Bibliographic review of nursing care of hospitalized patients with stroke
DOI:
https://doi.org/10.51326/ec.5.3.7459705Keywords:
Stroke, Nursing care, RehabilitationAbstract
Introduction: Cerebrovascular accidents (CVA) are pathologies that generate functional limitation among people who do not die, which translates into frailty and worsening of the patient's condition and a significant demand for healthcare. For this reason, protocols and procedures for sanitary action have been developed. However, little has been said about the importance of care based on scientific evidence during the stabilization phase of patients who have suffered a stroke after exceeding critical hours. It is at this time, where the nursing care and educational role plays a leading role in early recovery and the prelude to the rehabilitation period.
Objectives: To review the available scientific evidence of the meaninful care, from a nursing point of view, for a stabilized patient following a stroke.
Methods: A bibliographic review was carried out in 5 databases of Health Sciences (PubMed, SciELO, IBECS, Cochrane, Cuiden) and also with other electronic resources, from which several articles were acceptable for the review.
Results: A total of 2752 articles were found, of which, 18 were selected for reviewing after the exclusion criteria was applied.
Conclusions: The importance for nursing approach to complications following a stroke is shown. Nursing interventions should be prompted for recovery as early as possible. It is also a key point the role as teacher for patients and their families.
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References
Grupo de Estudio de Enfermedades Cerebrovasculares de la Sociedad Española de Neurología (SEN). Atlas del Ictus España 2019. Barcelona: Sociedad Española de Neurología (SEN); 2019. Disponible en: https://www.sen.es/images/2020/atlas/Atlas_del_Ictus_de_Espana_version_web.pdf [Consultado 26-05-202026 Mayo 2020]
Organización Mundial de la Salud. Las 10 principales causas de defunción. Ginebra: Organización Mundial de la Salud (OMS); 2018. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/the-top-10-causes-ofdeath [Consultado 11 Junio 2020]
Ministerio de Sanidad y Política Social. Estrategia en Ictus del Sistema Nacional de Salud. Madrid: Ministerio de Sanidad y Política Social; 2009. Disponible en: https://www.mscbs.gob.es/va/organizacion/sns/planCalidadSNS/docs/EstrategiaIctusSNS.pdf [Consultado 26 Mayo 2020]
Federación Española del Ictus. Ictus: un problema socio-sanitario. Sant Boi de Llobregat: Federación Española del Ictus; 2017. Disponible en: https://ictusfederacion.es/infoictus/codigo-ictus/ [Consultado 02-06-2020]
Piñero-Sáez S, Córcoles-Jímenez MP, Ruiz-García MV. Resultados de la implantación de una Guía de Buenas Prácticas en pacientes con ictus hospitalizados. Rev. cient. de la Soc. Esp. Enferm. Neurol.; 2018;47:18-25. https://doi.org/10.1016/j.sedene.2018.04.001
Kristensen HK, Tistad M, Koch Lv, Ytterberg C. The Importance of Patient Involvement in Stroke Rehabilitation. PLoS One. 2016;11(6):e0157149. https://doi.org/10.1371/journal.pone.0157149
Ingerslev Loft M, Martinsen B, Appel Esbensen B, Mathiesen LL, Iversen HK, Poulsen I. Call for human contact and support: an interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions. Disabil Rehabil. 2017;41(4):396-404. https://doi.org/10.1080/09638288.2017.1393698
Guirao Goris Silamani JA. Utilidad y tipos de revisión de literatura. Ene. 2015;9(2). Disponible en: http://eneenfermeria.org/ojs/index.php/ENE/article/view/495/guirao [Consultado 19-05-2020]
Organización Panamericana de la Salud, Organización Mundial de la Salud, Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud. DeCS: Descriptores en Ciencias de la Salud. Sao Paulo: BIREME/OPS/OMS; 2017. Disponible en: https://decs.bvsalud.org/es/como-citar-el-decs/ [Consultado 15-05-2020]
Acosta Ramírez P, Alegría Barrero E, Álvarez Rodríguez NE, Antolín Serna T, de Antonio Sanz E, Aranda Moreno S et al. Atención Hospitalaria del Paciente con Ictus. Madrid: Hospital Universitario de Torrejón; 2015. Disponible en: http://www.amn-web.com/wp-content/uploads/2016/12/manualde-enfermeria-pacientes-con-ictus.pdf [Consultado 01-06-2020]
Jiménez Hernández MD, Lama Herrera CM, Moniche Álvarez F, Morales Serna JC, Ras Luna J, Sanz Amores R. Ictus: Proceso Asistencial Integrado. Sevilla: Consejería de Igualdad, Salud y Políticas Sociales; 2015. Disponible en: https://www.juntadeandalucia.es/organismos/saludyfamilias/areas/calidadinvestigacion-conocimiento/gestion-conocimiento/paginas/pai-ictus.html [Consultado 01-06-2020]
Stockwell S. Nursing protocol for stroke increases survival, reduces disability. Am J Nurs. 2017;117(7):16. https://doi.org/10.1097/01.NAJ.0000520931.73289.17
Winstein CJ, Stein J, Arena R, Bates B, Cherney LR,..., Zorowitz RD. Guidelines for Adult Stroke Rehabilitation and Recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. AHA Journals. 2016;47(6): 98-169. https://doi.org/10.1161/str.0000000000000098
Fernández Flórez R, López Martínez T, Prieto Menéndez I, Rodríguez Rego R, Argüelles Barbón R, Calleja García B. Gestión de cuidados de enfermería a pacientes caso Código Ictus. Oviedo: Consejería de Sanidad del Principado de Asturias. Oviedo; 2017.
