Effect of virtual situational interactive training on patients after stroke surgery
Objective To analyze the effects of virtual situational interactive training on motor function,daily activity ability,and quality of life in patients after stroke surgery.Methods This study was a randomized controlled trial.A total of 88 patients after stroke surgery admitted to Ankang Hospital of Traditional Chinese Medicine from September 2021 to September 2023 were selected as the study objects,and the patients were randomly divided into a control group(44 cases)and an observation group(44 cases).In the control group,there were 20 males and 24 females,aged(62.43±2.01)years,the course of disease was(1.41±0.32)years,and the type of stroke was ischemic stroke in 27 cases and hemorrhagic stroke in 17 cases.In the observation group,there were 25 males and 19 females,aged(61.98±2.33)years,the course of disease was(1.37±0.40)years,and the type of stroke was ischemic stroke in 26 cases and hemorrhagic stroke in 18 cases.The control group received routine nursing,and the observation group received virtual situational interactive training based on the control group.Both groups were treated for 30 days.The motor function[Fugl-Meyer Motor Function Assessment(FMA)]and daily activity ability[modified Barthel Index(MBI)]of the two groups were compared 1,15,and 30 days after surgery,and the quality of life[EuroQol Five-Dimensional Questionnaire(EQ-5D)]of the two groups were compared 1 and 30 days after surgery.Independent sample t test,paired t test,and x2 test were used for statistical analysis.Results On day 15 and 30 after surgery,the FMA scores in the observation group were higher than those in the control group[(20.76±2.86)points vs.(19.20±2.75)points,(28.81±1.47)points vs.(26.12±1.08)points](both P<0.05);the MBI scores in the observation group were higher than those in the control group[(6.89±1.01)points vs.(5.76±1.03)points,(8.43±1.01)points vs.(7.21±1.26)points](both P<0.05).On day 30 after surgery,the scores of mobility,self-management,activity,pain or discomfort,and anxiety or depression of the EQ-5D in the observation group were all higher than those in the control group[(2.01±0.64)points vs.(1.78±0.14)points,(1.95±0.43)points vs、(1.77±0.34)points,(1.82±0.26)pointsvs.(1.69±0.27)points,(2.01±0.27)pointsvs.(1.90±0.12)points,(1.92±0.14)points vs.(1.81±0.30)points](all P<0.05).Conclusion Virtual situational interactive training can improve the motor function,daily activity ability,and quality of life in patients after stroke surgery.
StrokePostoperative careVirtual scenario interactive trainingMotor functionDaily activity abilityQuality of life