Thesis (M.Sc.) - Cairo University - Faculty of Nursing- Department of Surgical Nursing

Back ground: Cerebrovascular stroke is a comprehensive term that refers to a functional abnormality of the central nervous system that occurs when the blood supply to the brain is disrupted. Stroke can be classified into two major categories: ischemic (approximately 87%), in which vascular occlusion and significant hypo perfusion occur, and hemorrhagic, in which there is extravasation of blood into the brain or subarachnoid space. Nurse has an important role which include monitoring vital signs and neurological status, recording observations, and reporting any significance changes. Aim: The study aimed to explore the sickness profile of patients with stroke. Design: A descriptive/exploratory research design was utilized in the current study. Subjects: a purposive sample of 45 stroke adult male and female patients, with confirmed diagnosis of stroke, conscious, able to communicate were recruited in the study. Tools: Personal and Medical Background Information Form (PMBIF), A Stroke Adapted 30- Item Version of the Sickness Impact Profile (SA-SIP30), and Modified Rankin Scale (MRS) were used to collect data pertinent to the study. Results: The main study results revealed that the mean age of the study subjects was 47.6± 10.8years, (53%) were males, (75.6%) had no past history of stroke, (87%) had ischemic stroke, (33.3%) had no co-morbidities, the less desirable outcomes before discharge were body care and movement, mobility, social interaction and emotional behavior. The desirable outcomes three months after discharge were body care and movement, mobility, ambulation, alertness behavior and communication. Conclusion: On discharge, there was dependent status regarding physical and psychosocial dimension except communication and alertness behavior subscales of Stroke Adapted 30- Item Version of the Sickness Impact Profile (SA-SIP30), while three months after discharge, there was outcome improvement, and independent status in relation to both sub dimensions among the studied subjects. Recommendation: Replication of the study on a larger probability sample selected from different geographical areas in Egypt is recommended to obtain more generalizable data

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