Effect of comprehensive nursing care strategies on activity level in patients with stroke Mehmooda Regu1,*, Koul Pity2 lProf. & Principal, MMINSR SKIMS, Srinagar 2Professor, School of Health Sciences, IGNOU, New Delhi *Addressfor Correspondence: Dr. Mehmooda Regu, Prof. & Principal MMINSR SKIMS, Srinagar, J & K, Mobile: 9419037980 Email: mehmooda.regu@skims.ac.in
Online published on 4 October, 2019. Abstract Introduction In developed countries, stroke is the first leading cause for disability. Organized provision of care in a stroke unit have been found to increase the number ofpatients who survive, return home and regain functional independence in their everyday activities. Aim Aim ofthe study as to assess the effectiveness of comprehensive Nursing care Strategies for stroke patients, at Sher-I-Kashmir Institute of Medical Science, Kashmir, J&K. Material and Methods A quasi experimental, pre-test-post test, control group design was used to conduct study on 220 stroke patients (110 in experimental and 110 in control group) fulfilling the inclusion criteria by using simple random sampling technique. Tools included interview schedule for socio-demographic data. National Institute of Health Stroke Scale (NIHSS) for assessing stroke severity, checklist to assess health problems, checklist to assess physiological parameters, record analysis to assess bio-chemical parameters, Barthel Index to assess activity level. Baseline assessment was determined by pretest on first day of admission in neurology ward of SKIMS. The first post test was conducted on 7th day after implementation of comprehensive Nursing Care Strategies to stroke patients (CNCSSP) for five days; second post test was conducted in neurology OPD on the 10th day after discharge on first follow up visit. Results Results of the study revealed that majority comprised of males, Muslims, nonvegetarians & 65–74 years of age. Majority of the subjects both in experimental and control group had severe symptoms during acute stage at the time of admission in neurology ward as measured by NIHSS. Mean ±SD of Activity level measured by Barthel Index was 26.65±9.43 in both experimental and control group before intervention. Majority of the subjects were with high blood pressure before intervention. There was significant difference in NIHSS score (P value >0.05) in experimental group after implementation of CNCSSP. There was significant difference in systolic and diastolic blood pressure, in cholesterol, triglycerol levels and activity level as measured by Barthel Index, in experimental group. Conclusion To conclude, the findings of the study revealed significant difference in stroke severity, physiological parameters, biochemical parameters, activity level and prevention of complications in experimental group as, compared to control group which shows the effectiveness ofcomprehensive Nursing Care Strategies for stroke patients. Top Keywords Effect, Comprehensive Nursing Care Strategies, Stroke patients, activity level. Top |