Contenuto dell'articolo principale
Abstract
SCOPO. L'ictus è la seconda causa di morte in tutto il mondo e la terza causa di morte nei paesi industrializzati. Scopo di questo lavoro è fornire una sintesi della letteratura sull'efficacia del ruolo dell'infermiere nella gestione del processo di riabilitazione delle persone colpite da ictus dopo la dimissione dall'ospedale a casa.
METODO. Revisione sistematica della letteratura di tipo quantitativo effettuata seguendo il
metodo PRISMA. La ricerca è stata condotta su: Cinhal-EBSCO, Medline-PUBMED, Web of Science e Scopus. Sono stati ricercati studi sulla efficacia del ruolo dell’infermiere nella gestione del processo di riabilitazione del paziente colpito da ictus dopo la dimissione dall’ospedale a domicilio in lingua inglese dal 2000 al 2018. La selezione è stata effettuate utilizzando criteri di inclusione ed esclusione. La qualità degli articoli è stata valutata con il Risk of Bias (RoB) della Cochrane Collaboration. Il sistema GRADE è stato utilizzato per valutare la qualità delle prove di ciascun risultato.
RISULTATI. Sono stati identificati 7.025 studi, di questi 12 hanno soddisfatto i criteri di inclusione. I risultati in letteratura sono la qualità della vita correlata al grado di indipendenza e depressione, alla gestione della percezione e della salute, all’adattamento e alla tolleranza allo stress. Nessun risultato primario è riportato in letteratura con un alto grado di sicurezza.
DISCUSSIONE. Il ruolo dell'infermiere nella gestione delle persone colpite da ictus dopo dimissione dall'ospedale a casa rappresenta una strategia efficace per un miglioramento del risultato funzionale, della qualità della vita e della riduzione dei costi.
Parole chiave
Dettagli dell'articolo
Riferimenti
- Allen KR, Hazelett S, Jarjoura D, Wickstrom GC, Hua K, Weinhardt J & Wright K. (2002) Effectiveness of a care management model for post discharge stroke/TIA patients: A randomized trial. Journal of Stroke and Cerebrovascular Diseases, 11, 88–98.
- Allen, K, Hazelett, S, Jarjoura, D, Hua, K, Wright, K, Weinhardt, J & Kropp, D. (2009). A randomized trial testing the superiority of a post-discharge care management model for stroke survivors. Journal of Stroke and Cerebrovascular Diseases,18, 443-452.
- Blank, LJ , Benyo, EM & Glover, JU. (2012) Bridging the Gap in Transitional Care: A Closer Look at Medication Reconciliation. National Gerontological Nursing Association , 33(5),401-409.
- Boter, H. (2004). Multicenter randomized controlled trial of an outreach nursing support program for recently discharged stroke patients. American Stroke Association,35, 2867-2872.
- Burton, C & Gibbon, B. (2005). Expanding the role of the stroke nurse: a pragmatic clinical trial. Journal of Advanced Nursing ,52(6),640-650.
- Coleman, EA, & Boult, C. The American Geriatrics Society Health Care Systems Committee. Improving the quality of transitional care for persons with complex care needs. JAGS 2003; 1:556–557.
- Coleman, EA. (2003). Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs. JAGS, 51, 549–555.
- Enderlin, CA, McLeskey, N, Rooker, JL, Steinhauser, C, D’Avolio, D, Gusewelle, R & Ennen, KA. (2012). Review of current conceptual models and frameworks to guide transitions of care in older adults. Geriatric Nursing, 34, 47-52.
- Fjærtoft, H, Rohweder G, & Indredavik B. (2011). Stroke Unit Care Combined With Early Supported Discharge Improves 5-Year Outcome: A Randomized Controlled Trial. American Stroke Association, 42, 1707-1711.
- Gordon, M. (2003) Diagnosi infermieristiche. Processi e applicazioni. Milano: Casa Editrice Ambrosiana.
- Guyatt, G, Oxman, A, Akl, EA, Kunz, R, Vist, G, Brozek, J, Norris, S, Falck-Ytter, Y, Glasziou, P, Beer, H, Jaeschke, R, Rind, D, Meerpohl, J, Dahm, P & Schunemann, HJ (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of fildings tables. Journal of Clinical Epidemiology, 64, 384-394.
