Recovery after ischemic stroke: Effects of FuekFone home-based program on upper limb and cognitive function

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2024-09-01 DOI:10.1016/j.ijnss.2024.08.008

Yaowalak Kumkwan , Ketsarin Utriyaprasit , Thitipong Tankumpuan , Zeng Lertmanorat , Boonyanit Mathayomchan

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引用次数: 0

Abstract

Objectives

This study aimed to explore the effects of the “FuekFone (F.F.) home-based program” on the upper limb and cognitive function of ischemic stroke patients after discharge.

Methods

A single group pre-and post-test design was conducted. A total of 40 patients with recovery after ischemic stroke were recruited from two university hospitals in Thailand. The study was conducted between June 2022 and January 2023. Participants underwent a six-week “F.F. home-based program,” which combined an upper limb and cognitive function rehabilitation device with Android games, including stationary barrel, adventure walk, adventure stroll, sliding barrel, sauce squeeze, and cut objects. Each game has different difficulty levels. Patients can perform corresponding exercises through the games according to their conditions under the guidance of medical staff. The patients played for 24 min per time, 4 min each game, three days a week. The second week, let the patients play games for 30 min per time, 5 min each game, 3 days a week. Then, in the 3–6 weeks, let the patients play games for 1 h per time, 10 min each game, 5 days a week. At the pre-and post-intervention, the Thai version of the National Institutes of Health Stroke Scale (NIHSS), the Motor Assessment Scale, and the Montreal Cognitive Assessment (MoCA score) were administered to patients at discharge and at 2, 4, and 6 weeksafter discharge, and the results were compared.

Results

All participants completed this program. Participants had statistically improved upper limb function (upper arm function score, hand movements score, advanced hand activities score, total Motor Assessment Scale score) and MoCA score at 2, 4, and 6 weeks after discharge (P < 0.001). In the comparison of upper limb function and cognitive function at each of the study times, we found statistically improved upper limb function (upper arm function score, hand movements score, advanced hand activities score, total Motor Assessment Scale score) and MoCA score at 4, and 6 weeks after discharge when compared to after discharge and 2 weeks after discharge, respectively (P < 0.05).

Conclusions

Continuing care of patients post-stroke after discharge from hospital, such as F.F. home-based program should be applied at home to enhance upper limb and cognitive function.

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缺血性中风后的恢复：FuekFone 居家计划对上肢和认知功能的影响

本研究旨在探讨 "FuekFone（F.F.）家庭项目 "对缺血性中风患者出院后上肢和认知功能的影响。泰国两所大学医院共招募了 40 名缺血性中风康复患者。研究在 2022 年 6 月至 2023 年 1 月期间进行。参与者接受了为期六周的 "F.F.家庭康复计划"，该计划将上肢和认知功能康复设备与安卓游戏相结合，包括静止木桶、探险步行、探险漫步、滑动木桶、挤酱汁和切割物体。每个游戏都有不同的难度级别。患者可在医护人员的指导下，根据自身情况通过游戏进行相应的锻炼。患者每次玩游戏的时间为 24 分钟，每个游戏 4 分钟，每周玩三天。第二周，让患者玩游戏，每次 30 分钟，每个游戏 5 分钟，每周 3 天。然后，在第 3-6 周，让患者玩游戏，每次 1 小时，每局 10 分钟，每周 5 天。在干预前后，分别在患者出院时和出院后 2、4、6 周对其进行泰语版美国国立卫生研究院卒中量表（NIHSS）、运动评估量表和蒙特利尔认知评估（MoCA 评分），并对结果进行比较。在出院后 2、4 和 6 周，参与者的上肢功能（上臂功能评分、手部运动评分、高级手部活动评分、运动评估量表总分）和 MoCA 评分均有统计学改善（P < 0.001）。在比较各研究时间段的上肢功能和认知功能时，我们发现与出院后和出院后 2 周相比，出院后 4 周和 6 周的上肢功能（上臂功能评分、手部运动评分、高级手部活动评分、运动评估量表总分）和 MoCA 评分均有统计学改善（P < 0.05）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.