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The mediating effect of psychological distress on functional dependence in stroke patients
ConclusionThe various forms of psychological distress after stroke might play a mediating role in functional recovery and explain how stroke severity affects functional dependence.
Relevance to clinical practiceBy understanding the nature of various forms of psychological distress, healthcare professionals should adopt appropriate assessment instruments and design effective interventions to help improve mental and physical function of stroke patients.
Source: Journal of Clinical Nursing - April 19, 2014 Category: Nursing Authors: Hui‐Chuan Huang, Li‐Kai Huang, Chaur‐Jong Hu, Chien‐Hung Chang, Hsin‐Chien Lee, Nai‐Fang Chi, Meei‐Ling Shyu, Hsiu‐Ju Chang Tags: Original Article Source Type: research
Quality of life in stroke survivor–caregiver dyads: a new conceptual framework and longitudinal study protocol
This study seeks to identify variables in the pre‐existing situation prior to the stroke (e.g. living condition), the new situation mediation poststroke (e.g. type of stroke and caregiver burden) as well as situation moderators (e.g. social support) that influence stroke survivor‐caregiver dyad's quality of life across the stroke trajectory. Also, the study will inform clinical practice and research by identifying variables that are potentially modifiable and therefore amenable to intervention. The proposed framework will also be helpful for future research focused on stroke survivor–caregiver dyads.
Source: Journal of Advanced Nursing - September 1, 2014 Category: Nursing Authors: Serenella Savini, Harleah G. Buck, Victoria Vaughan Dickson, Silvio Simeone, Gianluca Pucciarelli, Roberta Fida, Maria Matarese, Rosaria Alvaro, Ercole Vellone Tags: Protocol Source Type: research
Towards a better understanding of readmissions after stroke: partnering with stroke survivors and caregivers
ConclusionsThis study provides the critical perspective of the stroke survivor and family caregiver into furthering our understanding of readmissions after stroke. Participants identified several areas for intervention including better discharge preparation and the need for support in the community for medication management and self‐care. The findings suggest that interventions designed to reduce readmissions after stroke should be multifaceted in approach and extend across the continuum of care.
Relevance to clinical practiceThe hospital level has been the focus of interventions to reduce preventable readmissions, but t...
Source: Journal of Clinical Nursing - November 28, 2014 Category: Nursing Authors: Carole L White, Tracy L Brady, Laura L Saucedo, Deb Motz, Johanna Sharp, Lee A Birnbaum Tags: Original Article Source Type: research
The effect of cognitive appraisal in middle‐aged women stroke survivors and the psychological health of their caregivers: a follow‐up study
ConclusionThis study highlights the impact of cognitive appraisal in determining health‐related quality of life of women stroke survivors and how it affects their caregivers’ mental health.
Relevance to clinical practiceThe findings of this study may contribute to home care nurses’ understanding the importance of the psychosocial impact of the stroke for the survivor and their ability to help the surviving women to promote the confidence needed for self‐care, which will contribute to their quality of life and affect their caregivers’ health.
Source: Journal of Clinical Nursing - August 1, 2015 Category: Nursing Authors: Ming‐Hsiu Wu, Sheuan Lee, Hui‐Yi Su, Hsiang‐Chu Pai Tags: Original Article Source Type: research
Challenges in building interpersonal care in organized hospital stroke units: The perspectives of stroke survivors, family caregivers and the multidisciplinary team
ConclusionsStroke unit care provides satisfaction for stroke survivors, particularly in relation to highly specialized medical and nursing care and therapy. It is proposed that moves towards organized stroke unit care, particularly with the emphasis on reduction of length of stay and a focus on hyper‐acute models, have implications for interpersonal care practices and the sharing of stroke‐specific knowledge.
Source: Journal of Advanced Nursing - May 11, 2017 Category: Nursing Authors: Tony Ryan, Madeleine Harrison, Clare Gardiner, Amanda Jones Tags: ORIGINAL RESEARCH: EMPIRICAL RESEARCH —QUALITATIVE Source Type: research
To be or not to be? A caregiver's question: the lived experience of a stroke family during the first 18 months poststroke
ConclusionsFamiliarity with the caregiving role and experience of unreliable community services led stroke family members to question the primary caregiver's ability to resume caregiving following a family member's stroke. The primary caregiver was physically and emotionally spent, and rest home care for the survivor became the only self‐preserving option. A new caring arrangement was formulated seeking equity for both stroke survivor and caregiver.
