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  1. Book ; Online ; Thesis: Maligner Mediainfarkt

    Malakou, Flora [Verfasser]

    Behinderung und Behandlung aus der Perspektive des Pflegepersonals

    2023  

    Author's details Flora Malakou
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Publisher Universität Ulm
    Publishing place Ulm
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  2. Article ; Online: Attitudes of Nurses Toward Disability and Treatment in Space-Occupying Middle Cerebral Artery Stroke.

    Neugebauer, Hermann / Malakou, Flora / Uttner, Ingo / Köpke, Melitta / Jüttler, Eric

    Neurocritical care

    2018  Volume 30, Issue 1, Page(s) 132–138

    Abstract: Background: Attitudes toward the degree of acceptable disability and the importance of aphasia are critical in deciding on decompressive hemicraniectomy (DHC) in space-occupying middle cerebral artery stroke (SOS). The attitudes of nurses deserve strong ...

    Abstract Background: Attitudes toward the degree of acceptable disability and the importance of aphasia are critical in deciding on decompressive hemicraniectomy (DHC) in space-occupying middle cerebral artery stroke (SOS). The attitudes of nurses deserve strong attention, because of their close interaction with patients during acute stroke treatment.
    Methods: This is a multicenter survey among 627 nurses from 132 hospitals in Germany. Questions address the acceptance of disability, importance of aphasia, and the preferred treatment in the hypothetical case of SOS.
    Results: Modified Rankin Scale (mRS) scores of 1 and 2 were considered acceptable by the majority of all respondents (89.7%). A mRS of 3, 4, and 5 was considered acceptable by 60.0, 15.5, and 1.6%, respectively. DHC was indicated as the treatment of choice in 31.4%. Every third participant considered the presence of aphasia important for treatment decision (33.3%). Older respondents more often refrained from DHC, irrespective of the presence of aphasia (dominant hemisphere p = 0.001, non-dominant hemisphere p = 0.004). Differences regarding acceptable disability and treatment decision were dependent on age, sex, and having relatives with stroke.
    Conclusion: Most German nurses indicate moderately severe disability after SOS not to be acceptable, without emphasizing the presence of aphasia. The results call for greater scientific efforts in order to find reliable predictors for outcome after SOS.
    MeSH term(s) Adult ; Age Factors ; Aphasia/etiology ; Aphasia/therapy ; Attitude of Health Personnel ; Clinical Decision-Making ; Decompressive Craniectomy ; Disabled Persons ; Female ; Germany ; Health Care Surveys ; Humans ; Infarction, Middle Cerebral Artery/complications ; Infarction, Middle Cerebral Artery/surgery ; Male ; Middle Aged ; Nursing Staff, Hospital ; Severity of Illness Index ; Young Adult
    Language English
    Publishing date 2018-08-02
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2381896-7
    ISSN 1556-0961 ; 1541-6933
    ISSN (online) 1556-0961
    ISSN 1541-6933
    DOI 10.1007/s12028-018-0586-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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