Objective: To verify the effect of stroke case management on the self-management of risk factors and the rehabilitation of patients with Acute Ischemic Stroke (AIS). Method: We conducted a 6-week prospective, non-randomized controlled open-label trial. Patients were screened and allocated to the nurse-led case manager or primary nurses. Risk factors and recovery indicators were measured 4 weeks after the patient was discharged. Results: Patients in the nurse-led case management group were more likely to be aware of risk factors (χ2 = 21.048, P < 0.001) compared with patients undergoing usual care. And had a greater reduction in the proportion of various bad behavior styles (P < 0.001). Patients in the prevention group were more likely to gain better muscle strength of the injured limb (upper limb t = 4.048, P < 0.001); lower limb t = 83.279, P < 0.001) than those in the control group. Overall mean (SD) of modified BI index score for the intervention group compared with control group hospitals was 96.05 vs 76.84. (P < 0.001). The rates of modified Rankin Scale (MRS) score ≤ 2 were 68.9% in the intervention group and 35.1% in the control group (χ2 = 12.682, P < 0.001). Conclusion: A nurse-led case-management for patients with AIS is feasible and may help improve long-term control of significant patient risk factors for stroke.
| Published in | American Journal of Nursing Science (Volume 11, Issue 6) |
| DOI | 10.11648/j.ajns.20221106.12 |
| Page(s) | 174-181 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Stroke, Case Management, Risk Factors, Rehabilitation
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APA Style
Juan Deng, Dong-ya Wang, Wei-hua Li, Qing Luo, Yu-gui Ji, et al. (2022). Effect of Nurse-Led Case Management on an Comprehensive Monitoring for Patients with Acute Ischemic Stroke. American Journal of Nursing Science, 11(6), 174-181. https://doi.org/10.11648/j.ajns.20221106.12
ACS Style
Juan Deng; Dong-ya Wang; Wei-hua Li; Qing Luo; Yu-gui Ji, et al. Effect of Nurse-Led Case Management on an Comprehensive Monitoring for Patients with Acute Ischemic Stroke. Am. J. Nurs. Sci. 2022, 11(6), 174-181. doi: 10.11648/j.ajns.20221106.12
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Download@article{10.11648/j.ajns.20221106.12,
author = {Juan Deng and Dong-ya Wang and Wei-hua Li and Qing Luo and Yu-gui Ji and Hong-zhen Xie},
title = {Effect of Nurse-Led Case Management on an Comprehensive Monitoring for Patients with Acute Ischemic Stroke},
journal = {American Journal of Nursing Science},
volume = {11},
number = {6},
pages = {174-181},
doi = {10.11648/j.ajns.20221106.12},
url = {https://doi.org/10.11648/j.ajns.20221106.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20221106.12},
abstract = {Objective: To verify the effect of stroke case management on the self-management of risk factors and the rehabilitation of patients with Acute Ischemic Stroke (AIS). Method: We conducted a 6-week prospective, non-randomized controlled open-label trial. Patients were screened and allocated to the nurse-led case manager or primary nurses. Risk factors and recovery indicators were measured 4 weeks after the patient was discharged. Results: Patients in the nurse-led case management group were more likely to be aware of risk factors (χ2 = 21.048, P 2 = 12.682, P < 0.001). Conclusion: A nurse-led case-management for patients with AIS is feasible and may help improve long-term control of significant patient risk factors for stroke.},
year = {2022}
}
TY - JOUR T1 - Effect of Nurse-Led Case Management on an Comprehensive Monitoring for Patients with Acute Ischemic Stroke AU - Juan Deng AU - Dong-ya Wang AU - Wei-hua Li AU - Qing Luo AU - Yu-gui Ji AU - Hong-zhen Xie Y1 - 2022/12/28 PY - 2022 N1 - https://doi.org/10.11648/j.ajns.20221106.12 DO - 10.11648/j.ajns.20221106.12 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 174 EP - 181 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20221106.12 AB - Objective: To verify the effect of stroke case management on the self-management of risk factors and the rehabilitation of patients with Acute Ischemic Stroke (AIS). Method: We conducted a 6-week prospective, non-randomized controlled open-label trial. Patients were screened and allocated to the nurse-led case manager or primary nurses. Risk factors and recovery indicators were measured 4 weeks after the patient was discharged. Results: Patients in the nurse-led case management group were more likely to be aware of risk factors (χ2 = 21.048, P 2 = 12.682, P < 0.001). Conclusion: A nurse-led case-management for patients with AIS is feasible and may help improve long-term control of significant patient risk factors for stroke. VL - 11 IS - 6 ER -
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