Introduction. Strokes often cause dysfunctions in the reception and transmission of speech, which may be aphasia or dysarthria. These disorders can lead to disability, which imposes limitations on the patient, even leads to a complete breakdown of roles and social bonds. Aim. The main aim of the study was to assess the impact of the type and degree of apathetic disorders on the quality of life of patients after ischemic stroke. Material and Methods. The research was carried out at the Neurological Department of the Provincial Specialist Hospital in Włocławek. On average 68 patients with apathetic disorders and diagnosed ischemic stroke were qualified for the study. The study was conducted using the method of diagnostic survey. It consisted in the assessment of patients using the generally available SODA diagnostic tool — the Aphasia Dynamics Assessment Scale and a standardized tool, the WHOQOL-BREF questionnaire by Krystyna Jaracz. Results. When assessing the impact of the degree of aphasia on the quality of life, a statistically significant difference was observed in the overall quality of life in patients with complete (p = 0.012), significant (p = 0.012) and moderate (p = 0.031) aphasia. In self-assessment of health status, a statistically significant difference was found only in patients with complete aphasia (p = 0.048). In the physical, psychological and environmental domains, a statistically significant differences was observed in patients with severe aphasia (p = 0.05). Conclusions. The type and degree of apathetic disorders has been shown to affect the quality of life of patients. Each type of aphasia worsens the overall quality of life, and in addition, motor and sensory aphasia negatively affects functioning in the psychological field. It has also been shown that the more advanced the degree of apathetic disorders, the worse the overall quality of life, self-esteem of health, and worse physical, psychological and environmental functioning. (JNNN 2020;9(3):108–113) Key Words: apathetic disorders, ischemic stroke, quality of life
{"title":"The Impact of Apathetic Disorders on the Quality of Life of Patients after Ischemic Stroke","authors":"J. Zielińska, M. Zieliński, Robert Ślusarz","doi":"10.15225/pnn.2020.9.3.4","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.3.4","url":null,"abstract":"Introduction. Strokes often cause dysfunctions in the reception and transmission of speech, which may be aphasia or dysarthria. These disorders can lead to disability, which imposes limitations on the patient, even leads to a complete breakdown of roles and social bonds. Aim. The main aim of the study was to assess the impact of the type and degree of apathetic disorders on the quality of life of patients after ischemic stroke. Material and Methods. The research was carried out at the Neurological Department of the Provincial Specialist Hospital in Włocławek. On average 68 patients with apathetic disorders and diagnosed ischemic stroke were qualified for the study. The study was conducted using the method of diagnostic survey. It consisted in the assessment of patients using the generally available SODA diagnostic tool — the Aphasia Dynamics Assessment Scale and a standardized tool, the WHOQOL-BREF questionnaire by Krystyna Jaracz. Results. When assessing the impact of the degree of aphasia on the quality of life, a statistically significant difference was observed in the overall quality of life in patients with complete (p = 0.012), significant (p = 0.012) and moderate (p = 0.031) aphasia. In self-assessment of health status, a statistically significant difference was found only in patients with complete aphasia (p = 0.048). In the physical, psychological and environmental domains, a statistically significant differences was observed in patients with severe aphasia (p = 0.05). Conclusions. The type and degree of apathetic disorders has been shown to affect the quality of life of patients. Each type of aphasia worsens the overall quality of life, and in addition, motor and sensory aphasia negatively affects functioning in the psychological field. It has also been shown that the more advanced the degree of apathetic disorders, the worse the overall quality of life, self-esteem of health, and worse physical, psychological and environmental functioning. (JNNN 2020;9(3):108–113) Key Words: apathetic disorders, ischemic stroke, quality of life","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82745439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Rucińska, M. Skrzypek-Czerko, A. Roszmann, R. Piotrkowska
Introduction. Each year 80 000 Poles are suffering from stroke. The most common risk factors are hypertension, diabetes and complications, hyperlipidemia, obesity, atrial fibrillation. Lifestyle modification, such as diseases controlling, diet changing, exercises, stop smoking and limiting alcohol consumption are known as stroke prevention. Thrombectomy and thrombolytic therapy definitely increase long-term survival and prognosis. Aim. Objective of the work is assessment of surgical nurses knowledge level about postoperative stroke. Material and Methods. The research was conducted on a group of 55 randomly chosen surgical nurses. The diagnostic survey method with a proprietary questionnaire was used for the research. Results. Nurses knowledge was poor. Education and age affect to answers. Higher education qualification nurses have higher knowledge level relative to less educated nurses. Younger nurses have higher knowledge level than older nurses. Conclusions. Cardiosurgery and vascular surgery are charged as the most risk onset postoperative stroke. Knowledge of surgical nurses about risk factors, prevention, symptom, complications and procedures in case of stroke onset have particular meaning in postoperative caring. (JNNN 2020;9(4):138–144) Key Words: knowledge, nursing care, postoperative period, stroke
