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Structured Nursing Intervention Versus Routine Rehabilitation After Stroke

Nir, Zohar RN, PhD; Zolotogorsky, Zoly PhD; Sugarman, Heidi PhD

American Journal of Physical Medicine & Rehabilitation: July 2004 - Volume 83 - Issue 7 - p 522-529
doi: 10.1097/01.PHM.0000130026.12790.20
Research Article: Stroke
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Nir Z, Zolotogorsky Z, Sugarman H: Structured nursing intervention versus routine rehabilitation after stroke. Am J Phys Med Rehabil 2004;83:522–529.

Objective: The goal of this study was to examine the effect of a structured, comprehensive nursing intervention on the course of rehabilitation over the first 6 mos after a first-ever stroke.

Design: Intervention (experimental) study. The participants were 155 elderly stroke survivors who were admitted to a geriatric rehabilitation department. Stratified random sampling generated intervention and control groups. The intervention was designed to work together with the routine rehabilitation program and consisted of 12 consecutive weekly meetings. The control group received only the routine rehabilitation program. Study variables were measured at entry to study and after 3- and 6-mo intervals.

Results: Although there were no significant differences between the two groups at entry to study, at 3 and 6 mos after stroke, the intervention group showed better scores than the control group in functional status (FIM™ instrument), depression (Geriatric Depression Scale), self-perceived health, self-esteem, and dietary adherence.

Conclusion: The nursing intervention had both short- and long-term effects on functional, psychological, and emotional variables. Serious consideration should be given to implementing comprehensive nursing interventions during rehabilitation tailored to meet the specific needs of stroke survivors and their caregivers.

From the Recanati School for Community Health Professions (ZN) and the Larson Motor Control Laboratory, Zlotowski Center for Neuroscience (HS), Ben-Gurion University of the Negev, Beer Sheva, Israel; and the School of Foreign Students, Hebrew University, Jerusalem, Israel (ZZ).

Presented, in part, at the International Conference on Challenges of Primary Care-Oriented Health Systems: Innovations by Educational Institutions, Health Professions, and Health Services, October 2001, Brazil.

FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

All correspondence and requests for reprints should be addressed to Zohar Nir, RN, PhD, Recanati School for Community Health Professions, Ben-Gurion University of the Negev, Box 653, Beer Sheva, Israel.

© 2004 Lippincott Williams & Wilkins, Inc.