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Homenursing care after a strokefrom the perspectiveofpatients


Authors: S. Bártlová;  L. Šedová;  A. Hudáčková;  F. Dolák;  L. Havierniková
Authors‘ workplace: Ředitelka: prof. PhDr. Valérie Tóthová, Ph. D. ;  Jihočeská univerzita v Českých Budějovicích Zdravotně sociální fakulta Ústav ošetřovatelství, porodní asistence a neodkladné péče
Published in: Prakt. Lék. 2022; 102(6): 311-316
Category: Of different specialties

Overview

The goal of the study focused on post-stroke patients was to identify whether the patients suffered from sequelae, required the care provided by other persons, and which services they used within the home care.

Methods: The design of the study was quantitative. The field study used the method of a standardized face-to-face interview. The sample consisted of 416 post-stroke patients, 207 (49.8%) men and 209 (50.2%) women.

Results: In the respondents, the most frequent persisting post-stroke problems included disturbed coordination of mobility (57.2%), weakness in or motility loss of upper or lower limbs (47.1%) and speech problems (43.5%). The persisting symptoms significantly correlate with age < 0.001 and occupation < 0.001. 43.0% post-stroke patients said that their condition always or often demanded a care or another person; in some cases, this care was demanded by more than a quarter of respondents. The Home Care Agency services are used by less than ½ of (47.6%) respondents. The utilization of these services significantly correlates with age < 0.001, occupation < 0.001 and the time that has passed since stroke < 0.001. The most frequently used post-stroke services include the services provided by physiotherapists and social workers, the least demanded services are those provided by psychiatrists and psychologists.

Conclusion: Post-stroke patients have particularly to rely on the home care nurses help or the help offered by selected professionals the patients have been informed on. The study showed that this was not sufficient since it did not outreach into the aftercare. Therefore, one of the goals of our project is to develop a program for a lifelong education of nurses taking care of stroke patients, and to propose an increase of competences for nurses in the aftercare of stroke patients.

Keywords:

stroke – home care – physiotherapist – social worker – psychologist – psychiatrist


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