Diss. (sammanfattning) Umeå : Univ., 2007. / Härtill 3 uppsatser.

Thesis (Ph. D.)--University of Oregon, 2002. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 183-193). Also available for download via the World Wide Web; free to University of Oregon users.

Thesis (M.Sc.)--York University, 2005. Graduate Programme in Kinesiology and Health Science. / Typescript. Includes bibliographical references (leaves 59-63). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url%5Fver=Z39.88-2004&res%5Fdat=xri:pqdiss &rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR11744

The purpose of this study was to identify the nature of nursing care given by general staff hospital nurses to a selected group of patients who had experienced a cerebrovascular accident. Six hemiplegic patients who had experienced a cerebrovascular accident one to three weeks before the period of observation were selected for the study. The data were compiled from direct observations and from a nursing history which included an interview with the patient and/or his nearest relative, and data from his chart. The observed behaviour of twenty-nine general staff hospital nurses, six patients, and other members of the rehabilitation team were recorded in the form of anecdotal notes by the non-participating nurse-researcher. Each patient was observed for two days, the mean length of observation time per day was 6 hours and 49.4 minutes. The data were categorized into ten basic nursing care activities. Basic nursing care as defined by Henderson, meant helping the patient with activities related to his basic needs or providing conditions under which he could perform them unaided. The data were further organized into desirable activities, as outlined in the literature, and undesirable activities that were observed. It was demonstrated that many nurses in the study helped patients with most of the ten activities, however, few nurses provided conditions under which they could perform them unaided. Food and fluids were fed to patients who could have fed themselves with a little encouragement. Bowel and bladder training was not seen as an important factor in the care of the patient who had experienced a cerebrovascular accident. Nurses seldom included exercise during the bath and frequently left the patient in the chair for prolonged periods. Nurses demonstrated that they did not understand the importance of communication with patients who had experienced a cerebrovascular accident, nor did they appear to be aware of the concept of a rehabilitation team. The recommendations were: 1. that an orientation to the total picture of rehabilitation of the patient who had experienced a cerebrovascular accident, in the acute hospital, specialized unit and in the home, be provided for graduate general hospital nurses. 2. that existing knowledge in relation to the nurse's role in the rehabilitation of the patient who had experienced a cerebrovascular accident be compiled and made accessible to general staff hospital nurses. It is now primarily in journals that these nurses do not normally see. 3. that general staff hospital nurses learn to communicate more effectively with patients who have experienced a cerebrovascular accident, with their families and with other members of the rehabilitation team. / Applied Science, Faculty of / Nursing, School of / Graduate

No description available.

published_or_final_version / Nursing Studies / Master / Master of Nursing

No description available.

Antecedentes: En Chile los Accidentes Cerebrovasculares representan la segunda causa de muerte específica y primer motivo de invalidez. A pesar de su importancia, no hay datos que caractericen la totalidad de la población chilena que padece esta enfermedad. Su incidencia, 168,4/100.000 habitantes, para nuestro país fue determinada el año 2005, por el estudio PISCIS realizado en la población de Iquique. El objetivo de este estudio es determinar las características y el grado de discapacidad de una población de pacientes con accidente cerebrovascular atendidos en el hospital Padre Hurtado, en Santiago de Chile. Método: Se realizó un estudio retrospectivo y descriptivo para caracterizar a 226 pacientes secuelados de accidente cerebrovascular con una edad oromedio de 65  12,3 años, entre enero del 2008 y diciembre del 2009, se revisaron fichas clínicas y kinesiológicas, de pacientes ingresados al gimnasio terapéutico para neuro-rehabilitación ambulatoria. Se obtuvieron las características y el grado de discapacidad según la evaluación índice de Barthel de ingreso. Los datos fueron procesados en planillas Excel. Se muestran en tablas y gráficos, indicando los factores de riesgo, edad, sexo, ocupación, nivel de discapacidad y tipo de accidente cerebrovascular. Resultados: La distribución por sexo es de 51,3% mujeres y 48,6% hombres. Los accidentes cerebrovasculares isquémicos representan el 90% de los casos, de estos el mas común es infartos parciales de circulación anterior (43,1%). Los accidentes cerebrovasculares hemorrágicos alcanzan un 10% del total. El rango de edad con mayor número de casos (73) es de 55-64 años. El factor de riesgo más prevalente fue la hipertensión arterial (76,1%), seguido de diabetes mellitus (33%). La ocupación “dueña de casa” es el 37% del total. Según el índice de Barthel, 90/226 individuos presentan dependencia leve. Conclusión: Nuestros resultados muestran que el accidente cerebrovascular isquémico es el más prevalente en esta población, al igual que en literatura internacional. El grupo etáreo (55-65 años) donde se concentra la mayoría de los casos es levemente más joven al esperado para la población mundial (> 65 años), sin embargo coincide con la distribución del estudio PISCIS realizado en Iquique. En relación al sexo, nuestra población no presenta grandes diferencias. La hipertensión arterial es el factor de riesgo más común para casi todas las edades. La discapacidad que predomina en esta población es leve y moderada, según índice de Barthel. A edades más tempranas los casos corresponden mayoritariamente a mujeres. La mayoría de la población es “dueña de casa”, es necesario investigar acerca de la posible influencia de la ocupación y nivel socioeconómico sobre esta enfermedad. / Introduction: Vascular stroke represent the first cause of disability and second specific death in Chili. However, there are not enough data that characterize the population affected with this disease. In 2005, by the PISCIS research in Iquique, the incidence for our country was determined. The Objective of this study is to find out the characteristics and level of disability of a Chilean population with vascular stroke was attended at Padre Hurtado hospital, Santiago Chili. Methods: A retrospective, descriptive study was done to characterize 226 persons with 65+/- 12.3 mean age, that suffered a vascular stroke with long-term health consequences, between January 2008 and December 2009. A search on clinical and kinetic notes was performed of patients admitted to the therapeutic gym for neurological ambulatory rehabilitation. Different characteristics and the level of disability were obtained by la Barthel evaluation index. Data was processed on Excell and shown on tables and graphics, indicating risk factors, gender, age, sex, occupation, level of disability and type of vascular stroke. Results: Sex distribution was 52.3% female and 48.6% males. Isquemic vascular strokes represent the 90% of the cases witch partial infarcts of anterior circulation are the most common (43.1%). Hemorrhagic vascular strokes reach to 10%. Most cases presented between 55-62 years. Most prevalent risk factor was high blood pressure (76%), followed by Diabetes Mellitus (33%). Housekeeper occupation was 37%. Barthel index showed 90 of 226 patients had low dependence level. Conclusion: In this research, isquemic etiology is the most prevalent cause for vascular stroke for our population as shown in other international published reports. Our study population is slightly younger (55-65 years) than expected compared to other world reports (> 65 years), but similar to the PISCIS study in Iquique. No gender difference was found. High blood pressure is the common risk factor for all the ages of our study population. Women are more affected at early ages. Barthel index showed low and moderate level of disability in our population. Most patients were housekeeper. It would be interesting to study the roll of the occupation and economic social income for this disease in the future.

Thesis (Ph. D.)--University of Chicago, Dept. of Neurobiology, Pharmacology and Physiology, August 2003. / Includes bibliographical references. Also available on the Internet.

Thesis (Ph. D.)--University of Texas at Austin, 2000. / Vita. Includes bibliographical references (leaves 160-182). Available also in a digital version from Dissertation Abstracts.