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293175

Effect of Instructional Guidelines regarding Therapeutic Positions on Post Stroke Pain and Vital Signs among Patients with Stroke

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Last updated: 03 Jan 2025

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Abstract

 Background: Vital signs can draw attention to impeding the clinical deterioration of a patient with stroke. So; therapeutic positioning is important to promote patients' functional recovery. Aim: to determine the effect of instructional guidelines regarding therapeutic positions on post-stroke pain and vital signs among patients with stroke. Design: This study will be used a quasi-experimental design (pre/post-test) with study and control groups. Setting: at the stroke unit in Suez Canal University hospital-Egypt. Sample: A Purposive sample consisted of 100 patients who will be divided into the study (50) and control groups (50) from the above-mentioned setting will be recruited in this study and assigned randomly. Tools: Tool I: Personal data assessment sheet, Tool II: The Glasgow Coma Scale (GCS) for assessing patients' medical history, Tool III: Vital parameters observational checklist tool, and Tool IV: Numerical Pain Rating scale. Results: The results revealed that there were highly significant improvements in patients with stroke's knowledge of pre- and post-instructional guidelines implementation (P<0.001). Furthermore, the study revealed that the majority of the studied patients had no pain after the semi-fowler's position. There was a statistically significant difference and improvement in pre and post-instructional guidelines implementation regarding therapeutic positioning concerning selected vital signs such as heart rate and respiratory rate scores at semi-fowler's position. Conclusion: The instructional guidelines implementation regarding therapeutic positions had a significant effect on reducing pain levels and improving vital signs among patients with stroke. Recommendations: The instructional guidelines regarding therapeutic positions should be conducted, discussed, integrated into the care of patients with stroke, and taught to them to improve their knowledge. 

DOI

10.21608/ejhc.2023.293175

Keywords

Instructional guidelines, Post-stroke pain, Patients with stroke, Therapeutic positions

Authors

First Name

Nagwa

Last Name

Mohamed Helmy

MiddleName

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Affiliation

Lecturer of Medical-Surgical Nursing faculty of Nursing Suez Canal University

Email

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City

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Orcid

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First Name

Joanne

Last Name

C. Jaramillo

MiddleName

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Affiliation

Assistant professor, College of Applied Medical Science, Saudi Arabia

Email

-

City

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Orcid

-

First Name

Safia

Last Name

Belal

MiddleName

-

Affiliation

Assistant professor, College of Applied Medical Science, Saudi Arabia

Email

salsoudany@kfu.edu.sa

City

-

Orcid

-

First Name

Elsayed

Last Name

Mahmoud Sabek

MiddleName

-

Affiliation

Lecturer, medical surgical nursing department, Faculty of Nursing, Beni-Suef University, Egypt

Email

-

City

-

Orcid

-

First Name

Amany

Last Name

El-berdan

MiddleName

-

Affiliation

Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port-Said University

Email

-

City

-

Orcid

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Volume

14

Article Issue

2

Related Issue

40375

Issue Date

2023-06-01

Receive Date

2023-03-31

Publish Date

2023-06-01

Page Start

122

Page End

132

Print ISSN

1687-9546

Online ISSN

3009-6766

Article File

EJHC_Volume 14_Issue 2_Pages 122-132.pdf

PDF . 805.9kB

Link

https://ejhc.journals.ekb.eg/article_293175.html

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https://ejhc.journals.ekb.eg/service?article_code=293175

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Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Instructional Guidelines regarding Therapeutic Positions on Post Stroke Pain and Vital Signs among Patients with Stroke

Details

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Article

Created At

24 Dec 2024