Performance of Nursing Personnel in Care Protocols for Patients with Ischemic Cerebrovascular Accident (CVA) in critical areas

Authors

DOI:

https://doi.org/10.37431/conectividad.v5i4.189

Keywords:

Ischemia, Alteplase, Fibrinolysis, Cerebrovascular accident, Nursing

Abstract

Ischemic stroke is a clinical syndrome that causes a focal alteration of brain function of vascular origin. This disease is recognized as one of the main causes of death and disability globally. The time factor continues to be a crucial element, highlighting the fundamental importance of the nurse's role in the timely initiation of treatment, reducing the time interval between the patient's arrival at the hospital and the initiation of the necessary medical therapy. The purpose of this research is to determine the direct intervention of nursing staff in patients who present an ischemic stroke in its acute phase. Within the framework of a qualitative, descriptive study, bibliographic reviews of reports, scientific journals, publications and articles were carried out. These resources were located in databases such as Google Scholar, Scielo, Redalyc, Dialnet plus and Lilacs. It has been determined that the effectiveness of in-hospital tasks carried out by nursing staff in cases of ischemic stroke is directly related to their level of knowledge and ability to provide care, especially with regard to the administration of fibrinolytic treatment. considered fundamental.

References

Baldessari Bortolotti, C., Ortiz Sáez, C., Seguel Martínez, D., & Vial Alliende, T. (2022). Intervenciones de enfermería para la prevención del accidente cerebrovascular: Una revisión bibliográfica. Revista Confluencia, 5(1), 74-78.

Casetta, I., Fainardi, E., Saia, V., Pracucci, G., Padroni, M., Renieri, L., ... & Toni, D. (2020). Endovascular thrombectomy for acute ischemic stroke beyond 6 hours from onset: A real-world experience. Stroke, 51(7), 2051–2057. https://doi.org/10.1161/STROKEAHA.119.027974

Chen, X., Shen, Y., Huang, C., Geng, Y., & Yu, Y. (2020). Intravenous thrombolysis with 0.9 mg/kg alteplase for acute ischaemic stroke: A network meta-analysis of treatment delay. Postgraduate Medical Journal, 96(1141), 680-685. https://doi.org/10.1136/postgradmedj-2019-137121

Herrera, I., Garrido, I., Guzmán de Villoria, J., Fernández, P., González, J., Saura, J., Del Valle, M., & Castro, E. (2020). Angio-TC multifásica en el código ictus. Hospital General Universitario Gregorio Marañón, Madrid. N Engl J Med, 396, 1574-1584.

Iglesias Mohedano, A. M., García Pastor, A., Díaz Otero, F., Vázquez Alen, P., Martín Gómez, J. A., Simón Campo, P., & Gil Núñez, A. (2021). Un nuevo protocolo intrahospitalario reduce el tiempo puerta-aguja en el ictus agudo tratado con trombolisis intravenosa a menos de 30 minutos. Neurología, 36(7), 487-494. https://doi.org/10.1016/j.nrl.2018.04.001

Johnson, S., Patel, M. S., & Lee, W. (2021). Cost-effectiveness analysis of rt-PA in ischemic stroke patients: A systematic review. Journal of Health Economics and Outcomes Research, 9(2), 114-122. https://doi.org/10.1080/jher.2021.0004

Jung, S., Rosini, J. M., Nomura, J. T., Caplan, R. J., & Raser-Schramm, J. (2019). Even faster door-to-alteplase times and associated outcomes in acute ischemic stroke. Journal of Stroke and Cerebrovascular Diseases, 28(10), 104329. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104329

Luo, Z., Zhou, Y., He, Y., Yan, S., Chen, Z., Zhang, X., ... Lou, M. (2024). Treatment with intravenous alteplase in ischaemic stroke patients with onset time between 4.5 and 24 hours (HOPE): Protocol for a randomised, controlled, multicentre study. Stroke & Vascular Neurology, 9(e002154). https://doi.org/10.1136/svn-2022-002154

Rodríguez, I., Grille, P., & Deicas, A. (2024). Comparación entre tenecteplase y alteplase en la trombolisis intravenosa del ataque cerebrovascular isquémico. Revista Médica del Uruguay, 40(2), e202. https://doi.org/10.29193/RMU.40.2.2

Sánchez, M. C., Fernández, L., & Orbe, J. (2021). Cost-effectiveness of rt-PA therapy in ischemic stroke: A comparative analysis. International Journal of Stroke, 16(4), 345-353. https://doi.org/10.1177/1747493019857643

Scollo, S. D., Alonso, R. N., Alet, M. J., Claverie, C. S., Rey, R. C., & González, L. A. (2021). Importancia del sistema de preaviso y elección del centro asistencial en el accidente cerebrovascular agudo. Medicina (Buenos Aires), 81, 581-587.

Topacio Rodríguez, M. A., & Ortiz Galeano, I. (2022). Características clínicas de los pacientes con accidente cerebrovascular de tipo isquémico admitidos durante el periodo de ventana terapéutica en el Servicio de Urgencias del Hospital de Clínicas. An. Fac. Cienc. Méd. (Asunción), 55(2), 18-24.

Vicente-Pascual, M., Quílez, A., Gil, M. P., Sanahuja, J., García-Vázquez, C., & Purroy, F. (2020). La influencia de la gestión organizativa en el tiempo puerta-aguja del tratamiento fibrinolítico. Neurología, e001

Published

2024-12-19

How to Cite

Chicaiza Pastillo, S. V., Ajila Enríquez, V. H., Santiana Valdivieso, A. V., & Figuera Ávila, P. A. (2024). Performance of Nursing Personnel in Care Protocols for Patients with Ischemic Cerebrovascular Accident (CVA) in critical areas. CONECTIVIDAD, 5(4), 1–11. https://doi.org/10.37431/conectividad.v5i4.189