Nursing's Role in Psychosocial Health Management After a Stroke Event: A Scientific Statement From the American Heart Association.

IF 7.8 1区 医学 Q1 CLINICAL NEUROLOGY Stroke Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI:10.1161/STR.0000000000000471
Patricia A Zrelak, Karen B Seagraves, Samir Belagaje, Wendy Dusenbury, James J García, Niloufar N Hadidi, Kiffon M Keigher, Mary Love, Gianluca Pucciarelli, Erica Schorr, Cesar Velasco
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Abstract

Introduction: Stroke can have profound psychosocial health implications. These constructs are often overlooked and undertreated yet can be as devastating as the physical, functional, and cognitive consequences after stroke.

Aim: This scientific statement aims to evaluate 5 important aspects of psychosocial health (depression, stress, anxiety, fatigue, and quality of life) after a stroke to provide a framework for related nursing care across the poststroke continuum.

Methods: A narrative review of the literature published from 2018 to 2023 was conducted with databases such as PubMed/MEDLINE, ClinicalTrials.gov, PsychInfo/EBSCOHost, PsychArticles, CINHAL, and the Cochrane Library.

Results: Findings reveal a gap in evidence-based nursing interventions for addressing poststroke psychosocial needs. Critical strategies for shaping therapeutic nursing care include enhanced screening with validated tools; educating stroke survivors, families, and staff on symptom recognition, prevention, and treatment; and ensuring appropriate pharmacological management and access to psychological and psychosocial interventions, including referrals to social services and other essential support systems. Care should be comprehensive and interdisciplinary. Nurse-led research can benefit from more inclusive inclusion, including individuals with recurrent strokes and preexisting psychosocial conditions, focusing on the impact of structural racism and care disparities and expanding evidence-based nursing interventions.

Conclusions: Although there is limited high-level evidence on the nursing care for patients with suboptimal psychosocial health after stroke, nurses have a crucial role in addressing these needs. Enhanced screening, assessment, supportive services, and education are vital to ensure that patients receive the necessary treatment and care.

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护理在中风事件后社会心理健康管理中的作用:美国心脏协会的科学声明。
简介中风会对社会心理健康产生深远影响。目的:本科学报告旨在评估脑卒中后社会心理健康的 5 个重要方面(抑郁、压力、焦虑、疲劳和生活质量),为脑卒中后连续过程中的相关护理提供框架:通过PubMed/MEDLINE、ClinicalTrials.gov、PsychInfo/EBSCOHost、PsychArticles、CINHAL和Cochrane图书馆等数据库,对2018年至2023年发表的文献进行了叙述性综述:结果:研究结果表明,以证据为基础的护理干预在满足卒中后社会心理需求方面存在不足。形成治疗性护理的关键策略包括:使用有效工具加强筛查;对卒中幸存者、家属和工作人员进行症状识别、预防和治疗方面的教育;确保适当的药物管理以及获得心理和社会心理干预,包括转介至社会服务和其他重要支持系统。护理应该是全面的、跨学科的。护士主导的研究可以从更广泛的包容性中获益,包括反复中风患者和已有心理社会条件的患者,关注结构性种族主义和护理差异的影响,并扩大循证护理干预:尽管有关卒中后心理社会健康欠佳患者护理的高水平证据有限,但护士在满足这些需求方面起着至关重要的作用。加强筛查、评估、支持性服务和教育对确保患者获得必要的治疗和护理至关重要。
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来源期刊
Stroke
Stroke 医学-临床神经学
CiteScore
13.40
自引率
6.00%
发文量
2021
审稿时长
3 months
期刊介绍: Stroke is a monthly publication that collates reports of clinical and basic investigation of any aspect of the cerebral circulation and its diseases. The publication covers a wide range of disciplines including anesthesiology, critical care medicine, epidemiology, internal medicine, neurology, neuro-ophthalmology, neuropathology, neuropsychology, neurosurgery, nuclear medicine, nursing, radiology, rehabilitation, speech pathology, vascular physiology, and vascular surgery. The audience of Stroke includes neurologists, basic scientists, cardiologists, vascular surgeons, internists, interventionalists, neurosurgeons, nurses, and physiatrists. Stroke is indexed in Biological Abstracts, BIOSIS, CAB Abstracts, Chemical Abstracts, CINAHL, Current Contents, Embase, MEDLINE, and Science Citation Index Expanded.
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