The impact of functional training based on clinical nursing pathways informed by evidence-based theory on functional recovery in patients with cerebral hemorrhage.

IF 2.7 3区医学 Q2 CLINICAL NEUROLOGY

Frontiers in Neurology Pub Date : 2025-05-26 eCollection Date: 2025-01-01 DOI:10.3389/fneur.2025.1558908

Haijuan Liang, Ping Yuan, Tong Xu, Chao Jin, Cuiling Ji

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引用次数: 0

Abstract

Background: Cerebral hemorrhage significantly impacts patients' neurological function and daily living capabilities. The study investigates the effect of functional training based on clinical nursing pathways informed by evidence-based theory on the functional recovery in postoperative patients with cerebral hemorrhage.

Methods: This retrospective analysis included 160 patients divided into an intervention group receiving specialized functional training (n = 80) and a control group receiving standard care (n = 80) from December 2021 to December 2023. Functional recovery was evaluated using the National Institutes of Health Stroke Scale (NIHSS), Modified Barthel Index (MBI), and Glasgow Coma Scale (GCS). Complications and patient satisfaction were also assessed.

Results: The intervention group showed significant improvements in NIHSS, MBI, and GCS scores post-intervention, indicating enhanced neurological function, daily living capabilities, and consciousness levels (p < 0.001). Complication rates were lower in the intervention group (2.5%) compared to the control group (18.75%), with statistical significance (p = 0.0021). Patient satisfaction was notably higher in the intervention group, with 95% total satisfaction compared to 76% in the control group (p < 0.01).

Conclusion: Functional training within clinical nursing pathways, grounded in evidence-based theory, significantly improves postoperative functional recovery, reduces complications, and increases patient satisfaction in individuals recovering from cerebral hemorrhage.

查看原文本刊更多论文

基于循证理论的临床护理路径功能训练对脑出血患者功能恢复的影响。

背景：脑出血严重影响患者的神经功能和日常生活能力。本研究探讨基于循证理论的临床护理路径功能训练对脑出血术后患者功能恢复的影响。方法：从2021年12月至2023年12月，将160例患者分为接受专业功能训练的干预组（n = 80）和接受标准治疗的对照组（n = 80）。功能恢复采用美国国立卫生研究院卒中量表（NIHSS）、改良Barthel指数（MBI）和格拉斯哥昏迷量表（GCS）进行评估。并发症和患者满意度也进行了评估。结果：干预组患者干预后NIHSS、MBI、GCS评分均有显著改善，神经功能、日常生活能力、意识水平均有所提高（p p = 0.0021）。干预组患者满意度明显更高，总满意度为95%，而对照组为76% （p ）结论：临床护理路径中的功能培训，以循证理论为基础，显著改善了脑出血患者术后功能恢复，减少了并发症，提高了患者满意度。

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

Frontiers in Neurology CLINICAL NEUROLOGYNEUROSCIENCES -NEUROSCIENCES

CiteScore

4.90

自引率

8.80%

发文量

2792

审稿时长

14 weeks

期刊介绍： The section Stroke aims to quickly and accurately publish important experimental, translational and clinical studies, and reviews that contribute to the knowledge of stroke, its causes, manifestations, diagnosis, and management.