head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue2
Subject Area: Public Health
DOI: 10.5272/jimab.2023292.4898
Published online: 02 May 2023

Original article
J of IMAB. 2023 Apr-Jun;29(2):4898-4903
Meglena BalaburovaORCID logoCorresponding Autoremail,
Department of Nursing Therapeutic Care, Faculty of Health Care, Medical University – Pleven, Bulgaria.

Contemporary health care (HC) practices have been extremely important, especially for patients after ischaemic stroke (IS) who have different degrees of disability and co-morbidities.
Objective: To analyze the opinion of IS patients hospitalized in specialized clinics/wards regarding the identification of the specific HC needs and optimization of their management in the period of and after discharge.
Material and Methods: For achieving the objective, 114 patients were investigated, representing 22.2% of the response, who were hospitalized for treatment and rehabilitation in specialized clinics/wards on the territory of four medical facilities in the town of Pleven. The study required the use of a complex of sociological and statistical methods: a direct anonymous survey was conducted with questions specially prepared for the purpose to study the opinion, feelings, attitudes and evaluations of the respondents on the investigated issues.
Results: The greater share of the surveyed patients 83.3% (95), were dependent on care to varying degrees, and 57.9% (66) were definite that care at home should be supervised by a health professional. Home care for 85.1% (97) of the respondents would be provided by close relatives. Over half of the patients surveyed, 60.5% (69), believed that written home care instructions were required.
Conclusion: Despite the preference of the ischaemic stroke patients to be cared for by their relatives, they woke up to the need for ritten guidelines, training and supervision from a health professional/nurse regarding their recovery at home.

Keywords: stroke, healthcare, needs,

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Please cite this article as: Balaburova M. Ischaemic Stroke Patients and Perspectives for Healthcare Providing. J of IMAB. 2023 Apr-Jun;29(2):4898-4903. DOI: 10.5272/jimab.2023292.4898

Corresponding AutorCorrespondence to: Meglena Balaburova, Department of Nursing Therapeutic Care, Faculty of Health Care, Medical University – Pleven; 1, St. Kliment Ohridski Str., Pleven, Bulgaria; E-mail: meglena_balaburov@abv.bg

1. Maslarov D. [Interdisciplinary care for brain stroke patients.] Health and Science J. 2011; 1(1):34-41. [in Bulgarian].
2. [National Consensus on the Prevention, Diagnosis and Treatment of Cerebrovascular Disease.]  Editors Milanov I, Stamenova P. Bulgarian Society of Neurology, Sofia. 2020. 6-48. [in Bulgarian].  [Internet]
3. [National framework contract for medical activities between the National Health Insurance Fund and the Bulgarian Medical Association for 2017.] [in Bulgarian] Ministry of Health. 01.04.2017. [Internet]
4. Nikolova T, Vladimirova E. [Role of the Nurse in Prophylaxis, Treatment and Prevention of Complications in Hypertension]. Pleven (Bulgaria), Medical University Pleven. 2014.  83-84. [in Bulgarian].
5. Yordanova E, Petkova L, Beyazov Ch, Karagineva E, Dikova K, Yaneva R. [Healthcare 2017.] Editors Ilkova A, Trifonova M. National Statistical Institute. Sofia. 2018. 173p. [in Bulgarian] [Internet]
6. Nedev N. [The personal approach in rehabilitation care – necessary condition for increasing the quality of life in brain stroke patients].  Varna (Bulgaria), Medical University Varna; 2016. vol. 5(3): 202-205. [in Bulgarian].
7. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018 Sep 1;39(33):3021-3104. [PubMed]
8. Townsend N, Wilson L, Bhathnagar P, Wickramasinghe K, Rayner M, Nichols M. Cardiovascular disease in Europe& epidemiological update 2016. Eur Heart J. 2016; (1):1-14.
9. Filipova M, Popova D, Bogomilova S, Nenova G. Kinesitherapeutic approach in patients with ischemic stroke treated with venous thrombolysis. J of IMAB. 2020 Oct-Dec;26(4):3371-3373 [Crossref]
10. Catapano AL, Graham I, De Backer G, Wiklund G, Chapman O, Drexel MJ, et al. 2016 ESC/EAS Guidelines for the Management of Dyslipidaemias. Eur Heart J. 2016 Oct 14;37(39):2999-3058. [PubMed]
11. Klijn CJ, Paciaroni M, Berge E, Korompoki E, Korv J, Lal A, et al.  Antithrombotic treatment for secondary prevention of stroke and other thromboembolic events in patients with stroke or transient ischemic attack and non-valvular atrial fibrillation: A European Stroke Organisation guideline. Eur Stroke J. 2019 Sep;4(3):198-223. [PubMed]

Received: 17 November 2022
Published online: 02 May 2023

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