Effect of Instructional Guidelines regarding Therapeutic Positions on Post Stroke Pain and Vital Signs among Patients with Stroke

Mohamed Helmy, Nagwa; C. Jaramillo, Joanne; Belal, Safia; Mahmoud Sabek, Elsayed; El-berdan, Amany

doi:10.21608/ejhc.2023.293175

Effect of Instructional Guidelines regarding Therapeutic Positions on Post Stroke Pain and Vital Signs among Patients with Stroke

Document Type : Original Article

Authors

¹ Lecturer of Medical-Surgical Nursing faculty of Nursing Suez Canal University

² Assistant professor, College of Applied Medical Science, Saudi Arabia

³ Lecturer, medical surgical nursing department, Faculty of Nursing, Beni-Suef University, Egypt

⁴ Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port-Said University

10.21608/ejhc.2023.293175

Abstract

Background: Vital signs can draw attention to impeding the clinical deterioration of a patient with stroke. So; therapeutic positioning is important to promote patients' functional recovery. Aim: to determine the effect of instructional guidelines regarding therapeutic positions on post-stroke pain and vital signs among patients with stroke. Design: This study will be used a quasi-experimental design (pre/post-test) with study and control groups. Setting: at the stroke unit in Suez Canal University hospital-Egypt. Sample: A Purposive sample consisted of 100 patients who will be divided into the study (50) and control groups (50) from the above-mentioned setting will be recruited in this study and assigned randomly. Tools: Tool I: Personal data assessment sheet, Tool II: The Glasgow Coma Scale (GCS) for assessing patients' medical history, Tool III: Vital parameters observational checklist tool, and Tool IV: Numerical Pain Rating scale. Results: The results revealed that there were highly significant improvements in patients with stroke's knowledge of pre- and post-instructional guidelines implementation (P<0.001). Furthermore, the study revealed that the majority of the studied patients had no pain after the semi-fowler's position. There was a statistically significant difference and improvement in pre and post-instructional guidelines implementation regarding therapeutic positioning concerning selected vital signs such as heart rate and respiratory rate scores at semi-fowler's position. Conclusion: The instructional guidelines implementation regarding therapeutic positions had a significant effect on reducing pain levels and improving vital signs among patients with stroke. Recommendations: The instructional guidelines regarding therapeutic positions should be conducted, discussed, integrated into the care of patients with stroke, and taught to them to improve their knowledge.

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