- International Council of Nurses. Nurse Practitioner/ Advanced Practice Nursing network. (2017). Definition and Characteristics of the Role. Available from: https://international.aanp.org/Practice/APNRoles (accessed 4 December 2017).
- Jauch, E.C, Saver, LJ, Adams H, Bruno, A, Connors, JJ, Demaerschalk, BM, Khatri, P, McMullan PW, Qureshi, AI, Rosenfield K, Scott, PA, Summers, DR, Wang, DZ, Wintermark, & M, Yonas, H. (2013). Guidelines for the Early Management of Patients With Acute Ischemic Stroke. A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. American stroke association,44, 870-947.
- Jencks, S.F., Williams, M.V. & Coleman, E.A.(2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine, 360,1418-1428.
- Kerry, S M, Markus, H S, Khong, T K, Cloud, G C, Tulloch, J, Coster, D, Ibison, J & Oakeshott, P. (2013). Home blood pressure monitoring with nurse-led telephone support among patients with hypertension and a history of stroke: a community-based randomized controlled trial. CMAJ, 185.
- Liberati A, Altman DG, Tetzlaff J, Murlow C, Gotzsche PC, Ionnidis JPA, Clarke M, Devereaux PJ, Kleijnen J & Moher D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 21, 6(7):e1000100.doi:10.1371/journal.pmed.1000100 PMID: 19621070.
- Massimi A, De Vito C, Brufola I, Corsaro A, Marzuillo C, Migliara G, Rega ML, Ricciardi W, Villari P & Damiani G. (2017). Are community-based nurse-led self- management support interventions effective in chronic patients? Results of a systematic review and meta-analysis. PLOSone, 12(3), e0173617.doi:10.1371/journal.pone.0173617.
- Mayo, NE, & Scott, S.(2011). Evaluating a complex intervention with a single outcome may not be a good idea: an example from a randomized trial of stroke case management. Age Ageing ,40(6), 718-24.
- Mitchell, PH, Teri, L, Veith, R, Buzaitis, A, Tirschwell, D, Becker, K, Fruin, M, Kohen, R & Cain, KC (2008). Living well with stroke: design and methods for a randomized controlled trial of a psychosocial behavioral intervention for post-stroke depression. Journal of Stroke and Cerebrovascular Diseases, 17, 109-115.
- Moher D, Liberati A, Tetzlaff J, Altman DG & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, Jul 21,6(7):e1000097. doi: 10.1371/journal.pmed.1000097. Epub.
- Naylor, MD, Aiken, LH, Kurtzman, LT, Olds, DM, & Hirschman, KB. (2011). The Importance Of Transitional Care In Achieving Health Reform. Health Affairs, 30(4),746-754.
- Ozdemir, F, Birtane, M, Tabatabaei, R, Kokino, S,& Ekuklu, G. (2011). Comparing stroke rehabilitation outcomes between acute inpatient and not intense home settings. Arch Phys Med Rehabil, 82(10),1375-9.
- Panella, M, Marchisio, S, Brambilla, R, Vanhaecht, K, & Di Stanislao, F.(2011). A cluster randomized trial to assess the effect of clinical pathways for patients with stroke: results of the clinical pathways for effective and appropriate care study. BMC Med, 10-71.
- Rega ML, Guerriero S, Scelsi S, Talucci C, Galletti C, Vellone E & Alvaro R. (2014). Le competenze infermieristiche avanzate nel trattamento dello stroke in fase acuta in Italia. Strategia per l’identificazione (parte II). SCENARIO Il nursing della sopravvivenza , 30(1), 23-32.
- Rocchette, A, Korner-Bitensky, N, Bishop, D, Teasell, R, White, CL, Bravo, G, Coté, R, Green, T, Lebrun, L, Lanthier, S, Kapral, M & Bayley, M. (2013). The you call we call randomized clinical trial: impact of a multimodal support intervention after a mild stroke. American Heart Association, 6, 674-679.
- Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, Elkind MS, George MG, Hamdan AD, Higashida RT, Hoh BL, Janis LS, Kase CS, Kleindorfer DO, Lee JM, Moseley ME, Peterson ED, Turan TN, Valderrama AL, Vinters HV; American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology Council on Nutrition, Physical Activity and Metabolism. (2013). An Updated Definition of Stroke for the 21st Century. A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association,44, 2064-2089;doi: 10.1161/STR.0b013e318296aeca.
