Impact of integrated management of medical care and treatment on rehabilitation outcomes and negative emotions in patients during stroke recovery
Objective To explore the intervention effects of integrated management of medical care and treatment on rehabili-tation outcomes and negative emotions in patients z,providing a reference for nursing intervention programs.Methods A total of 130 stroke recovery patients admitted between February 2022 and February 2023 from The First Affiliated Hospital of Nanjing Medical University,were randomly allocated to control and observation groups,with 65 patients each.The con-trol group received traditional nursing management,while the observation group received integrated management of medical care and treatment.Outcomes such as neurological function,limb motor function,activities of daily living,negative emo-tions,quality of life,and length of hospital stay duration were compared.Results Before intervention,no statistically sig-nificant differences were found between the two groups in the subscale and total scores of the National Institutes of Health Stroke Scale (NIHSS) (P>0.05).After intervention,the subscale and total scores of NIHSS in both groups were signifi-cantly lower than before intervention (P<0.05),with the observation group scoring significantly lower than the control group (P<0.05).Before intervention,no significant differences were observed between the two groups in the Fugl-Meyer Assessment (FMA) scores for upper limb motor function,lower limb motor function,and total scores (P>0.05).After intervention,FMA scores for upper limb motor function,lower limb motor function,and total scores in both groups were significantly higher than before intervention (P<0.05),with the observation group scoring significantly higher than the control group (P<0.05).Before intervention,no significant differences were noted between the two groups in the Self-Rat-ing Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores (P>0.05).After intervention,SAS and SDS scores in both groups were significantly lower than before intervention (P<0.05),with the observation group scoring sig-nificantly lower than the control group (P<0.05).Before intervention,no significant differences were found between the two groups in the Barthel Index and Stroke-Specific Quality of Life Scale (SS-QOL) scores (P>0.05).After intervention,Barthel Index and SS-QOL scores in both groups were significantly higher than before intervention (P<0.05),with the ob-servation group scoring significantly higher than the control group (P<0.05).The average hospital stay was (7.53±1.52) days for the observation group and (7.62±1.50) days for the control group,with no statistical significance (t=0.340,P=0.735).Conclusion Integrated management of medical care and treatment significantly promotes neurological function,limb motor function,activities of daily living,and quality of life in stroke recovery patients,while also alleviating negative e-motions,making it suitable for clinical application.
Integrated management of medical care and treatmentStroke recoveryNeurological functionLimb motor functionNegative emotions