Nursing Care for Intracerebral Hemorrhage Patient in Fast Track System: Case Study
Abstract
Background: Stroke is a major global public health concern. The World Health Organization (WHO, 2023) reported that there are approximately 15 million new stroke cases annually, with about 5 million deaths and another 5 million resulting in permanent disability. In Thailand, the incidence of stroke is 517.26 per 100,000 population and has shown a rising trend. Intracerebral hemorrhage (ICH) accounts for 10–15% of all stroke cases and carries a high mortality rate of 40–50% within the first 30 days. Early management through the Stroke Fast Track system, which emphasizes multidisciplinary collaboration, is crucial to improving survival and reducing disability.
Objective: This study aimed to explore the nursing process and treatment outcomes of patient with ICH managed through the Stroke Fast Track system.
Methods: A targeted case study was conducted using three-year retrospective hospital data from Sawanpracharak Hospital, which Showed a continuous increase in patients admitted to the Fast Track system and an annual average of 20–25 patients requiring neurosurgery.
Case Presentation: The case involved a 33-year-old Thai male presenting with decreased consciousness and limb weakness. Brain Computed tomography revealed a cerebellar hemorrhage. The patient underwent right suboccipital craniectomy with hematoma removal and was admitted to the Sub-ICU. Nurses care included screening, coordination, postoperative management, and rehabilitation.
Results: The patient demonstrated good recovery without complications, was hospitalized for 12 days, and was discharged with normal motor power.
conclusion: integration of the Stroke Fast Track system with effective nursing competencies played a crucial role in reducing disease severity and improving the patient’s quality of life. These findings can inform quality improvement initiatives and service management for stroke care.
Keywords : Stroke, Intracerebral hemorrhage, Fast Track system, Nursing care
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