- Shaughnessy M. & Fay W. Whitney. (2007). Post-Stroke Consultation Service: A Nurse-Managed Model for Care Delivery. Topics in Stroke Rehabilitation, 14(2), 43-48.
- Simeone, S, Savini, S, Cohen, M.Z, Alvaro, R, & Vellone, E. (2014). The experience of stroke survivors three months after being discharged home: A phenomenological investigation. European Journal of Cardiovascular Nursing, 14(2), 162-169. https://doi.org/10.1177/14745151145 22886
- Williams, LS, Kroenke, K, Bakas, T, Plue, LD, Brizendine, E, Tu, W,& Hendrie, H. (2007). Care management of post-stroke depression: a randomized, controlled trial. Stroke, 38(3), 998-1003
Riferimenti
Allen KR, Hazelett S, Jarjoura D, Wickstrom GC, Hua K, Weinhardt J & Wright K. (2002) Effectiveness of a care management model for post discharge stroke/TIA patients: A randomized trial. Journal of Stroke and Cerebrovascular Diseases, 11, 88–98.
Allen, K, Hazelett, S, Jarjoura, D, Hua, K, Wright, K, Weinhardt, J & Kropp, D. (2009). A randomized trial testing the superiority of a post-discharge care management model for stroke survivors. Journal of Stroke and Cerebrovascular Diseases,18, 443-452.
Blank, LJ , Benyo, EM & Glover, JU. (2012) Bridging the Gap in Transitional Care: A Closer Look at Medication Reconciliation. National Gerontological Nursing Association , 33(5),401-409.
Boter, H. (2004). Multicenter randomized controlled trial of an outreach nursing support program for recently discharged stroke patients. American Stroke Association,35, 2867-2872.
Burton, C & Gibbon, B. (2005). Expanding the role of the stroke nurse: a pragmatic clinical trial. Journal of Advanced Nursing ,52(6),640-650.
Coleman, EA, & Boult, C. The American Geriatrics Society Health Care Systems Committee. Improving the quality of transitional care for persons with complex care needs. JAGS 2003; 1:556–557.
Coleman, EA. (2003). Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs. JAGS, 51, 549–555.
Enderlin, CA, McLeskey, N, Rooker, JL, Steinhauser, C, D’Avolio, D, Gusewelle, R & Ennen, KA. (2012). Review of current conceptual models and frameworks to guide transitions of care in older adults. Geriatric Nursing, 34, 47-52.
Fjærtoft, H, Rohweder G, & Indredavik B. (2011). Stroke Unit Care Combined With Early Supported Discharge Improves 5-Year Outcome: A Randomized Controlled Trial. American Stroke Association, 42, 1707-1711.
Gordon, M. (2003) Diagnosi infermieristiche. Processi e applicazioni. Milano: Casa Editrice Ambrosiana.
Guyatt, G, Oxman, A, Akl, EA, Kunz, R, Vist, G, Brozek, J, Norris, S, Falck-Ytter, Y, Glasziou, P, Beer, H, Jaeschke, R, Rind, D, Meerpohl, J, Dahm, P & Schunemann, HJ (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of fildings tables. Journal of Clinical Epidemiology, 64, 384-394.
International Council of Nurses. Nurse Practitioner/ Advanced Practice Nursing network. (2017). Definition and Characteristics of the Role. Available from: https://international.aanp.org/Practice/APNRoles (accessed 4 December 2017).
Jauch, E.C, Saver, LJ, Adams H, Bruno, A, Connors, JJ, Demaerschalk, BM, Khatri, P, McMullan PW, Qureshi, AI, Rosenfield K, Scott, PA, Summers, DR, Wang, DZ, Wintermark, & M, Yonas, H. (2013). Guidelines for the Early Management of Patients With Acute Ischemic Stroke. A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. American stroke association,44, 870-947.
Jencks, S.F., Williams, M.V. & Coleman, E.A.(2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine, 360,1418-1428.
