Planned Nursing Care - A Main Element of Health Care Management for Ischemic Stroke Patients

Abstract

Summary Morbidity and mortality rate for stroke and ischemic stroke (IS), in particular, have ranked Bulgaria at a top place in the European Union. In the acute recovery stage of the disease, patients need continuous and personalized health care. The assessment of individual needs and adequate planning for nursing interventions, known as nursing process stages, are the basis of effective care management for patients, surviving ischemic stroke (PSIS). Therefore, the study and application of the nursing process in practice have proved to be an objective prerequisite for improving the quality and development of nursing care for PSIS. The objective of the study was to analyze the opinion of nurses working in clinics/departments of Neurology and Physiotherapy and Rehabilitation in three towns in Northern Bulgaria, on health care (HC) planning for PSIS and the required documentation. A direct anonymous inquiry was carried out, using specially designed questions to investigate the opinion of the respondents on the problems studied. Of the 81 individuals approached, 75 (93%) responded. Of these, 52 (69%) were familiar with the main points of the nursing plan concept, and 34 (65%) had heard about the concept during their basic training in the speciality. According to 67 (89%) of the respondents, a care plan was necessary to increase the health care (HC) efficiency in IS patients. Our results showed that healthcare professionals considered care planning an important tool to ensure continuity, evaluation and control of the care provided. According to the respondents, documenting health care and evaluating the activities performed will contribute to improve the quality of nursing care and promote research into nursing care.

Effects of Systemic Rehabilitation Nursing Combined with WeChat Publicity and Education on the Early Cognitive Function and Living Quality of the Patients with Cerebral Arterial Thrombosis

“…After the onset of cerebral arterial thrombosis, the patients' local cerebral tissue is in the state of hypoxia and ischemia, which then leads to hypoxia-ischemic lesions and neurologic impairment. According to statistics, about 70% of patients suffer from physical disability and cannot take care of themselves after the onset of cerebral arterial thrombosis, which seriously affects their living quality [ 14 ]. According to clinical investigations, the main reason for the high mutilation rate of elderly patients with cerebral arterial thrombosis is the neglect of rehabilitation nursing.…”