Effect of Extended Care on Functional Rehabilitation of  Stroke-induced Hemiplegic Patients

Jing  Li; Jianjun  Zhang; Bei  Zhao; Jie  Ma; Chunchun  Liu; Yanwei  Zhang; Ying  Gao

doi:10.18502/ijph.v53i1.14693

Jing Li Department of Medical Nursing, School of Medical Nursing, Tianjin Medical College, Tianjin 300000, China
Jianjun Zhang Ward 2, Department of Neurosurgery, Tianjin Hospital, Tianjin University, Tianjin 300000, China
Bei Zhao Department of Medical Nursing, School of Medical Nursing, Tianjin Medical College, Tianjin 300000, China
Jie Ma Department of Medical Nursing, School of Medical Nursing, Tianjin Medical College, Tianjin 300000, China
Chunchun Liu Tianjin Haibin People's Hospital, Tianjin 300000, China
Yanwei Zhang Tianjin Haibin People's Hospital, Tianjin 300000, China
Ying Gao Department of Medical Nursing, School of Medical Nursing, Tianjin Medical College, Tianjin 300000, China

DOI: https://doi.org/10.18502/ijph.v53i1.14693

Keywords: Continuous care; Stroke; Functional rehabilitation

Abstract

Background: We aimed to observe the effect of extended care on improving motor function and activities of daily living of stroke-induced hemiplegic patients.

Methods: Patients clinically diagnosed as stroke with hemiplegia and hospitalized in the Neurology Department at Tianjin Haibin People's Hospital, China from 2019 to 2020 were selected. One hundred twenty patients were enrolled and randomly divided into the intervention group (60 patients) and the control group (60 patients). The control group was given routine rehabilitation treatment and care. Based on routine rehabilitation treatment and care, the intervention group was given transitional care. After discharge, the patients were followed up. Barthel indexes (BIs) were collected to evaluate the activities of daily living of patients. The Fugl-Meyer Motor Function Assessment (FMA) was adopted to evaluate the patients’ motor function.

Results: There was no statistically significant difference in the total BI scores between the two groups of patients at the two time points before intervention and at discharge. The total scores of the intervention group were higher than those of the control group after 1 month and 3 months of discharge, and the difference was statistically significant (P<0.05). There was no statistically significant difference in total FMA scores between the two groups of patients before intervention, indicating comparability. After 3 months of discharge, the total FMA score of the intervention group patients was higher than that of the control group, and the differences were statistically significant (P<0.05).

Conclusion: Continuous care can effectively improve motor function and daily living ability of stroke patients with hemiplegia.