Effect of Comprehensive Nursing Care Strategies in Patient’s with Stroke on Physiological Parameters

Keywords: Physiological Parameters, Significant Difference, Stroke Patients, Stroke Severity, Trigylcerol


A Study was conducted to assess the effectiveness of comprehensive Nursing care Strategies for stroke patients, at Sher-I-Kashmir Institute of Medical Science, Kashmir, J&K State of India, during 2010 to 2014, on 220 stroke patients (110 in experimental and 110 in control group) fulfilling the inclusion criteria by using simple random sampling technique. The first post test was conducted on 7th day after implementation of Comprehensive Nursing Care Strategies to Stroke Patients (CNCSSP) for five days; second post test was conducted in neurology outpatient department on the 10th day after discharge on first follow up visit. Results of the study revealed that majority comprised, males, Muslims, non-vegetarians and 65-74 years of age. Majority of the subjects both in experimental and control group had severe symptoms during acute stage at the time of admission in neurology ward as measured by National Institute of Health Stroke Scale (NIHSS). Mean±S.D of Activity level measured by Barthel Index was 26.65±9.43 in both experimental and control group before intervention. There was significant difference in National Institute of Health Stroke Scale score (P-value <0.05) in experimental group after implementation of comprehensive Nursing Care Strategies to stroke patients. There was significant difference in systolic and diastolic blood pressure, in cholesterol, triglycerol levels and activity level as measured by Barthel Index, in experimental group. To conclude, the findings of the study revealed significant difference in stroke severity, physiological parameters, biochemical parameters, activity level and prevention of complications in experimental group as, compared to control group which shows the effectiveness of comprehensive Nursing Care Strategies for stroke patients.

How to cite this article: Regu M, Koul P. Effect of Comprehensive Nursing Care Strategies in Patient’s with Stroke on Physiological Parameters. Int J Nurs Midwif Res 2019; 6(4): 44-51.

DOI: https://doi.org/10.24321/2455.9318.201932


Truelson T, Bonita R, Jamrozik K. Surveillance of stroke: a global perspective. International Journal of

Epidemiology 2001; 30(1): 511-516. Available from: https://academic.oup.com/ije/article/30/suppl_1/

S11/683191 [PubMed/ Google Scholar].

Palnum KD, Petersen P, Sørensen HT, Ingeman A, Mainz J, Bartels P et al. Older patients with acute stroke in

Denmark: quality of care and short-term mortality. a nationwide follow up study. Age and Aging 2008;

(1): 90-95. Available from: https://academic.oup.com/ageing/article/37/1/90/24714 [PubMed/ Google


Irfan Ahmad H. Prevalence of atherosclerotic carotid artery disease and its direct relationship with risk

factors for stroke. MD Thesis. Sher-i-Kashmir Institute of Medical Sciences, 2005.

Kasner SE, Cucchiara BL, McGarvey ML, Luciano JM, Liebeskind DS, Chalela JA. Modified National Institute

of Health Stroke scale can be estimated from medical records. Stroke 2003; 34: 568-570. Available from:

https://www.ahajournals.org/doi/pdf/10.1161/01.STR.0000052630.11159.25 [Goolge Scholar].

Haan RD, Horn MS, Limburg M, et al. A comparison of five stroke scales with measures of disability, handicap

and quality of life. Stroke 1993; 24(8): 1178-1181. Available from: https://www.ahajournals.org/doi/

abs/10.1161/01.STR.24.8.1178 [PubMed/ Google Scholar].

Harris M, Richards KC. The physiological and psychological effects of slow-stroke back massage

and hand massage on relaxation in older people. J Clin Nurs 2010; 19(7-8): 917-926. Available from: https://

onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2702.2009.03165.x [PubMed/ Google Scholar].

Castillo-Guerra L, Fernández-Moreno Mdel C, Espino-Montoro A, López-Chozas JM. Ambulatory blood

pressure monitoring in stroke survivors: do we really control our patients? Eur J Intern Med 2009; 20(8):

-763. Available from: https://www.ejinme.com/article/S0953-6205(09)00181-2/fulltext [PubMed/

Google Scholar].

Geeganage CM, Bath PM. Relationship between therapeutic changes in blood pressure and

outcomes in acute stroke: a metaregression. Hypertension 2009; 54(4): 775-781. Available from:


&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed [PubMed/ Google Scholar].

Ellis G, Rodger J, McAlpine C, Langhorne P. The impact of stroke nurse specialist input on risk factor modification: a randomised controlled trial. Age Ageing 2005; 34(4): 389-392. Available from: https://academic.oup.com/ageing/article/34/4/389/10254 [PubMed/ Google Scholar].

Feroze A. Prevalence of hyperglycemia in stroke and its short-term outcome. MD Thesis. Sher- i-Kashmir

Institute of Medical Sciences, 2007.

Rashid P, Leonardi-Bee J, Bath P. Blood pressure reduction and secondary prevention of stroke and other vascular events: a systematic review. Stroke 2003; 34(11): 2741-27418. Available from: https://www.ahajournals.org/doi/full/10.1161/01.STR.0000092488.40085.15?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed [PubMed/ Google Scholar].