatments, the infarct area is reduced, and the neurological deficit becomes reversible. However, such successes also depend upon time-dependent therapies (6). Following the first study on thrombolytic treatment, published in 1995, and subsequent trials and metaanalyses on the topic, the thrombolytic treatment window for acute ischemic stroke has been extended to 4.5 hours in certain patients (7,8).…”

Section: Introductionmentioning

confidence: 99%

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Awareness of Ischemic Stroke among Physicians in Primary Care and Emergency Departments

et al. 2023

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Objective: In particular, ischemic stroke is the primary cause of disability and loss of work force. With intravenous thrombolytic therapy and/or mechanical thrombectomy, stroke is a curable disease. In this study, we evaluated the ischemic stroke awareness of physicians who had first contact with stroke patients. Material and Methods: An online questionnaire of 20 items was applied to collect data. Participation was voluntary, resulting in 66 family physicians and 87 general practitioners. Results: 92.4% of family physicians and 90.8% of general practitioners responded correctly to the item that deals with ischemic stroke symptoms. In the item related to the duration of thrombolytic therapy, the rate of correct response of general practitioners was significantly higher than that of family physicians (p< 0.05). Physicians who worked in the profession for less than 5 years had a significantly higher rate of correct answers than those who worked in the profession for more than 5 years. Conclusion: Today, awareness of family physicians working in primary care and physicians working in emergency services who are in first contact with paralyzed patients should be increased. In addition, patient diagnosis and referral should be focused on. For this purpose, primary care physicians' knowledge on ischemic stroke should be increased. Training should be expanded to raise the awareness of physicians about new developments in stroke prevention, diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Awareness of Ischemic Stroke among Physicians in Primary Care and Emergency Departments

et al. 2023

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“…4 Several Turkish studies look at how family caregivers monitor and support their stroke patients, especially after they have been discharged from hospital. 2,10,11 These studies have not examined the whole process of the hospital-tohome transition. This study aims to examine how TCM affects stroke patients and their family caregivers.…”

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confidence: 99%

Effects of Transitional Care Model–Based Interventions for Stroke Patients and Caregivers on Caregivers' Competence and Patient Outcomes

Avcı

Gözüm²

2023

CIN: Computers, Informatics, Nursing

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This study evaluated the effectiveness of the Transitional Care Model Stroke Turkey for stroke patients and caregivers as regards the competence of caregivers and patient outcomes. It is a parallel-group, assessor-blinded monocenter conducted with 126 participants in total (66 intervention included 33 stroke patients and 33 caregivers; 60 control groups included 30 stroke patients and 30 caregivers), between March and August 2018. The Transitional Care Model Stroke Turkey program lasts for 13 to 20 weeks. It includes a 12-week follow-up after discharge, a minimum of three hospital visits, one home visit, minimum 18 phone calls, and Web-based training. The intervention group exhibited better caregiver competence (13.48 ± 2.31), preparation for care (28.48 ± 4.74), and e-health literacy (34.42 ± 4.74) than the control group (respectively, 11.37 ± 2.48, 20.93 ± 7.10, 26.93 ± 8.53) (P < .001). Emotional exhaustion and depersonalization increased in the control group, but remained the same in the intervention group. Personal accomplishment decreased in the intervention group, unlike in the control group. Within 12 weeks of discharge, five patients from the intervention group and seven patients from the control group were rehospitalized. There was no statistical difference between stroke patients in either group in terms of having previously used home healthcare services. The Transitional Care Model Stroke Turkey is a practical model for stroke patients transitioning from hospital to home.

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“…4 In the process leading up to the stroke directive, "the national Stroke clinical protocol" 5 and "Stroke diagnosis and treatment guideline" 6 were published by the Turkish Ministry of Health with high degree academic cooperation of Turkish Society of Cerebrovascular Diseases and Turkish Neurology Society. In addition, these two societies supported the directive by publishing guidelines and algorithms such as "Use of IV tPA in acute stroke," 7,8 "Nursing care and hospital processes in stroke," 9 "Non-vitamin-K oral anticoagulant (NOAC) use," 10 "Cerebral edema and treatment in acute stroke," 11 "Guidelines for the treatment of acute stroke in the COVID pandemic." 12…”

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confidence: 99%

Acute stroke management in Turkey: Current situation and future projection

Topçuoğlu

Özdemi̇r

2023

European Stroke Journal

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In Turkey, the incidence of acute stroke is increasing, obviously with the contribution of the aging population. With the publication of “Directive on Health Services to be Provided to Patients with Acute Stroke” on July 18, 2019 and its entry into force in March 2021, an important period of catching up and updating has begun in the management of acute stroke patients in our country. During this period, 57 comprehensive stroke centers and 51 primary stroke centers were certified. These units have covered approximately 85% of the country’s population. In addition, around 50 interventional neurologists were trained and became the directors of many of these centers. In the following 2 years, the “inme.org.tr campaign” was launched. This campaign, aimed at increasing the public’s knowledge and awareness about stroke, continued unabated during the pandemic period. Now is the time to continue the efforts to ensure homogeneous quality metrics and to develop and continuously improve the established system.

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Acute Stroke Nursing: Standards and practical applications Turkish Society of Cerebrovascular Disease and the Society of Neurological Nursing: Joint Strategy Project

Cited by 5 publications

References 0 publications

Awareness of Ischemic Stroke among Physicians in Primary Care and Emergency Departments

Awareness of Ischemic Stroke among Physicians in Primary Care and Emergency Departments

Effects of Transitional Care Model–Based Interventions for Stroke Patients and Caregivers on Caregivers' Competence and Patient Outcomes

Acute stroke management in Turkey: Current situation and future projection

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