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), 2024. Published by Science Publishing Group |
Stroke, Case Management, Risk Factors, Rehabilitation
| [1] | Longde Wang, Jianming Liu, Ge Yang, et al. The Prevention and Treatment of Stroke Still Face Huge Challenges ——Brief Report on Stroke Prevention and Treatment in China, 2018. |
| [2] | National Health Commission. Notice on further strengthening the work related to stroke diagnosis and management. [EB/OL]. (2018-04-26) [2021-01-01]. http://www.nhc.gov.cn/yzygj/s7659/201804/d79dfff31feb4ab7960f827a5ea27d26.shtml. |
| [3] | Gerald I. Susman. Action Research: A Sociotechnical Systems Perspective. London. Sage Publications, 1983: 102-102. |
| [4] | Froggatt, K, Hockley, J. Action research in palliative care: defining an evaluation methodology. Palliat Med. 2011 Dec; 25 (8): 782-787. |
| [5] | Bradbury, H. Lifvergren, S. Action research healthcare: Focus on patients, improve quality, drive down costs. Healthc Manage Forum. 2016 Nov; 29 (6): 269-274. |
| [6] | Casey, M. O' Leary D, Coghlan, D. Unpacking action research and implementation science: Implications for nursing. J Adv Nurs. 2018 May; 74 (5): 1051-1058. |
| [7] | Sendall, M. C. Mc Cosker, L. K. Brodie, A. Participatory action research, mixed methods, and research teams: learning from philosophically juxtaposed methodologies for optimal research outcomes. BMC Med Res Methodol. 2018 Dec 12; 18 (1): 167-167. |
| [8] | Smith, P. Masterson, A. Basford, L. Action research: a suitable method for promoting change in nurse education. Nurse Educ Today. 2000 Oct; 20 (7): 563-570. |
| [9] | Amiel, J. J. Tan, Y. S. M. Using collaborative action research to resolve practical and philosophical challenges in educational neuroscience. Trends Neurosci Educ. 2019 Sep; 16: 100116. |
| [10] | Wilson, J. T. Hareendran, A. Hendry, A. et al. Reliability of the modified Rankin Scale across multiple raters: benefits of a structured interview. Stroke. 2005, 36 (4): 777-781. |
| [11] | Juan Deng, Qing Luo, Yugui Ji, Weihua Li, Hongzhen Xie. Construction of eligibilities and responsibilities for stroke case managers, Chinese Journal of Nursing | Chin J. 2019. |
| [12] | Armold, S. Case management: An overview for nurses. Nursing. 2019 Sep; 49 (9): 43-45. |
| [13] | Chouinard, M. C. Bisson, M. Danish, A. et al. Case management programs for people with complex needs: Towards better engagement of community pharmacies and community-based organisations. PLoS One. 2021 Dec 8; 16 (12): e0260928. |
| [14] | Grover, C. A. Crawford, E. Close, R. J. et al. The Efficacy of Case Management on Emergency Department Frequent Users: An Eight-Year Observational Study. J Emerg Med. 2016 Nov; 51 (5): 595-604. |
| [15] | Harris, R. C. Popejoy, L. L. Case Management: An Evolving Role. West J Nurs Res. 2019 Jan; 41 (1): 3-5. |
| [16] | Lambert, A. S. Legrand, C. Cès, S. Evaluating case management as a complex intervention: Lessons for the future. PLoS One. 2019 Oct 31; 14 (10): e0224286. |
| [17] | López Vallejo, M. Puente Alcaraz, J. et al. Institutionalisation of the case management nurse in Spain. Comparative analysis of health systems of the Spanish autonomous communities. Enferm Clin (Engl Ed). 2019 Mar-Apr; 29 (2): 107-118. |
| [18] | Herpich, F. Rincon, F. Management of Acute Ischemic Stroke. Crit Care Med. 2020 Nov; 48 (11): 1654-1663. |
| [19] | Putaala, J. Ischemic Stroke in Young Adults. Continuum (Minneap Minn). 2020 Apr; 26 (2): 386-414. |
| [20] | Rabinstein, A. A. Update on Treatment of Acute Ischemic Stroke. Continuum (Minneap Minn). 2020 Apr; 26 (2): 268-286. |
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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