{"title":"The Level of Knowledge of Nurses in Surgical Departments about the Occurrence of Stroke in Patients in the Postoperative Period","authors":"Agnieszka Rucińska, M. Skrzypek-Czerko, A. Roszmann, R. Piotrkowska","doi":"10.15225/PNN.2020.9.4.3","DOIUrl":"https://doi.org/10.15225/PNN.2020.9.4.3","url":null,"abstract":"Introduction. Each year 80 000 Poles are suffering from stroke. The most common risk factors are hypertension, diabetes and complications, hyperlipidemia, obesity, atrial fibrillation. Lifestyle modification, such as diseases controlling, diet changing, exercises, stop smoking and limiting alcohol consumption are known as stroke prevention. Thrombectomy and thrombolytic therapy definitely increase long-term survival and prognosis. Aim. Objective of the work is assessment of surgical nurses knowledge level about postoperative stroke. Material and Methods. The research was conducted on a group of 55 randomly chosen surgical nurses. The diagnostic survey method with a proprietary questionnaire was used for the research. Results. Nurses knowledge was poor. Education and age affect to answers. Higher education qualification nurses have higher knowledge level relative to less educated nurses. Younger nurses have higher knowledge level than older nurses. Conclusions. Cardiosurgery and vascular surgery are charged as the most risk onset postoperative stroke. Knowledge of surgical nurses about risk factors, prevention, symptom, complications and procedures in case of stroke onset have particular meaning in postoperative caring. (JNNN 2020;9(4):138–144) Key Words: knowledge, nursing care, postoperative period, stroke","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90899007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karolia Filipska, A. Wiśniewski, A. Królikowska, R. Jabłońska, B. Haor, M. Szewczyk, Robert Ślusarz
Quality of life is an important aspect in the fields of medicine and health sciences. It is presented as a complex concept. Therefore, it is presented in various ways. Its interpretation and definition depends mainly on the discipline and area of study. Very often, the quality of life is also defined in the context of the well-being that a person experiences during his life. It depends on the state of health. It can take into account a wide variety of problems, because neurological diseases bring about such unwanted effects as pain, the need for medical and rehabilitation stays, social isolation, and one of the worst consequences, i.e. shortening life expectancy. Therefore, it is important to conduct research on the quality of life among neurological patients. The results obtained from the conducted and continued research on large groups of patients could constitute a specific compendium of knowledge about the situation of patients, their needs and the perceived quality of life. Therefore, the aim of this study is to present research on the assessment of quality of life and its predictors among neurological patients. (JNNN 2020;9(3): 114–118) Key Words: neurology disease, patients, predictors, quality of life
{"title":"Quality of Life and its Predictors Among Neurosurgical Patients — Systematic Review of Research","authors":"Karolia Filipska, A. Wiśniewski, A. Królikowska, R. Jabłońska, B. Haor, M. Szewczyk, Robert Ślusarz","doi":"10.15225/PNN.2020.9.3.5","DOIUrl":"https://doi.org/10.15225/PNN.2020.9.3.5","url":null,"abstract":"Quality of life is an important aspect in the fields of medicine and health sciences. It is presented as a complex concept. Therefore, it is presented in various ways. Its interpretation and definition depends mainly on the discipline and area of study. Very often, the quality of life is also defined in the context of the well-being that a person experiences during his life. It depends on the state of health. It can take into account a wide variety of problems, because neurological diseases bring about such unwanted effects as pain, the need for medical and rehabilitation stays, social isolation, and one of the worst consequences, i.e. shortening life expectancy. Therefore, it is important to conduct research on the quality of life among neurological patients. The results obtained from the conducted and continued research on large groups of patients could constitute a specific compendium of knowledge about the situation of patients, their needs and the perceived quality of life. Therefore, the aim of this study is to present research on the assessment of quality of life and its predictors among neurological patients. (JNNN 2020;9(3): 114–118) Key Words: neurology