CASE MANAGEMENT FOR PEOPLE WITH STROKE: QUASI-EXPERIMENTAL STUDY

Souza, Pollyanna Bahls de; Mantovani, Maria de Fátima; Peres, Aida Maris; Marcon, Sonia Silva; Madureira, Alexandra Bittencourt; Gevert, Vania Gryczak

doi:10.5380/ce.v27i0.86987

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ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.86987 copy

CASE MANAGEMENT FOR PEOPLE WITH STROKE: QUASI-EXPERIMENTAL STUDY

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to compare the effect of intervention by nurse-case manager on risk factors and blood pressure in post-stroke people.

Method:

quasi-experimental study conducted over six months with 14 post-stroke patients in southern Brazil. The intervention with case management consisted of nursing consultations, individualized educational actions and referrals to other professionals, operationalized in three home visits and six telephone contacts. For data analysis, descriptive statistics and Fisher’s test were used, with a significance level of p≤0.05.

Results:

Reduction of smoking (p=0.0414), alcohol intake (p=0), sodium consumption (p=0.0024), fat (p=0.0027), carbohydrate (p=0.0203) and sugar (p=0.0111), increased physical activity (p=0.0382) and non-significant reduction of blood pressure levels were observed.

Conclusion:

Nurse-led case management is a valid strategy to follow people recovering from stroke.

DESCRIPTORS:
Case Management; Stroke; Nursing Care; Patient Care Planning; Adult Health

SUBSET	Variables	p-value between 1st and 2nd visit^* * Fisher’s Test p values (p≤0.05).	p-value between 1st and 3rd visits^* * Fisher’s Test p values (p≤0.05).	p-value between 2nd and 3rd visit^* * Fisher’s Test p values (p≤0.05).
Habits	Smoking	p=0.8958	p=0.0551	p=0.0414
	Ingestion of alcoholic beverages	p=0.6953	p=0.0000	p=0.0000
	Physical activity	p=0.0382	p=0.0382	p=1.0000
Nutrition	Sodium	p=0.0101	p=0.0024	p=0.5919
	Fat	p=0.01	p=0.0027	p=0.6254
	Carbohydrate	p=0.0203	p=0.0203	p=1.0000
	Sugar	p=0.0212	p=0.0111	p=0.791

Patient	SBP^* * SBP - systolic blood pressure; ǂDBP - diastolic blood pressure; ⁺mmHg - millimeters of mercury. / DBPǂ (mmHg⁺) 1st VISIT	SBP^* * SBP - systolic blood pressure; ǂDBP - diastolic blood pressure; ⁺mmHg - millimeters of mercury. / DBPǂ (mmHg⁺) 2nd VISIT	SBP^* * SBP - systolic blood pressure; ǂDBP - diastolic blood pressure; ⁺mmHg - millimeters of mercury. / DBPǂ (mmHg⁺) 3rd VISIT
1	124/ 72	118/68	100/60
2	110/64	120/78	112/68
3	142/92	160/90	152/94
4	150/92	100/60	140/70
5	10878	128/82	120/80
6	130/90	112/78	120/90
7	102/68	104/70	118/70
8	130/90	130/70	128/68
9	146/94	136/92	130/90
10	160/80	148/80	130/80
11	132/80	120/80	130/80
12	152/80	140/80	130/90
13	190/120	150/100	138/92
14	180/100	170/100	172/110
No. of participants with SBP^* * SBP - systolic blood pressure; ǂDBP - diastolic blood pressure; ⁺mmHg - millimeters of mercury. < 140 mmHg⁺ and DBPǂ < 90 mmHg⁺	7/5	9/10	11/8

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Souza PB de, Mantovani M de F; Drafting the work or revising it critically for important intellectual content - Souza PB de, Mantovani M de F, Peres AM, Marcon SS, Madureira AB; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Souza PB de, Mantovani M de F. All authors approved the final version of the text.