ABSTRACT
Acute stroke care is completed, and it is time for discharge. Depending on patient needs, they may continue care with outpatient therapies, home health, long-term acute care, or an acute inpatient rehabilitation facility. This is an overview of the rehabilitation process, nursing care, an interdisciplinary team approach, and psychosocial aspects of acute inpatient rehabilitation. Rehabilitation nursing focuses on goals, outcomes, the attainment or maintenance of functional capacity, understanding long-range patient needs, and wellness. From the moment care delivery is initiated we should all be a part of the rehabilitation process, a link in the chain toward improved quality of life.
Subject(s)
Quality of Life , Recovery of Function , Rehabilitation Nursing , Stroke Rehabilitation/nursing , Humans , Patient Care Team , Patient Discharge , Stroke Rehabilitation/psychologyABSTRACT
PURPOSE: The aim of the study was to determine if listening to music may reduce anxiety experienced by stroke patients during acute rehabilitation. DESIGN: A prospective, nonblinded, randomized study in an inpatient rehabilitation setting. METHODS: Fifty participants were randomized into two groups: (1) 1 hour of music (intervention) or (2) no music (control). All participants completed pretest anxiety and depression screening and 44 completed the posttest anxiety screening. Differences between groups were determined using chi-square and t tests. FINDINGS: After listening to music for 1 hour, participants who completed the posttest (n = 44) reported significantly less anxiety (p < .0001) compared to before the intervention. The control group showed no difference in their pre- and posttest anxiety scores (p = .84). No differences were determined among age, gender, or diagnostic groups. CONCLUSIONS: These findings demonstrate that music intervention may help lessen anxiety in rehabilitation patients poststroke. CLINICAL RELEVANCE: Offering musical intervention to stroke patients in rehabilitation may lessen symptoms of anxiety.
Subject(s)
Anxiety/therapy , Music Therapy/standards , Stroke Rehabilitation/standards , Aged , Anxiety/psychology , Chi-Square Distribution , Female , Humans , Male , Middle Aged , Music Therapy/methods , Prospective Studies , Stress, Psychological/etiology , Stress, Psychological/prevention & control , Stress, Psychological/therapy , Stroke/complications , Stroke/psychology , Stroke Rehabilitation/methodsABSTRACT
PURPOSE: This study examined the effectiveness of the consensus model (Clinical Advisory Board for Intermittent Catheterization [CABIC] method) for teaching clean intermittent self-catheterization (ISC). The primary hypothesis was that the CABIC method of teaching ISC would result in higher ISC knowledge and performance scores. DESIGN: Prospective, non randomized, pre-post study of an educational intervention of ISC education with nursing students. METHODS: Nursing students completed a self-report pre-/posttest, education of the CABIC method, and video recording of the CABIC method using same-gendered manikins. The Le Danseur Instrument (LDI) was used to grade the video-recorded demonstration. FINDINGS: Fifty participants completed three phases of the study. Paired t test showed statistically significant improvement in ISC knowledge. A mean score of 92-93 demonstrated a high level of participant education retention. CONCLUSIONS: The CABIC method of teaching clean ISC is associated with improvement in generalized clean ISC knowledge and performance scores. CLINICAL RELEVANCE: The CABIC method can be integrated into clinical practice as an evidence-based approach to teaching ISC.