disease, patients, predictors, quality of life","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88777333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. Ticks can infect people with numerous pathogens causing various infectious (viral, bacterial) or invasive (parasitic, fungal) diseases. Aim. The main objective of the present work included the epidemiologic analysis of the occurrence of tick-borne diseases at the Independent Public Health Care Facility in Bielsk Podlaski. Material and Methods. An analysis of medical documentation stored in the hospital’s IT database of patients hospitalized in 2016, 2017 and 2018 was performed. Sixty-six patients admitted to the Observation and Infectious Disease Ward diagnosed with tick-borne diseases, were qualified for the study. Results. Analysis of the data showed that Lyme disease was diagnosed most often. It affected mainly middle-aged and elderly men. The second most-often diagnosed illness was TBM characterized by its seasonality. No other ticktransmitted diseases were recorded. Although not all patients were aware of having been bitten by a tick, their symptoms allowed the diagnosis of tick-related illnesses. After treatment relevant to each ailment all patients were discharged in a good state of health. Conclusions. The completed retrospective analysis of the documentation of hospitalized patients shows consistency with the work of other authors both with respect to the frequency of tick-borne disease diagnoses and the most often reported symptoms. It also confirms an upward trend with respect to tick-borne disease hospitalizations. (JNNN 2020;9(2):51–58) Key Words: tick-borne diseases, epidemiology, various infectious, invasive diseases
{"title":"Epidemiological Analysis of the Occurrence of Tick-borne Diseases at the Independent Public Health Care Facility in Bielsk Podlaski","authors":"K. Snarska, Ewa Chmur, C. Dolińska","doi":"10.15225/pnn.2020.9.2.1","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.1","url":null,"abstract":"Introduction. Ticks can infect people with numerous pathogens causing various infectious (viral, bacterial) or invasive (parasitic, fungal) diseases. Aim. The main objective of the present work included the epidemiologic analysis of the occurrence of tick-borne diseases at the Independent Public Health Care Facility in Bielsk Podlaski. Material and Methods. An analysis of medical documentation stored in the hospital’s IT database of patients hospitalized in 2016, 2017 and 2018 was performed. Sixty-six patients admitted to the Observation and Infectious Disease Ward diagnosed with tick-borne diseases, were qualified for the study. Results. Analysis of the data showed that Lyme disease was diagnosed most often. It affected mainly middle-aged and elderly men. The second most-often diagnosed illness was TBM characterized by its seasonality. No other ticktransmitted diseases were recorded. Although not all patients were aware of having been bitten by a tick, their symptoms allowed the diagnosis of tick-related illnesses. After treatment relevant to each ailment all patients were discharged in a good state of health. Conclusions. The completed retrospective analysis of the documentation of hospitalized patients shows consistency with the work of other authors both with respect to the frequency of tick-borne disease diagnoses and the most often reported symptoms. It also confirms an upward trend with respect to tick-borne disease hospitalizations. (JNNN 2020;9(2):51–58) Key Words: tick-borne diseases, epidemiology, various infectious, invasive diseases","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84767885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. Postgraduate education for nurses is an integral part of professional development. Currently, in accordance with the legislation in force in Poland, a neurological nurse may improve their profession as part of self-education or as part of organized forms and types of postgraduate education by undergoing various specialized training, acquiring professional skills in the narrower fields of nursing or providing specific health services. Aim. The aim of the research was to analyse the postgraduate education of neurological nurses. Material and Methods. The research was conducted on a group of 128 nurses employed in 9 neurological centres in the Kuyavian-Pomeranian Voivodeship (Bydgoszcz, Toruń, Włocławek, Grudziądz, Świecie, Lipno). Postgraduate education was assessed by means of a diagnostic survey using a questionnaire survey technique. Results. It was shown that there are statistically significant differences between the age, experience and education of the respondents and the preferred form of education (p < 0.05) and awarding educational points for training (p < 0.05). It was also found that age and seniority in the neurology department differentiated the form of financing training (p < 0.05). Additionally, seniority is a factor that significantly differentiates the thematic specificity of the training (p < 0.05). Conclusions. The most popular form of postgraduate education is specialization and a specialist course. An important form of training is also participation in a conference/symposium. The vast majority of respondents stated that their trainings are financed by their own/private funds. It was found that the respondents lacked knowledge about training specific to neurological nurses, with the simultaneous need for such training. Among the difficulties/problems related to professional development, the most frequently indicated were the lack of time for training and difficulties with its financing. Almost half of the respondents expect to receive education/credit points for education. (JNNN 2020;9(2):71–75) Key Words: neurological nursing, postgraduate education, nurses
{"title":"Postgraduate Education of Neurological Nurses — Preliminary Reports","authors":"Robert Ślusarz, K. Filipska","doi":"10.15225/pnn.2020.9.2.4","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.4","url":null,"abstract":"Introduction. Postgraduate education for nurses is an integral part of professional development. Currently, in accordance with the legislation in force in Poland, a neurological nurse may improve their profession as part of self-education or as part of organized forms and types of postgraduate education by undergoing various specialized training, acquiring professional skills in the narrower fields of nursing or providing specific health services. Aim. The aim of the research was to analyse the postgraduate education of neurological nurses. Material and Methods. The research was conducted on a group of 128 nurses employed in 9 neurological centres in the Kuyavian-Pomeranian Voivodeship (Bydgoszcz, Toruń, Włocławek, Grudziądz, Świecie, Lipno). Postgraduate education was assessed by means of a diagnostic survey using a questionnaire survey technique. Results. It was shown that there are statistically significant differences between the age, experience and education of the respondents and the preferred form of education (p < 0.05) and awarding educational points for training (p < 0.05). It was also found that age and seniority in the neurology department differentiated the form of financing training (p < 0.05). Additionally, seniority is a factor that significantly differentiates the thematic specificity of the training (p < 0.05). Conclusions. The most popular form of postgraduate education is specialization and a specialist course. An important form of training is also participation in a conference/symposium. The vast majority of respondents stated that their trainings are financed by their own/private funds. It was found that the respondents lacked knowledge about training specific to neurological nurses, with the simultaneous need for such training. Among the difficulties/problems related to professional development, the most frequently indicated were the lack of time for training and difficulties with its financing. Almost half of the respondents expect to receive education/credit points for education. (JNNN 2020;9(2):71–75) Key Words: neurological nursing, postgraduate education, nurses","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74317183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic Fatigue Syndrome (CFS), also called myalgic encephalomyelitis (ME), is a condition characterized by long-term fatigue that is not significantly alleviated during rest and is not caused by previous medical conditions or continuous exercise. Symptoms are quite diverse, but not specific to this disease entity. The most common are: concentration and memory problems, sore throat, swollen lymph nodes, joint pain, sleep disturbances, headache. Moreover, autonomic nervous system functioning and post-exertional malaise examination is considered to be important in diagnosis of adolescent patients with ME/CFS. The presented analysis of research shows that adolescents with ME/CFS urge to be understood and believed regarding an illness that few understood. Continuing education and remaining the social activity in young ME/CFS patients seems to be crucial in maintaining quality of life. ME/ CFS in adolescents might lead to significant problems related to the school absenteeism, poorer quality of life at school, school and academic achievement compared to healthy adolescents. Anxiety might co-occur with ME/CFS in adolescents. Supportive therapy for comorbidities could be considered, if needed. However, there is no established effective treatment for ME/CFS, for which there is urgent need. (JNNN 2020;9(2):76–79) Key Words: ME/CFS, adolescents, Chronic Fatigue Syndrome
{"title":"ME/CFS in Adolescents — Study Review","authors":"Justyna Szrajda","doi":"10.15225/pnn.2020.9.2.5","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.5","url":null,"abstract":"Chronic Fatigue Syndrome (CFS), also called myalgic encephalomyelitis (ME), is a condition characterized by long-term fatigue that is not significantly alleviated during rest and is not caused by previous medical conditions or continuous exercise. Symptoms are quite diverse, but not specific to this disease entity. The most common are: concentration and memory problems, sore throat, swollen lymph nodes, joint pain, sleep disturbances, headache. Moreover, autonomic nervous system functioning and post-exertional malaise examination is considered to be important in diagnosis of adolescent patients with ME/CFS. The presented analysis of research shows that adolescents with ME/CFS urge to be understood and believed regarding an illness that few understood. Continuing education and remaining the social activity in young ME/CFS patients seems to be crucial in maintaining quality of life. ME/ CFS in adolescents might lead to significant problems related to the school absenteeism, poorer quality of life at school, school and academic achievement compared to healthy adolescents. Anxiety might co-occur with ME/CFS in adolescents. Supportive therapy for comorbidities could be considered, if needed. However, there is no established effective treatment for ME/CFS, for which there is urgent need. (JNNN 2020;9(2):76–79) Key Words: ME/CFS, adolescents, Chronic Fatigue Syndrome","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84891570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. Back pain syndromes affect people inhabiting every latitude of the globe. They are more or less intense diseases of affluence affecting many professional groups, including nurses. Aim. The aim of the study was to assess the influence of selected risk factors on the occurrence of back pain in the lumbar region among nurses from the Specialist City Hospital in Toruń. Material and Methods. The research was carried out at the Specialist City Hospital (SCH) in Toruń after obtaining the consent of the Bioethics Committee and the hospital management. The study included a group of 165 nurses employed in all organizational units of the hospital. The work uses the method of a diagnostic survey, and two research tools — the original survey and the Oswestry questionnaire. Results. Among the analysed demographic factors, only the age and seniority of the respondents predispose to the occurrence of back pain syndrome (p < 0.05). The BMI index also turned out to be statistically significant (p < 0.05). The statistical relationship (p > 0.05) was not confirmed among other variables such as: gender, work system, physical load, smoking and past spine injuries. Conclusions. Due to the increase in the average age and seniority among nurses, increasing back pain will become their leading health problems. The broadly understood health education in this professional group should be considered in order to reduce the share of overweight and obesity as factors predisposing to back pain syndrome. (JNNN 2020;9(2):65–70) Key Words: spinal pain syndromes, nurses, measurement
{"title":"The Occurrence of Pain in the Lumbar Spine in the Professional Group of Nurses","authors":"Agnieszka Szajerska, L. Grzelak, M. Szostak","doi":"10.15225/pnn.2020.9.2.3","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.3","url":null,"abstract":"Introduction. Back pain syndromes affect people inhabiting every latitude of the globe. They are more or less intense diseases of affluence affecting many professional groups, including nurses. Aim. The aim of the study was to assess the influence of selected risk factors on the occurrence of back pain in the lumbar region among nurses from the Specialist City Hospital in Toruń. Material and Methods. The research was carried out at the Specialist City Hospital (SCH) in Toruń after obtaining the consent of the Bioethics Committee and the hospital management. The study included a group of 165 nurses employed in all organizational units of the hospital. The work uses the method of a diagnostic survey, and two research tools — the original survey and the Oswestry questionnaire. Results. Among the analysed demographic factors, only the age and seniority of the respondents predispose to the occurrence of back pain syndrome (p < 0.05). The BMI index also turned out to be statistically significant (p < 0.05). The statistical relationship (p > 0.05) was not confirmed among other variables such as: gender, work system, physical load, smoking and past spine injuries. Conclusions. Due to the increase in the average age and seniority among nurses, increasing back pain will become their leading health problems. The broadly understood health education in this professional group should be considered in order to reduce the share of overweight and obesity as factors predisposing to back pain syndrome. (JNNN 2020;9(2):65–70) Key Words: spinal pain syndromes, nurses, measurement","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"370 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76759686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fever negatively affects the recovery of the brain following neurosurgical operation and prolongs the length of stay in the neurosurgery intensive care unit. Accordingly, it is necessary to deliver nursing care as indicated by the evidence regarding the management of fever in neurosurgical patients. The management of body temperature requires teamwork. Each healthcare professional in the team should select appropriate cooling methods, provide an acceptable cooling rate, manage shivering, and monitor the patient closely, with a multidisciplinary perspective. In this context, the present article discusses the causes of fever, its incidence, treatment and care practices for neurosurgical patients and proposes evidence-based recommendations for practice upon the review of the international guidelines. (JNNN 2020;9(2):80–85) Key Words: stroke, subarachnoid hemorrhage, intracerebral hemorrhage, persistent fever, nursing care
