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Functional Capacity of Patients in the Early Period After the Embolization of Cerebrovascular Malformations: Preliminary Findings

Ślusarz, Robert; Biercewicz, Monika; Rybicka, Roksana; Beuth, Wojciech; Śniegocki, Maciej

Journal of Neuroscience Nursing: October 2012 - Volume 44 - Issue 5 - p 253–259
doi: 10.1097/JNN.0b013e318266641f
Article

ABSTRACT: Research into outcomes of endovascular intervention for cerebral blood vessel malformations has previously focused on the clinical picture of the disease, death rate, comparison of surgical methods, and the most common postoperative and postbleeding complications. From the nursing standpoint, the crucial elements in assessing postoperative patients are functional outcome defining patients’ ability to function in life and recognition of impairments in which patients will be dependent on the nursing staff. The aim of the study was to assess functional capacity of patients before and after the embolization of cerebral blood vessel malformations in the aspect of nursing care. The study included 38 patients after embolization of cerebral blood vessels. The assessment of their condition using the Functional Capacity Scale was performed twice: before and after the surgical procedure. The research shows that on the day of admission to hospital, patients had greatest difficulty performing hygienic activities (p < .0001), satisfying physiological needs (p < .0001), and consuming their meals (p < .004). Headache (p < .002) and poor psychological state (p < .0001) manifesting itself through mild depression constituted other serious problems. After the surgery, vast majority of patients were independent in terms of self-care (p ≤ .03). Headache occurred in the case of 21% of patients, and psychological state improved in 34% of patients, which shows that there is a major demand for care in this sphere.

Questions or comments about this article may be directed to Robert Ślusarz, PhD MA RN CNS, at zpielnin@cm.umk.pl. He is an adjunct and Head of Neurological and Neurosurgical Nursing Department, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.

Monika Biercewicz, PhD MA RN CNS, is an assistant at Geriatric Clinic, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.

Roksana Rybicka, MA, is a senior lecturer at Department of Applied Linguistics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.

Wojciech Beuth, PhD, is a professor and Head of the Neurosurgical Department and Clinic, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.

Maciej Śniegocki, PhD, is a professor and Head of the Neurotraumatology Department, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Torun, Poland.

The authors declare no conflicts of interest.

© 2012 American Association of Neuroscience Nurses