Positive Collaboration in Rehabilitation Nursing Enhances Fall Efficacy and Confidence in Elderly Patients with Cerebral Infarction.

IF 2.8 3区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics
Therapeutics and Clinical Risk Management Pub Date : 2025-05-27 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S518683
Fang Luo, Wenyao Xu, Yaqin Xu, Lingdi Lou, Chunyan Xu
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引用次数: 0

Abstract

Background: Cerebral infarction is a prevalent disabling condition among the elderly, often leading to limb dysfunction and psychological challenges that significantly impair quality of life. Traditional nursing approaches have primarily focused on physical rehabilitation; however, growing evidence highlights the importance of psychological factors-such as emotional well-being and rehabilitation confidence-in influencing recovery outcomes. Positive collaboration in rehabilitation nursing, which involves coordinated efforts among patients, healthcare providers, and family members, has emerged as a holistic approach to enhance both physical and psychological recovery.

Objective: To analyze the effects of positive collaboration concept rehabilitation nursing on elderly patients with cerebral infarction, focusing on fall efficacy and rehabilitation confidence.

Methods: A retrospective analysis was conducted on clinical data from 106 elderly patients with cerebral infarction, admitted from October 2022 to April 2024. Patients were divided into a control group (n=53, receiving routine care) and an observation group (n=53, receiving positive collaboration rehabilitation nursing). Neurological function (NIHSS), negative emotions (SAS, SDS), fall efficacy (MFES), activities of daily living (ADL), quality of life (SS-QOL), rehabilitation confidence (CaSM), and nursing satisfaction (NSNS) were compared between the two groups.

Results: The observation group showed significantly lower NIHSS scores at 2 weeks and 1 month post-intervention (P<0.05). Both groups demonstrated reduced SAS and SDS scores, with the observation group showing greater improvement (P<0.05). A higher proportion of patients in the observation group (56.60%) showed excellent fall efficacy compared to the control group (37.74%) (P<0.05). The observation group also had greater improvements in ADL, SS-QOL, and rehabilitation confidence, with higher patient satisfaction (90.57% vs 71.70%, P<0.05).

Conclusion: Positive collaboration rehabilitation nursing significantly improves neurological function, emotional well-being, fall efficacy, and quality of life in elderly patients with cerebral infarction. This approach increases patient and family satisfaction, highlighting the potential benefits of integrating collaborative care into clinical practice.

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康复护理积极配合提高老年脑梗死患者跌倒疗效和信心。
背景:脑梗死是老年人中常见的致残疾病,常导致肢体功能障碍和心理挑战,严重影响生活质量。传统的护理方法主要侧重于身体康复;然而,越来越多的证据强调心理因素的重要性,如情绪健康和康复信心,在影响康复结果。康复护理中的积极合作,包括患者、医疗保健提供者和家庭成员之间的协调努力,已经成为一种全面的方法,以加强身体和心理的康复。目的:分析积极协作理念康复护理对老年脑梗死患者的影响,重点分析跌倒疗效和康复信心。方法:对我院2022年10月至2024年4月收治的106例老年脑梗死患者的临床资料进行回顾性分析。将患者分为对照组(53例,给予常规护理)和观察组(53例,给予积极协作康复护理)。比较两组患者的神经功能(NIHSS)、负性情绪(SAS、SDS)、跌倒疗效(MFES)、日常生活活动(ADL)、生活质量(SS-QOL)、康复信心(CaSM)、护理满意度(NSNS)。结果:观察组患者干预后2周和1个月NIHSS评分显著低于对照组(p < 0.05)。结论:积极协作康复护理可显著改善老年脑梗死患者的神经功能、情绪幸福感、跌倒疗效和生活质量。这种方法提高了患者和家属的满意度,突出了将协作护理整合到临床实践中的潜在好处。
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来源期刊
Therapeutics and Clinical Risk Management
Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.30
自引率
3.60%
发文量
139
审稿时长
16 weeks
期刊介绍: Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.
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