{"title":"Persistent Fever and Nursing Care in Neurosurgical Patients","authors":"N. Turan, Yeliz Çulha, G. Aydın, H. Kaya","doi":"10.15225/pnn.2020.9.2.6","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.6","url":null,"abstract":"Fever negatively affects the recovery of the brain following neurosurgical operation and prolongs the length of stay in the neurosurgery intensive care unit. Accordingly, it is necessary to deliver nursing care as indicated by the evidence regarding the management of fever in neurosurgical patients. The management of body temperature requires teamwork. Each healthcare professional in the team should select appropriate cooling methods, provide an acceptable cooling rate, manage shivering, and monitor the patient closely, with a multidisciplinary perspective. In this context, the present article discusses the causes of fever, its incidence, treatment and care practices for neurosurgical patients and proposes evidence-based recommendations for practice upon the review of the international guidelines. (JNNN 2020;9(2):80–85) Key Words: stroke, subarachnoid hemorrhage, intracerebral hemorrhage, persistent fever, nursing care","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73399248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. A history of neurological disease often exerts a strong influence on the patient’s further life in four basic dimensions: functional, mental, social and spiritual. Aim. The aim of the study was to perform a functional assessment of an elderly patient after a stroke and to verify whether selected demographic and clinical factors have a significant impact on functional capacity. Material and Methods. The research was carried out in the Department and Clinic of Geriatrics, University Hospital no. 1 of A. Jurasz in Bydgoszcz on a group of 88 patients after stroke. Functional status was assessed using the Barthel Index — BI, depressive disorders were assessed using the Geriatric Depression Scale — GDS, and higher cognitive functions were assessed using the Mini-Mental State Examination — MMSE. Results. As a result of the statistical analysis, no statistically significant differences were found in the functional capacity of the patient in the individual measurements (first and second) of Friedman’s ANOVA (N = 88, df 1) = 0.32; p = 0.582, which means that the patients were classified into the same functional capacity groups, obtaining a similar result in repeated measurements. It was found that gender, age and the number of comorbidities had a statistically significant (p < 0.05) effect on the functional status of the subjects. There was no statistically significant influence of the place of residence (p > 0.05) and family situation (p > 0.05) on the functional status of the respondents. A statistically significant correlation was also found between depressive disorders (Spearman’s rank -0.438; p < 0.05) and disorders of higher cognitive functions (Spearman’s rank -0.548; p < 0.05) and functional capacity. Conclusions. In the majority of cases, elderly patients regain functional independence after a stroke. Men showed better functional fitness. Older age and more comorbidities worsen functional performance. It has also been found that the functional state is interdependent with cognitive and emotional disorders. (JNNN 2020;9(2):59–64) Key Words: functional assessment, older age, stroke
{"title":"Functional Assessment of Elderly Patients after Stroke","authors":"M. Biercewicz","doi":"10.15225/pnn.2020.9.2.2","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.2.2","url":null,"abstract":"Introduction. A history of neurological disease often exerts a strong influence on the patient’s further life in four basic dimensions: functional, mental, social and spiritual. Aim. The aim of the study was to perform a functional assessment of an elderly patient after a stroke and to verify whether selected demographic and clinical factors have a significant impact on functional capacity. Material and Methods. The research was carried out in the Department and Clinic of Geriatrics, University Hospital no. 1 of A. Jurasz in Bydgoszcz on a group of 88 patients after stroke. Functional status was assessed using the Barthel Index — BI, depressive disorders were assessed using the Geriatric Depression Scale — GDS, and higher cognitive functions were assessed using the Mini-Mental State Examination — MMSE. Results. As a result of the statistical analysis, no statistically significant differences were found in the functional capacity of the patient in the individual measurements (first and second) of Friedman’s ANOVA (N = 88, df 1) = 0.32; p = 0.582, which means that the patients were classified into the same functional capacity groups, obtaining a similar result in repeated measurements. It was found that gender, age and the number of comorbidities had a statistically significant (p < 0.05) effect on the functional status of the subjects. There was no statistically significant influence of the place of residence (p > 0.05) and family situation (p > 0.05) on the functional status of the respondents. A statistically significant