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Study Protocol on stroke management: Role of Nurses and Physiotherapists at the Adult University Teaching Hospital, Lusaka Zambia

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Journal of Biosciences and Medicines 2021年第9期9卷 25-37页

作者： Patricia Katowa-Mukwato Martha Chalwe Banda Michael Mumba Kanyanta Emmanuel Mwila Musenge Peter D.C. Phiri Victoria Mwiinga-Kalusopa Fabian Chapima Micah Simpamba Charity Kapenda Hastings Shula Department of Basic and Clinical Nursing Sciences School of Nursing Sciences University of Zambia Lusaka Zambia Department of Physiotherapy School of Health Sciences University of Zambia Lusaka Zambia

Background: management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams made up of medical doctors, nurses, physiotherapists and occupational therapists. Among the multidisciplinary team members, physiotherapists and nurses are the largest professional workforce working with both stroke patients and survivors. This study, therefore, aims at investigating the role of nurses and physiotherapists in the management of stroke patients at the Adult University Teaching Hospital. Methodology: This study shall utilize a convergent parallel mixed method design where both quantitative and qualitative data will be collected at the same time resulting in two data sets which will eventually be merged at the point of discussion. The quantitative component shall utilize an analytical cross-sectional approach while the qualitative component shall use a qualitative case study approach. The study will be conducted at the Adult University Teaching Hospital in Lusaka. Data will be collected from all the 287 nurses and 37 physiotherapists working in the Emergency Department, Medical Wards, Adult Intensive Care Unit and the Department of Physiotherapy. Quantitative data will be analyzed using Statistical Package for social sciences. Descriptive statistics shall be computed on the role of nurses and physiotherapists in stroke care. In addition, chi-square and fisher’s exact tests will be used in the test for associations between variables while binary logistic regression will be used in identifying predictors of the various roles played by nurses and physiotherapists in the management of stroke patients. Qualitative data will be analyzed using thematic analysis in order to generate new concepts and a substantive model of care for stroke patients. Conclusion: Despite research evidence of improved outc

关键词： stroke management Nursing Role Physiotherapy Role Model of Care

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Aggressive blood pressure treatment of hypertensive intracerebral hemorrhage may lead to global cerebral hypoperfusion:Case report and imaging perspective

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World Journal of Radiology 2017年第12期9卷 448-453页

作者： Jose Gavito-Higuera Rakesh Khatri Ihtesham A Qureshi Alberto Maud Gustavo J Rodriguez Department of Neurology Paul L.Foster School of MedicineTexas Tech University of Health Sciences CenterEl PasoTX 79905United States

Hypoperfusion injury related to blood pressure decrease in acute hypertensive intracerebral hemorrhage continues to be a controversial topic. Aggressive treatment is provided with the intent to stop the ongoing bleeding. However, there may be additional factors, including autoregulation and increased intracranial pressure, that may limit this approach. We present here a case of acute hypertensive intracerebral hemorrhage, in which aggressive blood pressure management to levels within the normal range led to global cerebral ischemia within multiple border zones. Global cerebral ischemia may be of concern in the management of hypertensive hemorrhage in the presence of premorbid poorly controlled blood pressure and increased intracranial pressure.

关键词： Intracranial hemorrhage Neurocritial care stroke management Perihematoma ischemia

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