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Identifying denial in stroke patients

J M Christensen1, E A Cook, B C Martin

  • 1University of Tulsa, OK 74104-3180, USA.

Clinical Nursing Research
|February 1, 1997
PubMed
Summary
This summary is machine-generated.

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This study validated a new tool for assessing psychodynamic and neurogenic denial in stroke patients. The reliable tool helps differentiate denial types, aiding in patient care and rehabilitation planning.

Area of Science:

  • Neurology
  • Psychology
  • Rehabilitation Medicine

Background:

  • Denial is a common psychological response in stroke patients.
  • Differentiating between psychodynamic and neurogenic denial is crucial for effective treatment.
  • Existing assessment methods may lack reliability or specificity.

Purpose of the Study:

  • To evaluate the reliability of an experimental assessment tool for identifying and differentiating psychodynamic and neurogenic denial.
  • To assess the tool's utility in stroke patients with varying hemispheric insults.

Main Methods:

  • An interdisciplinary team utilized a one-page, criterion-referenced denial assessment tool.
  • The tool was applied to patients with right or left hemisphere cerebrovascular accidents (CVA).

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  • Interrater reliability of the assessment tool was statistically analyzed.
  • Main Results:

    • High interrater reliability was achieved with the experimental assessment tool.
    • Patients with right-CVA demonstrated higher scores for both psychodynamic and neurogenic denial compared to left-CVA patients.
    • Elevated psychodynamic denial scores were noted in the second month post-stroke.

    Conclusions:

    • The experimental denial assessment tool is reliable and practical for distinguishing between psychodynamic and neurogenic denial.
    • This tool can inform precise nursing diagnoses and patient-focused care planning during stroke rehabilitation.
    • Ongoing assessment using this tool supports tailored rehabilitation strategies for stroke survivors.