Evidence Based Practice Research example

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Evidence – Based Practice Research

Article Health-Related Quality-of-Life Outcomes: Comparing Patients with Aneurismal and Nonaneurismal Subarachnoid Hemorrhage focused on the comparison of the long-term outcomes of two types of hemorrhages, studied the validity of term "benign hemorrhage" and perspectives for patient’s ability to continue their work and social life. In the research impact on Health-Related Quality-of-Life Outcomes (HRQOL) of two types of subarachnoid hemorrhages (SAH) was compared. The first type of hemorrhage was aneurysmal subarachnoid hemorrhage (ASAH) that can happen spontaneously or as a result of trauma and results in release of blood in the cerebrospinal fluid and dramatic increase of intracranial pressure with compartment of brain structures. Patients with nontraumatic (spontaneous) ASAH were chosen. The second type of SAH is nonaneurysmal subarachnoid hemorrhage (NASAH) that is by far less common than ASAH. In the case of NASAH angiography that is a golden standard of diagnostic of hemorrhages does not reveal a source of bleeding while blood does not go to cerebrospinal fluid and the intracranial pressure does not increase. While there is no compartment of brain structures, this type is considered to be benign. In the research outcomes of both types of hemorrhages were analyzed with regards to psychology, function (employment), emotion, cognition, sleep and rest, health perception and general life satisfaction social life that can be united as a health-related quality of life (HRQOL) assessment. The research aimed to detect and to compare association and differences of HRQOL in patients with ASAH and NASAH (McIntosh & Thomas, 2015).

The main method applied was a retrospective quantitative study with the comparison of HRQOL in patients. The authors initially suggested that if to assess patients with ASAH and NASAH by assessing scales (Hunt & Hess grading scale, Fisher scale) with the adjustment on age and other factors, the results of HRQOL will be similar. This research aimed to develop assisting plans for patients with NASAH similar to those for patients with ASAH hence they have similar necessities in support and long-term recovery plans. Researches used the conceptual model of HRQOL that was based on the Wilson and Cleary conceptual model and allowed to explain many variables that affect HRQOL both for patients with NASAH and ASAH. Patients of both genders that participated in the research were requited in the Beth Israel Deacones Medical Center from the database of 320 patients with nontraumatic SAH. They all had angiography and were either diagnosed with aneurysm or not. They had to preserve mental capability to answer questions and follow directions. Instruments that were used included SS-QOL (Stroke-Specific Quantity of Life Scale), 12-Item Short Form Health Survey that measured the general health status, Duke-UNC Functional Social Support Questionnaire for self-measurement of social assistance, 10-question PTSD to assess the severity of PTSD and a developed by researches questionnaire to measure long-term outcomes …

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