Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 24-31
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.24
Clinical value of precise rehabilitation nursing in management of cerebral infarction
Ya-Na Xu, Xiu-Zhen Wang, Xiao-Rong Zhang
Ya-Na Xu, Xiao-Rong Zhang, Department of Neurology, Wuhan Fourth Hospital, Wuhan 430030, Hubei Province, China
Xiu-Zhen Wang, Department of Neurosurgery, The First People's Hospital of Jiangxia District, Wuhan City (Union Jiangnan Hospital of Huazhong University of Science and Technology), Wuhan 430200, Hubei Province, China
Co-first authors: Ya-Na Xu and Xiu-Zhen Wang.
Author contributions: Xu YN and Wang XZ designed the research; Zhang XR, Xu YN, and Wang XZ contributed new reagents/analytic tools; Zhang XR, Yana Xu, and Wang XZ analyzed the data; Xu YN and Wang XZ wrote the paper; all authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Xu YN and Wang XZ contributed equally to this work as co-first authors. The reasons for designating Xu YN and Wang XZ as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-corresponding authorship accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with various expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Xu YN and Wang XZ contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution while recognizing the spirit of teamwork and collaboration in this study. In summary, we believe that designating Xu YN and Wang XZ as co-first authors is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: The study protocol was approved by Wuhan Fourth Hospital, and all the families have voluntarily participated in the study and have signed informed consent forms.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest for this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable request from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed by the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Rong Zhang, MM, Chief Nurse, Department of Neurology, Wuhan Fourth Hospital, No. 473 Hanzheng Street, Qiaokou District, Wuhan 430030, Hubei Province, China. zhangxiaorong136@163.com
Received: October 30, 2023
Peer-review started: October 30, 2023
First decision: November 8, 2023
Revised: November 30, 2023
Accepted: December 15, 2023
Article in press: December 15, 2023
Published online: January 6, 2024
Processing time: 64 Days and 0.2 Hours
Abstract
BACKGROUND

Cerebral infarction, previously referred to as cerebral infarction or ischemic stroke, refers to the localized brain tissue experiencing ischemic necrosis or softening due to disorders in brain blood supply, ischemia, and hypoxia. The precision rehabilitation nursing model for chronic disease management is a continuous, fixed, orderly, and efficient nursing model aimed at standardizing the clinical nursing process, reducing the wastage of medical resources, and improving the quality of medical services.

AIM

To analyze the value of a precise rehabilitation nursing model for chronic disease management in patients with cerebral infarction.

METHODS

Patients (n = 124) admitted to our hospital with cerebral infarction between November 2019 and November 2021 were enrolled as the study subjects. The random number table method was used to divide them into a conventional nursing intervention group (n = 61) and a model nursing intervention group (n = 63). Changes in the nursing index for the two groups were compared after conventional nursing intervention and precise rehabilitation intervention nursing for chronic disease management.

RESULTS

Compared with the conventional intervention group, the model intervention group had a shorter time to clinical symptom relief (P < 0.05), lower Hamilton Anxiety Scale and Hamilton Depression Scale scores, a lower incidence of total complications (P < 0.05), a higher disease knowledge mastery rate, higher safety and quality, and a higher overall nursing satisfaction rate (P < 0.05).

CONCLUSION

The precision rehabilitation nursing model for chronic disease management improves the clinical symptoms of patients with cerebral infarction, reducing the incidence of total complications and improving the clinical outcome of patients, and is worthy of application in clinical practice.

Keywords: Precise rehabilitation nursing model for chronic disease management; Cerebral infarction; Knowledge of disease; Safety and quality

Core Tip: Cerebral infarction is a frequently occurring disease with postoperative sequelae, so internal medicine nursing is critical. This study adopted the principle of random grouping, the nursing mode of routine nursing intervention, and precise rehabilitation intervention for managing chronic diseases to nurse patients with cerebral infarction. It was found that the precise rehabilitation intervention nursing mode for managing chronic diseases reduced the incidence of total complications and improved the clinical efficacy, which is worthy of popularization and application in the clinic.