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Table 3 Comparison of documentation of Quality Indicator Tool items of the Stroke Nursing Guideline
| Pre-test Group (N = 44) | Post-test Group (N = 34) | p-valuea | |||
|---|---|---|---|---|---|
| No (%)b | Yes (%) | No (%) | Yes (%) | ||
| Mobility and Activities of daily living (n, %) | |||||
| Assess. with FIM < 72 h of admission | 33 (75) | 11 (25) | 14 (41) | 20 (59) | 0.002 |
| Nursing diagnosis of mobility | 4 (9) | 39 (91) | 1 (3) | 33 (97) | 0.261 |
| Evaluation of care | 33 (75) | 11 (25) | 28 (85) | 5 (15) | 0.292 |
| Limitation in self-care | 17 (39) | 27 (61) | 9 (26) | 25 (74) | 0.258 |
| Mobilization facilitation <24 h | 19 (47) | 21 (53) | 7 (22) | 25 (78) | 0.024 |
| Frequency of training exercises | 12 (35) | 22 (65) | 10 (39) | 16 (61) | 0.180 |
| Walking exercises | 4 (14) | 25 (86) | 4 (17) | 20(83) | 0.778 |
| Training of ADL activities | 12 (30) | 28 (70) | 2 (7) | 26 (93) | 0.022 |
| Falls (n, %) | |||||
| MORSE screening | 34 (77) | 10 (23) | 21 (62) | 13 (38) | 0.306 |
| Pain and pain treatment (n, %) | |||||
| Patients asked about pain | 10 (23) | 34 (77) | 17 (50) | 17 (50) | 0.012 |
| Pain diagnosis | 10 (23) | 34 (77) | 6 (18) | 28 (82) | 0.582 |
| Pain assessment with a scale | 23 (74) | 8 (26) | 16 (73) | 6 (27) | 0.905 |
| Fixed pain treatment | 7 (21) | 26 (79) | 9 (39) | 14 (61) | 0.144 |
| PN pain treatment | 10 (30) | 23 (70) | 8 (32) | 17 (68) | 0.890 |
| Non-pharmacological pain treatment | 22 (73) | 8 (27) | 12 (55) | 10 (45) | 0.159 |
| Comforting | 42 (96) | 2 (4) | 32 (94) | 2 (6) | 0.589 |
| Massage | 43 (98) | 1 (2) | 31 (91) | 3 (9) | 0.217 |
| Electrotherapy | 44 (100) | 0 (0) | 34 (100) | 0 (0) | – |
| Ankle splint | 43 (98) | 1 (2) | 34 (100) | 0 (0) | 0.564 |
| Relaxation | 44 (100) | 0 (0) | 34 (100) | 0 (0) | – |
| Distraction | 44 (100) | 0 (0) | 34 (100) | 0 (0) | – |
| Pain treatment never given | 28 (78) | 8 (22) | 21 (78) | 6 (22) | 1.000 |
| Evaluation of pain treatment | 4 (14) | 25 (86) | 7 (33) | 14 (67) | 0.097 |
| Depressive symptoms (n, %) | |||||
| Psychological distress diagnosis | 18 (41) | 26 (59) | 15 (45) | 18 (55) | 0.690 |
| Assessment with PHQ9 | – | – | 29 (88) | 4 (12) | – |
| Identification of depressive symptoms | – | 3 (7) | – | 3 (9) | – |
| Consultation other professionals for the diagnosis and treatment | 25 (58) | 18 (42) | 13 (38) | 21 (62) | 0.083 |
| Patient teaching (n, %) | |||||
| Patient education | 37 (84) | 7 (16) | 15 (47) | 17 (53) | 0.001 |
| Educational brochure | 40 (95) | 2 (5) | 15 (48) | 16 (52) | 0.000 |
| Education repeated | 30 (91) | 3 (9) | 30 (91) | 14 (19) | 0.049 |
| Participation in teaching sessions | 39 (89) | 5 (11) | 27 (82) | 6 (18) | 0.397 |
| Discharge planning (n, %) | |||||
| Electronic Patient Record | 11 (32) | 23 (68) | 18 (42) | 25 (58) | 0.393 |
| Quality Discharge Planning* | 7 (30) | 16 (70) | 22 (85) | 4 (15) | 0.001 |
| Discharge Interview | 22 (69) | 10 (31) | 43 (100) | 0 (0) | 0.000 |
| Social support | 7 (22) | 25 (78) | 14 (38) | 23 (62) | 0.151 |
| Advice follow-up | 20 (63) | 12 (37) | 36 (92) | 3 (8) | 0.002 |
| Written infomation & recommendation | 25 (81) | 6 (19) | 42 (100) | 0 (0) | 0.004 |
