Table 3.
The details of the final nursing outcome quality indicators for patients with ischemic stroke receiving thrombectomy treatment in each component
No. | Indicator detail | Median | IQR | The percentage of answers change |
---|---|---|---|---|
1. Nursing outcome quality indicators for patients with ischemic stroke before receiving thrombectomy treatment | ||||
1.1 | Patients and relatives don’t have anxiety after preparing readiness for physical and psychological perspectives. | 5 | 1 | 10.53 |
1.2 | Patients and relatives understand the usefulness, risk, and complication that may happen during and after thrombectomy treatment. | 5 | 1 | 5.26 |
1.3 | Patients and relatives understand the practical during and after thrombectomy treatment. | 5 | 1 | 10.53 |
1.4 | No abnormality of vital signs before thrombectomy treatment, especially blood pressure, should be ≤ 185/110 mmHg. | 5 | 1 | 10.53 |
1.5 | A history of taking an allergy to medication, seafood, and contrast to prevent a contrast allergy. | 5 | 0 | 0 |
2. Nursing outcome quality indicators for patients with ischemic strokeduring receiving thrombectomy treatment | ||||
2.1 | No complications from cardiac arrhythmias, such as atrial fibrillation and acute myocardial infarction, by monitoring the rate and rhythm of the heartbeat by ECG monitoring. | 5 | 0 | 10.53 |
2.2 | No contrast allergy after injecting to the artery, such as skin rash, urticaria, itching, edema around the eyes, edema under the skin, larynx swelling, shallow breathing, etc. | 5 | 0 | 10.53 |
2.3 | No abnormality of vital signs or neurological signs during thrombectomy treatment by measuring a vital sign every 15 minutes. | 5 | 0 | 5.26 |
2.4 | No vasospasm after receiving intravenous nimodipine by measuring blood pressure every 5 minutes. | 5 | 0 | 5.26 |
2.5 | No cyanosis during thrombectomy treatment by assessing oxygen saturation ≥ 95% | 5 | 0 | 5.26 |
2.6 | No contrast-induced acute kidney injury during thrombectomy treatment by assessing signs and symptoms such as oliguria, hypertension, edema, heart congestion, pulmonary edema, etc. | 5 | 0 | 10.53 |
3. Nursing outcome quality indicators for patients with ischemic stroke after receiving thrombectomy treatment | ||||
3.1 | No hemorrhage and hematoma at the catheter site within 1-3 days. | 5 | 0.75 | 0 |
3.2 | No peritonitis by assessing signs and symptoms such as abdominal pain, guarding, back pain, nausea, vomiting, etc. | 5 | 0.75 | 0 |
3.3 | No brain hemorrhage after receiving thrombectomy treatment by assessing neurological signs. | 5 | 0 | 10.53 |
3.4 | No change of neurological signs, such as no decrease of GCS ≥ 1 score; pupils show equal size, shape, and reaction in both sizes. | 5 | 0.75 | 10.53 |
3.5 | No complication of hypertension by controlling systolic blood pressure = 90-139 mmHg and DBP = 60-89 mmHg. | 5 | 0.75 | 0 |
3.6 | No complication from blood glucose changes by hypoglycemia; blood sugar < 80 mg%, hyperglycemia; blood sugar > 160 mg% after controlling blood glucose as prescribed. | 5 | 0 | 0 |
3.7 | Receiving assessment of headache and projectile vomiting to prevent brain edema. | 5 | 0 | 5.26 |
3.8 | Receiving assessment of headache, projectile vomiting, and crushing’s triad to prevent increased intracranial pressure. | 5 | 0 | 5.26 |
3.9 | No limb ischemia by palpating the pulse at the dorsalis pedis or posterior tibial on both sides compared to before and after the treatment. | 5 | 0 | 10.53 |
3.10 | No deep vein thrombosis by assessing pale skin, leg pain, edema, cold toes, etc. | 5 | 0 | 10.53 |
3.11 | No contrast-induced acute kidney injury after recording body intake and output and monitoring BUN, Cr within 48-72 hours. | 5 | 0 | 10.53 |
3.12 | No delay in administering antiplatelet via a nasogastric tube in case of patient inserts a stent with blood vessel occlusion. | 5 | 0 | 10.53 |
3.13 | No body infection such as pneumonia, catheter-associated urinary tract infection (CAUTI), or sepsis by controlling body temperature < 37.5oC | 5 | 0 | 5.26 |
3.14 | No pressure sore by turning the position every 2 hours. | 5 | 0 | 10.53 |
3.15 | Patient and relative understand the self-care for preparing readiness of discharge following D-METHOD-P | 5 | 0 | 10.53 |
3.16 | Patients and relatives understand and give the importance of taking an antiplatelet, anticoagulant, or underlying disease medication when discharged from the hospital. | 5 | 0 | 10.53 |
3.17 | No progressive stroke in a patient with NIHSS ≥ 4 scores after monitoring and caution following the organization. | 5 | 0 | 0 |