Randomized Controlled Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2024; 12(24): 5549-5557
Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5549
Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction: A randomized controlled trial
Xia Peng, Hui-Qin Ni, Yong-Mei Liu, Jin-Ling Zhu, Yu-Ting Bai
Xia Peng, Yu-Ting Bai, Department of Respiratory and Critical Care Medicine, Yancheng First Hospital Affiliated to Nanjing University School of Medicine, Yancheng 224006, Jiangsu Province, China
Hui-Qin Ni, Jin-Ling Zhu, Department of Neurology, Yancheng First Hospital Affiliated to Nanjing University School of Medicine, Yancheng 224006, Jiangsu Province, China
Yong-Mei Liu, Department of Nursing, Yancheng First Hospital Affiliated to Nanjing University School of Medicine, Yancheng 224006, Jiangsu Province, China
Author contributions: Peng X contributed to the conception of this study; Ni HQ and Liu YM made substantial contributions to literature search, data extraction, quality evaluation, data analysis, and manuscript preparation; Zhu JL contributed to enhancing the language, style, and protocol of this article; Peng X contributed to the analysis through constructive discussion; Bai YT revised and endorsed the final version of this manuscript.
Institutional review board statement: The Ethical Committee of Yancheng First Hospital Affiliated to Nanjing University School of Medicine endorsed all of the study's procedures (2021-059).
Clinical trial registration statement: This RCT was not registered due to urgent clinical needs and regional procedural barriers. Despite this, the trial was rigorously conducted, adhering to ethical and scientific standards with informed consent obtained. Future trials will be registered in advance to ensure transparency.
Informed consent statement: All the patients and their families included in this retrospective analysis provided written informed consent for publication.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Data sharing statement: The datasets generated and analyzed during this study are not publicly available due to the proprietary data of Yancheng First Hospital Affiliated to Nanjing University School of Medicine. However, they can be made available upon request. Interested parties should contact the corresponding author for access to the data.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
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 in accordance with 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: Yu-Ting Bai, MBBS, Doctor, Department of Respiratory and Critical Care Medicine, Yancheng First Hospital Affiliated to Nanjing University School of Medicine, No. 166 Yulong West Road, Yancheng 224006, Jiangsu Province, China. baiyuting19852023@163.com
Received: April 16, 2024
Revised: June 9, 2024
Accepted: June 24, 2024
Published online: August 26, 2024
Processing time: 86 Days and 4.1 Hours
Abstract
BACKGROUND

Patients with stroke frequently experience pulmonary dysfunction.

AIM

To explore the effects of information-motivation-behavioral (IMB) skills model-based nursing care on pulmonary function, blood gas indices, complication rates, and quality of life (QoL) in stroke patients with pulmonary dysfunction.

METHODS

We conducted a controlled study involving 120 stroke patients with pulmonary dysfunction. The control group received routine care, whereas the intervention group received IMB-model-based nursing care. Various parameters including pulmonary function, blood gas indices, complication rates, and QoL were assessed before and after the intervention.

RESULTS

Baseline data of the control and intervention groups were comparable. Post-intervention, the IMB model-based care group showed significant improvements in pulmonary function indicators, forced expiratory volume in 1 sec, forced vital capacity, and peak expiratory flow compared with the control group. Blood gas indices, such as arterial oxygen pressure and arterial oxygen saturation, increased significantly, and arterial carbon dioxide partial. pressure decreased significantly in the IMB model-based care group compared with the control group. The intervention group also had a lower complication rate (6.67% vs 23.33%) and higher QoL scores across all domains than the control group.

CONCLUSION

IMB model-based nursing care significantly enhanced pulmonary function, improved blood gas indices, reduced complication rates, and improved the QoL of stroke patients with pulmonary dysfunction. Further research is needed to validate these results and to assess the long-term efficacy and broader applicability of the model.

Keywords: Cerebrovascular accident rehabilitation; Respiratory function tests; Nursing methodology research; Behavioral medicine; Quality of life

Core Tip: Our study examined the impact of information-motivation-behavioral (IMB) model-based nursing on stroke patients with pulmonary dysfunction. The findings revealed that IMB care significantly improved pulmonary function and blood gas indices, reduced complications, and improved quality of life. The results highlight the potential of the IMB model to transform nursing practice and patient outcomes in cerebrovascular accident rehabilitation.