Retrospective Study
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World J Clin Cases. Feb 16, 2022; 10(5): 1508-1516
Published online Feb 16, 2022. doi: 10.12998/wjcc.v10.i5.1508
Timing theory continuous nursing, resistance training: Rehabilitation and mental health of caregivers and stroke patients with traumatic fractures
Ya-Li Shen, Zong-Qun Zhang, Li-Juan Zhu, Jing-Hua Liu
Ya-Li Shen, Li-Juan Zhu, Department of Orthopedics, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Zong-Qun Zhang, Department of Neurology, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Jing-Hua Liu, Department of Nursing, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Author contributions: Shen YL and Zhang ZQ design the experiment; Zhu LJ drafted the work, Liu JH and Shen YL collected the data; Zhang ZQ and Zhu LJ analyzed and interpreted data, Liu JH and Shen YL wrote and revised the manuscript.
Institutional review board statement: This study was Approved by the Ethics Committee of Chengde Central Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declared that there is no conflict of interest between them.
Data sharing statement: No additional data are available.
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: Jing-Hua Liu, MD, Nurse, Department of Nursing, Chengde Central Hospital, No. 11 Guangren Street, Shuangqiao District, Chengde 067000, Hebei Province, China. 5446468liu@163.com
Received: November 14, 2021
Peer-review started: November 14, 2021
First decision: December 9, 2021
Revised: December 19, 2021
Accepted: January 8, 2022
Article in press: January 8, 2022
Published online: February 16, 2022
Processing time: 88 Days and 21.3 Hours
ARTICLE HIGHLIGHTS
Research background

Stroke is the main cause of lifelong disability in adults worldwide. It refers to acute cerebrovascular diseases with multiple etiologies and corresponding clinical symptoms. Approximately 75% of surviving stroke patients have neurological impairment. Because of this, some patients are prone to traumatic fractures and require special care.

Research motivation

Provide new methods and ideas for the nursing of patients with traumatic fracture and stroke.

Research objectives

The authors aimed to determine the effect of timing theory continuous care, with resistance training, on rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.

Research methods

We conducted a study on 100 patients with traumatic fractures who came to our hospital from January 2017 to March 2021 due to post-stroke hemiplegia.

Research results

After the intervention, compared with before the intervention, the observation group and the control group increased alkaline phosphatase (ALP), osteocalcin, and vitamin D3, and type I collagen β-carboxy terminal peptide (β-CTX) decreased. ALP and osteocalcin in the observation group were higher than those in the control group. There was no statistically significant difference between the two groups of β-CTX and vitamin D3. The SPBS score of the observation group was lower than that of the control group, and the ability of daily living score of the observation group was higher than that of the control group. The burden score was lower than that of the control group, Harris hip joint function and global quality of life questionnaire scores were higher than that of the control group, and the satisfaction degree was higher than that of the control group.

Research conclusions

Timing theory continuous nursing with resistance training can reduce hip dysfunction of stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.

Research perspectives

In the subsequent treatment, it can improve the ability of daily living and quality of life of patients with traumatic fracture of stroke, and promote the mental health of patients and their caregivers.