The Early Outcomes of Nurse Case Management in Patients with Acute Ischemic Stroke Treated with Intravenous Recombinant Tissue Plasminogen Activator: A Prospective Randomized Controlled Trial
المؤلفون المشاركون
Muengtaweepongsa, Sombat
Kummarg, Urai
Sindhu, Siriorn
المصدر
Neurology Research International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-06-07
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Intravenous recombinant tissue plasminogen activator (i.v.
rt-PA) is the milestone treatment for patients with acute ischemic stroke.
Stroke Fast Track (SFT) facilitates time reduction, guarantees safety, and promotes good clinical outcomes in i.v.
rt-PA treatment.
Nursing case management is a healthcare service providing clinical benefits in many specific diseases.
The knowledge about the efficacy of a nurse case management for Stroke Fast Track is limited.
We aim to study the effect of nurse case management on clinical outcomes in patients with acute ischemic stroke involving intravenous recombinant tissue plasminogen activator (i.v.
rt-PA) treatment.
Methods.
Seventy-six patients with acute ischemic stroke who received i.v.
rt-PA treatment under Stroke Fast Track protocol of Thammasat University Hospital were randomized into two groups.
One group was assigned to get standard care (control) while another group was assigned to get standard care under a nurse case management.
The National Institute of Health Stroke Scale (NIHSS) at 24 hours after treatment between the control and the experimental groups was evaluated.
Results.
Time from triage to treatment in the experimental group was significantly faster than in the control group (mean = 39.02 and 59.37 minutes, respectively; p=.001).
The NIHSS at 24 hours after treatment in the nurse case management group was significantly improved as compared to the control group (p=.001).
No symptomatic intracranial hemorrhage (sICH) was detected at 24 hours after onset in both groups.
Conclusion.
The nurse case management should provide some benefits in the acute stroke system.
Although the early benefit is demonstrated in our study, further studies are needed to ensure the long-term benefit and confirm its profit in patients with acute ischemic stroke.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kummarg, Urai& Sindhu, Siriorn& Muengtaweepongsa, Sombat. 2018. The Early Outcomes of Nurse Case Management in Patients with Acute Ischemic Stroke Treated with Intravenous Recombinant Tissue Plasminogen Activator: A Prospective Randomized Controlled Trial. Neurology Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1210582
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kummarg, Urai…[et al.]. The Early Outcomes of Nurse Case Management in Patients with Acute Ischemic Stroke Treated with Intravenous Recombinant Tissue Plasminogen Activator: A Prospective Randomized Controlled Trial. Neurology Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1210582
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kummarg, Urai& Sindhu, Siriorn& Muengtaweepongsa, Sombat. The Early Outcomes of Nurse Case Management in Patients with Acute Ischemic Stroke Treated with Intravenous Recombinant Tissue Plasminogen Activator: A Prospective Randomized Controlled Trial. Neurology Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1210582
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1210582
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر