Authors (including presenting author) :
Li WK(1), CHOW MY(1), LING HK(2), MAK HM(2), WAN PK(1)
Affiliation :
(1)Department of Neurosurgery, Queen Mary Hospital, (2) Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital
Introduction :
Parkinson’s Disease(PD) is a common neurodegenerative disorder. However, long-term medical therapy leads to poor response and motor complications. Deep Brain Stimulation (DBS), a PD surgical treatment, can be considered when various movement disorders symptoms become refractory to pharmacological treatments. DBS is a pacemaker-like device which consists of implantable electrodes and pulse-generator. It stimulates the deep brain target by delivering electrical current, and the signal is adjusted according to disease progression.
In order to provide combined medical and surgical nursing care to PD patients, there is a collaborative relationship between Queen Mary Hospital(QMH) and Pamela Youde Nethersole Eastern Hospital(PYNEH). Suitable DBS surgery candidates in PYNEH Neurology will be referred to QMH Neurosurgery for operation. After the surgery, they will be followed up in PYNEH. In 2018, 7 out of 8 new cases were referred to QMH from PYNEH. However, nurses in both hospitals were unfamiliar with the workflow and specific nursing care of these patients. 24 out of 36 participants (66.6%) did not encounter the operational care of DBS patients in this survey. Educational talk was conducted in view of the knowledge deficit and insufficient readiness of providing DBS nursing care.
Objectives :
Improving nurses’ knowledge and perception on pre and post operative DBS care in neurosurgical setting.
Methodology :
Pre-test post-test design was adopted. Multiple choice questions regarding DBS knowledge and questionnaire on perception were adopted as assessment tools. Subjects were nursing staff in QMH and PYNEH neurosurgical unit. Outcome measures were knowledge and perception.
Result & Outcome :
From December 2018 to June 2019, percentage of participants attended the educational talk was 75% in QMH and 71% in PYNEH respectively. There were 87.7% increase of the knowledge(p< 0.001). When comparing the increase of knowledge according to participant’s neurosurgery working experience in categories “0-3 years”, “3-10 years” and “10 years or above”, improvement noted were 120%(p< 0.001), 68.5%(p< 0.001) & 51.8%(p< 0.001) respectively. Besides, 58.3% increase in nurses’ perception was also noted.