Source: Scandinavian Journal of Caring Sciences - May 19, 2017 Category: Nursing Authors: Cheryl L Olivier, Jill Phillips, Dianne E Roy Tags: Empirical Studies Source Type: research
A 2 ‐year prospective follow‐up study of temporal changes associated with post‐stroke cognitive impairment
ConclusionsThe ongoing changes exhibited by patterns of cognitive impairment provide evidence that consistent efforts are required to achieve positive changes in post‐stroke cognitive function. Our findings may be helpful to develop nursing care strategies aimed at improving cognitive ability and consequently the quality of life of stroke patients.
Source: International Journal of Nursing Practice - October 1, 2017 Category: Nursing Authors: HyunSoo Oh, JongSuk Park, WhaSook Seo Tags: ORIGINAL RESEARCH PAPER Source Type: research
Stroke survivors ’ and carers’ experiences of a systematic voiding programme to treat urinary incontinence after stroke
ConclusionsThe effectiveness of a systematic voiding programme may partly lie in its educational component, challenging patients’ and carers’ assumptions that post‐stroke incontinence is inevitable. Individual adaptation of the programme, and the ability to incorporate it alongside other aspects of care, are likely to be key factors influencing implementation.
Relevance to clinical practiceUrinary incontinence is common after stroke. In order to maximise benefits from a systematic voiding programme, nurses should support stroke survivors to overturn erroneous beliefs, to participate in tailoring of the programme, and...
Source: Journal of Clinical Nursing - February 1, 2018 Category: Nursing Authors: Josephine M.E. Gibson, Lois H Thomas, J J Harrison, Caroline Leigh Watkins, Tags: Original Article Source Type: research
Linkage of Optimism With Depressive Symptoms Among the Stroke Survivor and Caregiver Dyads at 2 Years Post Stroke: Dyadic Mediation Approach
CONCLUSIONS: Intervention improving dyad members' optimism and social support would be beneficial to improve depressive symptoms of the stroke survivors and caregivers in chronic stroke management.PMID:35467560 | DOI:10.1097/JCN.0000000000000920
Source: The Journal of Cardiovascular Nursing - April 25, 2022 Category: Nursing Authors: Misook L Chung Jennifer L Miller Suk Jeong Lee Youn-Jung Son Geunyeong Cha Rosemarie B King Source Type: research
Implementing a Stroke Program Using Telemedicine
Stroke is the fourth leading cause of death and the leading cause of disability in the United States, affecting more than 750,000 people annually. Every 40 seconds someone experiences a stroke, and every 4 minutes a person dies from a stroke. In 1999 the American Heart Association (AHA), American Stroke Association (ASA), and the Brain Attack Coalition developed evidence-based guidelines for acute stroke care. These guidelines support the use of the antithrombotic drug tissue plasminogen activator (tPA) as a beneficial treatment for patients with acute stroke symptoms that meet specific guidelines. In the same year, the Fo...
Source: Journal of Emergency Nursing: JEN - July 2, 2012 Category: Nursing Authors: Tina Cronin Tags: Clinical Source Type: research
Adherence to medication and self-managment in stroke patients.
Conclusions: Applying self-management interventions to improve medication adherence in stroke patients across integrated clinical settings shows promise. However, further development of such interventions and research is recommended, with more stringent methodologies and longer follow-up periods.
PMID: 24526023 [PubMed - in process]
Source: British Journal of Nursing - February 13, 2014 Category: Nursing Authors: Chapman B, Bogle V Tags: Br J Nurs Source Type: research
Family History of Stroke Among African Americans and Its Association With Risk Factors, Knowledge, Perceptions, and Exercise.
CONCLUSIONS:: Family history of stroke was common in this sample; however, it did not translate into better understanding of stroke or better exercise behaviors and intentions. More can be done to identify African Americans with a FHS, especially those with multiple risk factors, to educate them about the significance of FHS while promoting lifestyle change and self-management.
PMID: 24598552 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - March 3, 2014 Category: Nursing Authors: Aycock DM, Kirkendoll KD, Coleman KC, Clark PC, Albright KC, Alexandrov AW Tags: J Cardiovasc Nurs Source Type: research
Stroke Education Needs of African American Women
ConclusionsThe results suggest that culturally sensitive stroke education for African American women should include stories of women with stroke and provide experiential and visual depictions of stroke warning signs. Group forums, television, and web‐based education may be acceptable ways to communicate stroke information to African American women.
Source: Public Health Nursing - September 1, 2014 Category: Nursing Authors: Claudia C. Beal Tags: Populations at Risk Across the Lifespan: Population Studies Source Type: research