correlation was also found between depressive disorders (Spearman’s rank -0.438; p < 0.05) and disorders of higher cognitive functions (Spearman’s rank -0.548; p < 0.05) and functional capacity. Conclusions. In the majority of cases, elderly patients regain functional independence after a stroke. Men showed better functional fitness. Older age and more comorbidities worsen functional performance. It has also been found that the functional state is interdependent with cognitive and emotional disorders. (JNNN 2020;9(2):59–64) Key Words: functional assessment, older age, stroke","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86395193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction. Intravenous thrombolysis is a gold standard in the treatment of acute ischaemic stroke. It causes reperfusion in the region of ischaemia and as a result it has a positive effect on functional outcomes of patients. The sooner this treatment is introduced the higher efficacy can be expected. Aim. The study objective was to assess the functional status of patients with ischaemic stroke, undergoing thrombolytic treatment and the incidence of thrombolysis complications. Material and Methods. Retrospective studies were conducted on a group of 109 patients hospitalised due to ischaemic cerebral stroke and qualified for thrombolytic treatment. The functional status was assessed with the use of the modified Rankin Scale and National Institutes of Health Stroke Scales on admission and discharge day. The study group included 55 males and 54 females (respectively: 50.5% and 49.5% of the total study population). The subject age was between 32 and 96 years, with the mean age of 69.8. Results. The average time between the onset of symptoms and initiation of thrombolytic treatment was 182 minutes. The National Institutes of Health Stroke Scale at the moment of qualification for treatment was 10.11 points, and the Rankin Scale was 2.88 points. On the day of discharge, the values were 5.81 and 2.05, respectively. A statistically significant (p < 0.0001) improvement in the functional status was observed in the group of patients who had no intra cerebral haemorrhage after thrombolysis. The most common complication of thrombolytic treatment was haemorrhagic transformation of the ischaemic stroke focus — 27 cases (24.77%). Death occurred in 9 subjects (8.26% of total), including 6 cases in males (10.91% of males) and was related to haemorrhagic transformation of the ischaemic stroke focus (p = 0.000). Conclusions. The implemented treatment of stroke resulted in improvement of the functional status. The most frequent complication was haemorrhagic conversion of stroke. (JNNN 2020;9(1):12–19) Key Words: stroke, thrombolysis, functional status
{"title":"Assessment of the Functional Status of Patients with Ischaemic Stroke Receiving Thrombolytic Treatment","authors":"K. Hebel, P. Kowiański, K. Rogoza","doi":"10.15225/pnn.2020.9.1.2","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.1.2","url":null,"abstract":"Introduction. Intravenous thrombolysis is a gold standard in the treatment of acute ischaemic stroke. It causes reperfusion in the region of ischaemia and as a result it has a positive effect on functional outcomes of patients. The sooner this treatment is introduced the higher efficacy can be expected. Aim. The study objective was to assess the functional status of patients with ischaemic stroke, undergoing thrombolytic treatment and the incidence of thrombolysis complications. Material and Methods. Retrospective studies were conducted on a group of 109 patients hospitalised due to ischaemic cerebral stroke and qualified for thrombolytic treatment. The functional status was assessed with the use of the modified Rankin Scale and National Institutes of Health Stroke Scales on admission and discharge day. The study group included 55 males and 54 females (respectively: 50.5% and 49.5% of the total study population). The subject age was between 32 and 96 years, with the mean age of 69.8. Results. The average time between the onset of symptoms and initiation of thrombolytic treatment was 182 minutes. The National Institutes of Health Stroke Scale at the moment of qualification for treatment was 10.11 points, and the Rankin Scale was 2.88 points. On the day of discharge, the values were 5.81 and 2.05, respectively. A statistically significant (p < 0.0001) improvement in the functional status was observed in the group of patients who had no intra cerebral haemorrhage after thrombolysis. The most common complication of thrombolytic treatment was haemorrhagic transformation of the ischaemic stroke focus — 27 cases (24.77%). Death occurred in 9 subjects (8.26% of total), including 6 cases in males (10.91% of males) and was related to haemorrhagic transformation of the ischaemic stroke focus (p = 0.000). Conclusions. The implemented treatment of stroke resulted in improvement of the functional status. The most frequent complication was haemorrhagic conversion of stroke. (JNNN 2020;9(1):12–19) Key Words: stroke, thrombolysis, functional status","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83688946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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