Clinical epidemiological profile and the main diagnostic labels nursing to hospitalized patients with stroke in a large hospital in the south of the Legal Amazônia region

Abstract

Introduction: Cerebrovascular Accident (CVA) is a disease that leaves to the patient some important neurological deficits interfering in maintaining the health and quality of life, therefore it becomes essential identify the epidemiological clinical profile of stroke patients with order to develop nursing actions in a systematic way. Objective: The objectives were identify and analyze the epidemiological clinical profile of patients admitted with a stroke diagnosis in the Intensive Care Unit (ICU) of a large hospital and propose nursing diagnoses labels. Material and Methods: This is a descriptive, cross-sectional and retrospective study with a quantitative approach, the sample was 73 (100%) records of patients with a diagnosis of stroke admitted to the ICU. Results: The most of patients were female 52.1% (38) and 69% (51) of the total sample studied lived in the urban area. The Ischemic Stroke achieved significant prevalence of 63% (46) compared to 32.9% hemorrhagic stroke (24), and 4.1% (3) of the patients were diagnosed with both types of stroke. The analysis found that 87.7% (64) of the patients had hypertension, 30.2% (22) of the patients had diabetes mellitus. Clinical manifestations and consequences presented by the most prevalent patients were 38.4% (28) for hemiplegia, motor aphasia 31.5 % (23) and 21.6% (16) developed memory loss. Conclusion: It was concluded that most patients were female and lived in the urban area with a mean age of 69.1 years. The main proposed nursing diagnoses labels were impaired physical mobility, impaired swallowing, imbalanced nutrition: less than body requirements, and the profile found shows the importance of the multidisciplinary team performance, enabling the creation and implementation of strategies to improvements in care to stroke patients

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