Alessandro L, Olmos LE, Bonamico L, Muzio DM, Ahumada MH,..., Ameriso SF. Rehabilitacion multidisciplinaria para pacientes adultos con accidente cerebro vascular. Medicina (B Aires). 2020;80(1):54-68. Disponible en: https://www.medicinabuenosaires.com/indices-de-2020/volumen-80-ano-2020-no-1-indice/rehabilitacion/ [Consultado 01 Junio 2020]
Lyons M, Smith C, Boaden E, Brady MC, Brocklehurst P,..., Watkins DC. Oral care after stroke: Where are we now? Eur Stroke J. 2018;3(4):347–54. https://doi.org/10.1177%2F2396987318775206
Middleton S, Grimley R, Alexandrov AW. Triage, Treatment, and Transfer: Evidence-Based Clinical Practice Recommendations and Models of Nursing Care for the First 72 Hours of Admission to Hospital for Acute Stroke. Stroke. 2015;46(2):18-25. https://doi.org/10.1161/STROKEAHA.114.006139
Díaz-Ávila A, Intriago-Ruiz C. Guía para un Plan de egreso en personas con secuelas por Enfermedad Vascular Cerebral. Enferm. univ. 2019;16(4):452-464. https://doi.org/10.22201/eneo.23958421e.2019.4.746
Jiménez Hernández MD, Lama Herrera CM, Moniche Álvarez F, Morales Serna JC, Ras Luna J, Sanz Amores R. Ictus: Proceso Asistencial Integrado. Sevilla: Consejería de Igualdad, Salud y Políticas Sociales; 2015. Disponible en: https://www.juntadeandalucia.es/organismos/saludyfamilias/areas/calidadinvestigacion-conocimiento/gestion-conocimiento/paginas/pai-ictus.html [Consultado 30-05-2020]
Nursiswati Nursiwati MN, Halfens RJG, Lohrmann C. Change in care dependency of stroke patients: a longitudinal and multicenter study. Asian Nurs Res. 2017;11(2):113–8. https://doi.org/10.1016/j.anr.2017.05.005
Vigil González Y, Benavente Fernández L, Calleja Puerta S. Evolución de la atención al Ictus en un hospital de tercer nivel. Metas Enferm. 2018;21(7):5-l1. https://doi.org/10.35667/MetasEnf.2019.21.1003081275
Wärn Hede G, Faxén-Irving G, Ödlund Olin A, Ebbeskog B, Crisby M. Nutritional assessment and post-procedural complications in older stroke patients after insertion of percutaneous endoscopic gastrostomy - a retrospective study. J Food Sci Nutr Res. 2016; 60:30466. https://doi.org/10.3402/fnr.v60.30456
Middleton S, Coughlan K, Mnatzaganian G, Choy NL, Dale S,..., D´Este C. Mortality Reduction for Fever, Hyperglycemia, and Swallowing Nurse-Initiated Stroke Intervention QASC Trial (Quality in Acute Stroke Care) Follow-Up. Stroke. 2017;48(5):1331:1336. https://doi.org/10.1161/STROKEAHA.116.016038
Tang EYH, Price C, Stephan BCM, Robinson L, Exley C. Gaps in care for patients with memory deficits after stroke: views of healthcare providers. BMC Health Serv Res. 2017;17:634. https://doi.org/10.1186/s12913-017-2569-5
Bjartmarz I, Jónsdóttir H, Hafsteinsdóttir TB. Implementation and feasibility of the stroke nursing guideline in the care of patients with stroke: a mixed methods study. BMC Nurs. 2017;16:72. https://doi.org/10.1186/s12912-017-0262-y
