지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: In assessing patients' neurological status following a stroke it is very important to have a valid tool for early detection of neurological deterioration. NIHSS is considered the best tool to reflect neurological status in patients with ischemic stroke. An education program on use of NIHSS was planned for nurses caring for these patients and the effects of the program were evaluated. Methods: The NIHSS education program (NEP) which includes online and video lectures, and practical education was provided to the nurses from April to July, 2010.
To examine the effect of NEP, nursing records of patients with ischemic stroke who were admitted to a stroke center were analyzed. Two groups, a historical control group (n=100) and the study group (n=115) were included. Results: Nursing records for neurologic symptoms for each patient increased (41.0% versus 100.0%,p<.001), and especially, visual disturbance, facial palsy. limb paralysis and ataxia, language disturbance,dysarthria, and neglect symptoms significantly increased (all p<.001). Nurse notification to the doctor of patients with neurological changes increased (21.0% versus 39.1%, p=.004), and nurses' neurological deterioration detection rates also increased (37.5% versus 84.6%, p=.009). Conclusion: NEP improved the quality of nursing records for neurological assessment and the detection rate of neurological deterioration.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Adams, H. P. Jr. / 1993 / Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial or Org 10172 in acute stroke t
Adams, H. P. Jr. / 2003 / Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Associat
Asan Medical Center / 2011 / Stroke imaging protocol (Issue Brief No. II. 2) / Asan Medical Center
Bae, C. / 2000 / NIHSS predicts outcome better than GCS in intracerebral hemorrhage / Stroke 32 : 356 ~ c
Bessenyei, M. / 2001 / Characteristics of 4 stroke scales for the detection of changes in clinical signs in the acute phase of stroke. / Journal of Stroke and Cerebrovascular
Adams, H. P. Jr. / 2003 / Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Associat
Asan Medical Center / 2011 / Stroke imaging protocol (Issue Brief No. II. 2) / Asan Medical Center
Bae, C. / 2000 / NIHSS predicts outcome better than GCS in intracerebral hemorrhage / Stroke 32 : 356 ~ c
Bessenyei, M. / 2001 / Characteristics of 4 stroke scales for the detection of changes in clinical signs in the acute phase of stroke. / Journal of Stroke and Cerebrovascular
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