Hu HF, Sang YF, Xiao YQ. Effect of comprehensive nursing on the quality of life and swallowing function in individuals diagnosed with ischemic stroke. World J Clin Cases 2024; 12(8): 1406-1415 [PMID: 38576809 DOI: 10.12998/wjcc.v12.i8.1406]
Corresponding Author of This Article
Heng-Fen Hu, MD, PhD, Associate Professor, Medical School, Hunan Vocational and Technical College of Environmental Biology, No. 165 Wangcheng Road, Shigu District, Hengyang 421005, Hunan Province, China. huhengfenfen@126.com
Research Domain of This Article
Nursing
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 16, 2024; 12(8): 1406-1415 Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1406
Effect of comprehensive nursing on the quality of life and swallowing function in individuals diagnosed with ischemic stroke
Heng-Fen Hu, Yu-Fei Sang, Yan-Qing Xiao
Heng-Fen Hu, Medical School, Hunan Vocational and Technical College of Environmental Biology, Hengyang 421005, Hunan Province, China
Yu-Fei Sang, Medical Team, The Unit 95246 Of Chinese People’s Liberation Army, Nanning 530007, Guangxi Zhuang Autonomous Region, China
Yan-Qing Xiao, Department of Gynecology and Obstetrics, Hengyang Maternal and Child Health Hospital, Hengyang 421001, Hunan Province, China
Author contributions: Hu HF and Sang YF contributed to the conception and design of the study, acquisition of data, and analysis and interpretation of data; Xiao YQ contributed to the drafting the article and making critical revisions related to the relevant intellectual content of the manuscript; All authors validated and approved the final version of the article to be published.
Institutional review board statement: This study was approved by the Ethics Committee of Hengyang Maternal and Child Health Hospital (No. 202001151).
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 that they have no competing interests.
Data sharing statement: Data supporting the findings of this study are available upon reasonable request from the corresponding authors.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
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: Heng-Fen Hu, MD, PhD, Associate Professor, Medical School, Hunan Vocational and Technical College of Environmental Biology, No. 165 Wangcheng Road, Shigu District, Hengyang 421005, Hunan Province, China. huhengfenfen@126.com
Received: November 27, 2023 Peer-review started: November 27, 2023 First decision: January 15, 2024 Revised: January 23, 2024 Accepted: February 27, 2024 Article in press: February 27, 2024 Published online: March 16, 2024 Processing time: 105 Days and 14.9 Hours
ARTICLE HIGHLIGHTS
Research background
Ischemic stroke (IS) is a widely recognized disease characterized by high prevalence, mortality, morbidity, disability, and recurrence rates. It ranks prominently in terms of mortality, constituting 60%-80% of stroke cases.
Research motivation
Although comprehensive nursing interventions have been shown to be effective in multiple aspects, there is still a significant gap in the research on their improvement of swallowing function in patients with IS.
Research objectives
This study aimed to analyze the efficacy of the comprehensive nursing model in patients with IS, evaluating its influence on their swallowing function. The findings hold the potential to broaden the spectrum of available nursing plans for individuals with IS.
Research methods
The National Institutes of Health Stroke scale (NIHSS), European stroke scale (ESS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), Barthel index (BI), and the motor function assessment scale (MAS), were employed to evaluate the improvement in swallowing function, neurological deficits, clinical outcomes, anxiety, depression, daily living activities, and motor function before and after care, respectively. Furthermore, the study compared the occurrence of adverse reactions during the nursing period, life quality before and after the intervention, rehabilitation compliance, and nursing satisfaction between the two groups.
Research results
After nursing intervention, the standard swallowing function assessment scale and NIHSS scores of the study group were significantly improved compared with those of the control group, and the SAS and SDS scores of the two groups were significantly lower than those before treatment. The ESS, BI and MAS scores of the study group were better than those of the control group, and the incidence of adverse reactions was lower than that of the control group. The quality of life, rehabilitation compliance, and nursing satisfaction of the study group were higher than those of the control group, and the differences were statistically significant.
Research conclusions
Comprehensive nursing effectively improved the swallowing function of IS patients, relieved IS patients’ negative emotions, promoted the recovery of IS patients, and improved the life quality of IS patients.
Research perspectives
Future studies will incorporate a wider range of care models for a more comprehensive comparison.
