| Abstract [eng] |
SUMMARY Vilnius University, Faculty of Medicine Rehabilitation, Sport Medicine and Nursing Institute Nursing Master study program EVALUATION OF CARE/NURSING NEEDS OF PATIENTS’ AFTER STROKE AT HOME Thesis on Master’s Degree in Nursing Author: Ana Petkevičienė Supervisor: Prof. Danutė Kalibatienė, Vilnius University, Faculty of Medicine, Institute of Rehabilitation, Sport Medicine and Nursing Vilnius, 2008 Keywords: encephalon stroke, home care, nursing needs, nursing and social services. Brain stroke frequently is the cause for disability, dependence and loss of social skills. Despite of acquired disability due to stroke, two thirds of patients return back to their homes after treatment in hospital. Responsibility for their nursing at home falls on their family members who lack necessary experience in caring for such patients. Goal of the thesis: to identify the needs of nursing care at home of the persons who had an encephalon stroke and their family members when going home after the in-patient treatment and rehabilitation. The tasks of the thesis: is to investigate what services and how often would be requested by the patients who had an encephalon stroke; to assess the effect of age, sex, education, family and asocial status on the needs of nursing services at home; to investigate and compare the correlation of nursing needs after encephalon stroke sustained for the first time or repeatedly and treatment, and in-patient treatment and rehabilitation; to investigate the needs of family members in nursing a family member who had an encephalon stroke. Materials and methodology: the object of study is nursing needs of the person who had an encephalon stroke. The scope of survey – 62 patients who had an encephalon stroke, and 31 family members taking care of their family member after a stroke. The method of stud – a questionnaire survey of the patients with encephalon stroke and of the family members who nursed them, using the original questionnaires created for this purpose, analysis of the health records. The data obtained was processed using the12th version of the statistical package for the social sciences (SPSS). Results and conclusions of the thesis: the patients and their family members are in need of both, nursing and social services at home. 75.8 per cent of the patients indicated that they are in need of further nursing at home after the in-patient treatment. 90.3 per cent of the family members of the patients indicated that it is important that a nurse was an assistant and a teacher in providing care to the patient, and actively participated in restoring the daily skills of the person being taken care of. Most frequently it was requested that the nursing services were provided at home (their frequency, length, type) subject to the person’s need for a particular moment. Different peculiarities of nursing and social services were affected by the originally and repeatedly experienced stroke and the treatment institution in which the patient underwent treatment. Age, sex, education, family and social status did not have an effect on the need of nursing care at home for the persons who had an encephalon stroke. |
