Perception of post-stroke patients on case management conducted by nurses.

Pollyanna Bahls De Souza,Ângela Taís Mattei Da Silva,Maria De Fátima Mantovani,Vanêssa Piccinin Paz

doi:10.1590/s1980-220x2019026703703

Pollyanna Bahls De Souza, Ângela Taís Mattei Da Silva + Show 2 more

Open Access

https://doi.org/10.1590/s1980-220x2019026703703

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Abstract

To identify the perception of post-stroke patients on the case management conducted by nurses. Qualitative descriptive study with 13 post-stroke patients, followed-up with case management conducted by a nurse for six months, and interviewed at home one month after the end of the follow-up. The interviews were recorded, transcribed in full and analyzed with the help of a software. Of the 13 participants, 57.14% were men and 50% were between 50 and 59 years. Content analysis resulted in three categories: "Self-management of care", which addressed changes in attitudes towards treatment, mainly due to concern of recurrence in a short period of time; "Sequelae and late repercussions of the stroke", which presents participants' difficulties after the event; and "Support received after a stroke", which emphasizes the actions and attitudes of the case manager nurse during the follow-up period. Case management was perceived by the participant as a health-promoting tool capable of increasing treatment adherence.

Highlights

Cerebral Vascular Accidents (CVAs) or strokes are responsible for temporary or chronic disability of people affected, due to limitations in physical, psychological, and social capacity
Considering that CVAs are an acute complication of chronic illness, that care with a view to reducing recurrent episodes is adjuvant in clinical treatment, and that people affected need to work with nurses to self-manage their treatment, this study aimed to identify the perception of post-stroke patients about the case management conducted by the nurse
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Summary

Introduction

Cerebral Vascular Accidents (CVAs) or strokes are responsible for temporary or chronic disability of people affected, due to limitations in physical, psychological, and social capacity. One in four people who had a CVA die in the first year, while approximately 35% have sequelae and need help with daily activities, which affects their professional reintegration[1]. In Brazil, strokes are the main cause of hospitalizations, mortality, and disabilities, overcoming several other heart diseases and even cancer. This situation results in a considerable socioeconomic impact[3,4]. The mortality rate in the first month after a recurrent stroke ranges from 23% to 41%, with an increased risk for disability (39% to 53%)(5)

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