학술논문
A checklist-based survey for early mobilization of stroke unit patients in an Italian region.
Document Type
Article
Author
Rota, Eugenia; Bongioanni, Maria Roberta; Labate, Carmelo; Rabagliati, Claudio; on the behalf of the "Piedmontese Stroke Network"; Cerrato, Paolo; Rosso, Mara; Bono, Valentina; Zurlo, Francesco; Maulini, Lara; Bruzzone, Gianluca; Debenedetti, Claudia; Ruiz, Luigi; Ferrandi, Delfina; Zoccola, Federica; Bosone, Ivana; Anna, Bifani; Sciolla, Rossella; Gallo, Eleonora; Amaru, Salvatore
Source
Subject
*STROKE patients
*SIMULATED patients
*STROKE units
*RISK assessment
*CEREBROVASCULAR disease
*STROKE
*PRESSURE ulcers
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Language
ISSN
1590-1874
Abstract
Background: Although early mobilization (EM) is recommended by most guidelines in acute stroke patients, there is a paucity of tools to perform a standardized patient risk assessment prior to EM in stroke units (SUs). Objective: This survey aimed at assessing (1) the usefulness of an ad hoc checklist for a standardized approach to EM in SUs and (2) the relationship between EM achieved by this checklist and SU characteristics. Methods: This survey was carried out in 10 SUs in Piedmont, Italy. The EM checklist was based on 15 "items", including quantitative/qualitative, clinical and management features. Results: A total of 250 completed checklists were assessed. EM, defined as out-of-bed activity within 72 h of admission, was reached by 174 patients (69.6%), according to the checklist. There was a statistically significant association between the admission NIHSS score and EM. Hypotension at mobilization was observed in 29/250 patients (11.6%) and was significantly associated with EM. A total of 6 falls (2.4%) were reported. Nurses were most frequently involved in EM, either alone (40.8%) or with another professional. Conclusion: A large percentage of acute stroke patients managed to achieve a safe EM in the SUs that adopted the novel checklist. These results suggest that this checklist may well be a user-friendly, reliable tool to assist SU professionals in deciding whether to mobilize or not, by means of a standardized approach. [ABSTRACT FROM AUTHOR]