CHANGES IN THE AWEARNESS OF CLINICAL REGISTERED NURSES OF POSITIONING AND EARLY MOBILIZATION CARE FOR STROKE PATIENTSIN NAM DINH GENERAL HOSPITAL

Abstract

Objective: To asssess the awearness of clinical registered nurses of positioning and early mobilization care for patients with stroke before and after the educational in-tervention. Method: Based on the quality criteria guideline by Ministry of Health 2014 for caring stroke patients, the one group pre-test and post-test educational intervention was conducted among 45 clinical registered nurses in Nam Dinh general hospital. Using the same self-completed questionnaire to measure nurses’ knowledge before, right af-ter the completion of the intervention and 30 days later. Result: The mean score of nurs-es’ awareness of positioning and early mo-bilization care for patients with stroke was 7 ± 2,14 of the total 20 points before the inter-vention, then went up to 16,62 ± 1,81 points right after the completion of the intervention and remained at 15,13 ± 3,34 points at the time of 30 days later (p values of 0.001). The percentages of clinical nurses perceived ad-equately the complications caused by poor positioning and early mobilization care; pa-tients’ positions in accordance with specific stroke conditions; the time and required clin-ical signs and symptoms allowing a nurses to begin mobilization care for a stroke pa-tient; and the right process of early mobi-lization before the intervention were 0%, 2.2%, 0%, and 55,5%. These percentages increased immediately after the intervention and retained at high levels at 30 days later, equal to 8.9% and 24.4%, 44% and 40%, 53.3% and 37.8%, 100% and 95.5%, re-spectively. Conclusion: The awareness of clinical nurses of positioning and early mo-bilization care for stroke patients within the study was low before the intervention, then improved significantly after completing the educational programme. The research re-sults revealed the necessity to conduct ed-ucational programmes which have to be ap-propriate in contents, learning method, and especially in target participants for specific nursing care.