Kerry, S M, Markus, H S, Khong, T K, Cloud, G C, Tulloch, J, Coster, D, Ibison, J & Oakeshott, P. (2013). Home blood pressure monitoring with nurse-led telephone support among patients with hypertension and a history of stroke: a community-based randomized controlled trial. CMAJ, 185.
Liberati A, Altman DG, Tetzlaff J, Murlow C, Gotzsche PC, Ionnidis JPA, Clarke M, Devereaux PJ, Kleijnen J & Moher D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med, 21, 6(7):e1000100.doi:10.1371/journal.pmed.1000100 PMID: 19621070.
Massimi A, De Vito C, Brufola I, Corsaro A, Marzuillo C, Migliara G, Rega ML, Ricciardi W, Villari P & Damiani G. (2017). Are community-based nurse-led self- management support interventions effective in chronic patients? Results of a systematic review and meta-analysis. PLOSone, 12(3), e0173617.doi:10.1371/journal.pone.0173617.
Mayo, NE, & Scott, S.(2011). Evaluating a complex intervention with a single outcome may not be a good idea: an example from a randomized trial of stroke case management. Age Ageing ,40(6), 718-24.
Mitchell, PH, Teri, L, Veith, R, Buzaitis, A, Tirschwell, D, Becker, K, Fruin, M, Kohen, R & Cain, KC (2008). Living well with stroke: design and methods for a randomized controlled trial of a psychosocial behavioral intervention for post-stroke depression. Journal of Stroke and Cerebrovascular Diseases, 17, 109-115.
Moher D, Liberati A, Tetzlaff J, Altman DG & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, Jul 21,6(7):e1000097. doi: 10.1371/journal.pmed.1000097. Epub.
Naylor, MD, Aiken, LH, Kurtzman, LT, Olds, DM, & Hirschman, KB. (2011). The Importance Of Transitional Care In Achieving Health Reform. Health Affairs, 30(4),746-754.
Ozdemir, F, Birtane, M, Tabatabaei, R, Kokino, S,& Ekuklu, G. (2011). Comparing stroke rehabilitation outcomes between acute inpatient and not intense home settings. Arch Phys Med Rehabil, 82(10),1375-9.
Panella, M, Marchisio, S, Brambilla, R, Vanhaecht, K, & Di Stanislao, F.(2011). A cluster randomized trial to assess the effect of clinical pathways for patients with stroke: results of the clinical pathways for effective and appropriate care study. BMC Med, 10-71.
Rega ML, Guerriero S, Scelsi S, Talucci C, Galletti C, Vellone E & Alvaro R. (2014). Le competenze infermieristiche avanzate nel trattamento dello stroke in fase acuta in Italia. Strategia per l’identificazione (parte II). SCENARIO Il nursing della sopravvivenza , 30(1), 23-32.
Rocchette, A, Korner-Bitensky, N, Bishop, D, Teasell, R, White, CL, Bravo, G, Coté, R, Green, T, Lebrun, L, Lanthier, S, Kapral, M & Bayley, M. (2013). The you call we call randomized clinical trial: impact of a multimodal support intervention after a mild stroke. American Heart Association, 6, 674-679.
Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, Elkind MS, George MG, Hamdan AD, Higashida RT, Hoh BL, Janis LS, Kase CS, Kleindorfer DO, Lee JM, Moseley ME, Peterson ED, Turan TN, Valderrama AL, Vinters HV; American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology Council on Nutrition, Physical Activity and Metabolism. (2013). An Updated Definition of Stroke for the 21st Century. A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association,44, 2064-2089;doi: 10.1161/STR.0b013e318296aeca.
Shaughnessy M. & Fay W. Whitney. (2007). Post-Stroke Consultation Service: A Nurse-Managed Model for Care Delivery. Topics in Stroke Rehabilitation, 14(2), 43-48.
Simeone, S, Savini, S, Cohen, M.Z, Alvaro, R, & Vellone, E. (2014). The experience of stroke survivors three months after being discharged home: A phenomenological investigation. European Journal of Cardiovascular Nursing, 14(2), 162-169. https://doi.org/10.1177/14745151145 22886
Williams, LS, Kroenke, K, Bakas, T, Plue, LD, Brizendine, E, Tu, W,& Hendrie, H. (2007). Care management of post-stroke depression: a randomized, controlled trial. Stroke, 38(3), 998-1003