Case Control Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2023; 11(14): 3148-3157
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3148
Impact of extended nursing model after multi-disciplinary treatment on young patient with post-stroke
Xiao-Yan Xu, Zhi-Juan Pang, Mei-Hui Li, Kun Wang, Jie Song, Yue Cao, Mao Fang
Xiao-Yan Xu, Mei-Hui Li, Kun Wang, Jie Song, Yue Cao, Mao Fang, Second Ward, Department of Neurology, The Second Affiliated Hospital of Qiqihar Medical College, Qiqihar 161006, Heilongjiang Province, China
Zhi-Juan Pang, Department of Rehabilitation Medicine, The Second Affiliated Hospital of Qiqihar Medical College, Qiqihar 161006, Heilongjiang Province, China
Author contributions: Fang M, Xu XY, Wang K, and Pang ZJ contributed to the conceptualization and study design; Fang M, Song J, and Xu XY contributed to the administrative support; Fang M, Xu XY, Wang K, Pang ZJ, and Song J contributed to resources; Xu XY, Pang ZJ, Li MH, Wang K, Song J, and Cao Y contributed to the data Collection; Xu XY, Pang ZJ, Li MH, Wang K, Song J, Cao Y, and Fang M contributed to the Data analysis; all the authors contributed to the manuscript writing, reviewing, revising, and editing.
Supported by the Joint Guidance Project of Qiqihar Science and Technology Plan in 2020, No. LHYD-202054.
Institutional review board statement: The study was approved by the Ethics Committee of the Second Affiliated Hospital of Qiqihar Medical College.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have stated that they have no conflict of interest.
Data sharing statement: The authors do not agree to share the data.
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: Mao Fang, Nurse, Second Ward, Department of Neurology, The Second Affiliated Hospital of Qiqihar Medical College, No. 64 Zhonghua West Road, Jianhua District, Qiqihar 161006, Heilongjiang Province, China. maof9929@qmu.edu.cn
Received: January 10, 2023
Peer-review started: January 10, 2023
First decision: January 30, 2023
Revised: February 8, 2023
Accepted: April 6, 2023
Article in press: April 6, 2023
Published online: May 16, 2023
ARTICLE HIGHLIGHTS
Research background

Stroke has become one of the most serious life-threatening diseases due to its high morbidity, disability, recurrence and mortality rates. As an important part of clinical treatment, nursing has a significant impact on the psychological and prognostic outcomes of stroke patients.

Research motivation

Previous studies have demonstrated that different nursing models have different clinical effects on the improvement of negative mood and physical function recovery of stroke patients. Although the nursing model have had a positive effect on dysphoria and life quality of stroke patients, most of those studies were conducted in-hospital. The psychological changes and functional recovery of patients after discharge from hospital were not available until now.

Research objectives

To make up deficiencies, the multi-disciplinary treatment (MDT) model was combined with the extended nursing mode to investigate the optimized care model for young stroke patients in this study.

Research methods

Sixty stroke patients who were hospitalized in the Department of Neurology of our hospital from January 2020 to December 2021 were selected and randomly divided into control group and experimental group, with 30 patients in each group. The control group were treated with conventional nursing while the experimental group were treated with MDT extended nursing mode. Self-rating Anxiety Scale, Self-rating Depression Scale, Hamilton Depression Scale, and Hamilton Anxiety Scale were used to evaluate the negative emotions of patients. The quality of life was evaluated by Barthel Index and the Short-Form Health Survey.

Research results

There are no statistically significant differences in the negative emotions scores between the two groups at admission, while there are statistically significant differences in the negative emotions scores within each group at admission and discharge, at discharge and post-discharge, and at discharge and post-discharge. In addition, the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups. There was no statistically significant difference in quality of life scores at the time of admission between the two groups, and the difference between quality of life scores at the time of admission and discharge, at the time of discharge and post-discharge, and at the time of admission and post-discharge for each group of patients was statistically significant.

Research conclusions

In the two groups of patients included in this study, the life quality of the patients in the control group has been declining due to the absence of out-of-hospital rehabilitation training guidance and care, while the quality of life scores of the patients in the intervention group have been rising and differ significantly from those of the control group.

Research perspectives

The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life. Therefore, it can be applied in future clinical practice and is worthy of promotion.