Health Professionals who treat stroke patients need specialized information
DOI:
https://doi.org/10.4181/RNC.2004.12.173Keywords:
Acidente vascular cerebral, Educação continuada, Profissionais da saúde, Cuidados especializadosAbstract
Stroke can generate functional disability and death. It is necessary an intervention of a multidisciplinary team with specialized formation to handle those patients. The objective of this study was to accomplish field research with professionals of health area (nursing, physiotherapy, social work, physician, speech therapy, occupational therapy, nutritionist and psychologist) on the difficulties, doubts, and importance of orientations on caring of patients with stroke. 146 questionnaires were applied to health professionals, with experience on treatment of those patients, in Sao Paulo, Santo André, Sao Bernardo do Campo and Sao Caetano do Sul. It was observed, in this study, that most health professionals has difficulties (85%), doubts (58%), and they consider important to receive orientations (91%) regarding care of patients with stroke, through electronic or printed didactic materials, and extension courses. This research showed the importance and need of specialized information / formation for most of the health professionals on our sample that assist patients with stroke.
Downloads
References
Lira MMTA, Drumond Jr. M. Estudos Epidemiológicos. Ministério da Saúde - FUNASA (Fundação Nacional de Saúde); 2000.
Sociedade Brasileira de Doenças Cerebrovasculares. Primeiro Consenso Brasileiro do tratamento da fase aguda do acidente vascular cerebral. Arq Neuropsiquiatria. 2001; 59:972-980.
Thorvaldsen P, Asplund K, Kuulasmaa K, Rajakangas A-M, Schroll M. Stroke incidence, case fatality, and mortality in the WHO MONICA Project. Stroke 1995; 26(3):361-367.
Baxter D. Clinical syndromes associated with stroke. In: Brandstater ME, Basmajian JV. Stroke Rehabilitation; 1987. p. 36-54.
The European Stroke Initiative Executive Committee and EUSI Writing Committee. European Stroke Initiative Recommendations for Stroke Management – Update 2003. Cerebrovasc Dis 2003; 16:311-337.
Sackett DL, Straus SE, Richardson WS, Rosenberg WS, Haynes RB. Evidence-based medicine: How to practice and teach EBM. 2nd. ed. New York: Churchill Livingstone; 2000.
Langhorn P, Dennis M. Stroke Units: an evidence based approch. BMJ Books; 1998.
Adams Jr HP, Adams RJ, Brott T, del Zoppo GJ, Furlan A, Goldstein LB, Gurbb RL, Higashida R, Kidwell C, Kwiatkowski TG, Marler JR, Hademenos GJ (Stroke Council of the American Stroke Association). Guidelines for the early management of patients with ischemic stroke: a scientific statement from the stroke Council of the American Stroke Association. Stroke 2003; 34:1056-1083.
Zwarenstein M, Reeves S, Barr H, Hammick M, koppel L, Athinks J. Interprofissional education: effects on professional practice and health care outcomes (Cochrane Review). In: Cochrane Library , Issue 4, 2003. Chichester, UK: John Wiley & Sons, Ltd.
Feinberg W, Albers G, Barnett H, Biller J, Caplan L, Carter L et al. Guidelines for the management of transient ischemic attacks – from the Ad Hoc Committee on Guidelines for the Management of Transient Ischemic Attacks of the Stroke Council of the American Heart Association. Circulation 1994; 89:2950-65.
Adams Jr HP, Brott TG, Crowell RM, Furlan AJ, Gomez CR, Grotta J, Helgason CM, Marler JR, Woolson RF, Zivin JA, el al. Guidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a special writing group of the Stroke Council –American Heart Association. Stroke 1994; 25:1901-1914.
Aboderin I, Venables G (for Pan European Consensus Meeting on Stroke Management). Stroke management in Europe. J Intern Med 1996;240:173-180.
Duncan PW. Synthesis of intervention trials to improve motor recovery following stroke. Top Stroke Rehabil 1997; 3:1-20.
European Stroke Initiative. European Stroke Initiative Recommendations for stroke management. Cerebrovasc Dis 2000; 10:335-351.
Bhatt DL, Kapadia SR, Yadav JS, Topol EJ. Up-date on clinical trials of antiplatelet therapy for cerebrovascular diseases. Cerebrovasc Dis 2000: 10(suppl 5):34-40.
Langhorne P, Pollock A (for the Stroke Unit Trialists’ Collaboration). What are the components of effective stroke unit care? Age Ageing 2002: 31:365-371.
Brainin M, Steiner M. Acute stroke units in Austria are being set up on a national level following evidence-based recommendations and structural quality criteria. Cerebrovasc Dis 2003; 15(suppl 1):29-32.
Duncan PW, Horner RD, Recker DM, Samsa GP, Hoening H, Hamilton B, Laclair BJ, Dudley T. Adherence to Postacute Rehabilitation Guidelines is Associated With Functional Recovery in Stroke. Stroke 2002; 33:167 – 178.
Sociedade Brasileira de Doenças Cerebrovasculares. Primeiro Consenso Brasileiro para trombólise no Acidente Vascular Cerebral Isquêmico. Arq Neuropsiquiatr 2002;60:675-680.
Carson AJ, Ringbauer B, MacKenzie L, Warlow C, Sharpe M. Neurological disease, emotional disorder, and disability: they are related - a study of 300 consecutive new referrals to a neurology outpatient department. J Neurol Neurosurg Psychiatry 2000;68:202-206.
Tognola WA. Qualidade de atendimento após acidente vascular cerebral. In: Gagliardi RJ. Doenças Cerebrovasculares: Condutas. São Paulo: Gelgr; 1996
Português
English
Español
