Relationship between Severity of Stroke and Nursing Care for Patients with Functional Disabilities

Document Type : Original articles

Authors

1 Demonstrator of Medical-Surgical Nursing, Faculty of Nursing - Minia University

2 Professor, Medical-Surgical Nursing, Faculty of Nursing – Minia University.

3 Assistant Professor, Medical-Surgical Nursing, Faculty of Nursing - Minia University.

4 Lecturer of Medical-Surgical Nursing, Faculty of Nursing - Minia University

Abstract

Background: Stroke is one of the main causes of morbidity and mortality worldwide. Stroke is a devastating disease that affects quality of life, causes severe physical disability. Aim of the Study: to investigate the relationship between severity of stroke and nursing care for patients with functional disabilities. Research Design: A descriptive exploratory research design was used. Subjects and Setting: The study was conducted in the intermediate stroke unit at Minia University Hospital. A convenient sample from sixty post-stroke patients was included. Tools: One tool and two scales were used to collect data; study tool includes socio-demographic data, specific medical data and patient’s point of view about nursing care, first scale, National Institutes of Health Stroke Scale to assess stroke severity and second, Barthel Index of daily living activities. Results:  participants age majority 35% aged between 50 and <60 years. Male participants constitutes 55%, cardiac disorders was the most prevalent comorbidity 38% of participants, No significant changes were found NIHSS motor and sensory levels, with some deteriorations in cognitive levels. Also, Barthel Index scores revealed significant improvements in bathing independence 58.3% and mobility to 41.7%. Although total functional independence remained low, dependency levels shifted. A significant negative correlation was observed between hospital nursing care and functional disability (r = -0.594, p=0.001). Conclusion: nursing care had a limited impact on stroke severity but contributed to improvements in specific activities of daily living. Recommendations: Enhance specialized training programs for nurses in stroke care, focusing on evidence-based rehabilitation techniques.

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