Clinical Rehabilitation

 

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Clinical Rehabilitation, Vol. 19, No. 2, 126-137 (2005)
DOI: 10.1191/0269215505cr841oa

A study to assess the effect of nursing interventions at the weekend for people with stroke

Ian Davidson

Manchester School of Physiotherapy, School of Nursing Midwifery and Social Work, University of Manchester, Oldham, Manchester

Valerie F Hillier

Division of Imaging Science and Biomedical Engineering, Faculty of Medicine, Dentistry and Nursing, University of Manchester, Oldham, Manchester

Karen Waters

School of Nursing Midwifery and Social Work, University of Manchester and Central Manchester Healthcare Trust, Pennine Acute Trust, Oldham, Manchester

Timothy Walton

Intermediate Neurological Rehabilitation Unit, Manchester Royal Infirmary, Glasgow, UK

Joanne Booth

Forth Valley Primary Care NHS Trust/University of Stirling, Scotland, Glasgow Caledonian University, Caledonian Nursing and Midwifery Research Centre, Glasgow, UK

Objective: To examine whether additional therapy provided by nurses at the weekend improved the physical outcome for people with stroke on a stroke rehabilitation unit.

Design: A single blind randomized controlled trial.

Setting: A 16-bed stroke rehabilitation unit in the north of England.

Subjects: Forty-one people with stroke were randomized by means of minimization to intervention and control groups.

Interventions: The intervention group received additional exercise at the weekend provided by the nursing staff and the control group received their usual care. Both groups received usual care during weekdays.

Main outcome measures: The Motor Assessment Scale (MAS), the Barthel Index (BI) and length of stay in hospital.

Results: No significant differences were found between the groups in terms of MAS and BI at discharge but there was a borderline significant difference between the groups on unconditional testing in terms of length of stay in hospital and on the stroke unit (p = 0.05 and p = 0.07 respectively). However, these findings were in favour of the control group. On conditional testing (adjusting for BI on admission and age) these differences disappeared (p = 0.14 and p = 0.15) for length of stay in hospital and on the stroke unit respectively.

Conclusions: The present study indicates that an increase in one-to-one input by nurses for people with stroke did not lead to a measurable difference in outcome in this small study.


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