Peng X, Ni HQ, Liu YM, Zhu JL, Bai YT. Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction: A randomized controlled trial. World J Clin Cases 2024; 12(24): 5549-5557 [PMID: 39188613 DOI: 10.12998/wjcc.v12.i24.5549]
Corresponding Author of This Article
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
Research Domain of This Article
Nursing
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
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World J Clin Cases. Aug 26, 2024; 12(24): 5549-5557 Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5549
Table 1 Comparison of baseline characteristics between the intervention and control groups
Group
Number of cases
Sex, male/female
Age, years
Body mass index
Stroke duration, days
Pulmonary dysfunction duration, days
Education years
Intervention
60
32/28
68.60 ± 5.77
24.89 ± 3.57
28.64 ± 3.57
25.58 ± 2.23
9.32 ± 1.26
Control
60
35/25
68.90 ± 5.88
25.01 ± 3.65
28.70 ± 3.62
25.73 ± 2.29
9.37 ± 1.30
t value
-
0.349
0.266
0.19
0.096
0.355
0.16
P value
-
0.588
0.823
0.885
0.941
0.759
0.494
Table 2 Comparison of pulmonary function indicators in both groups
Group
Number of cases
FVC pre-intervention, L
FVC post-intervention, L
FEV1 pre-intervention, L
FEV1 post-intervention, L
PEF pre-intervention, L/s
PEF post-intervention, L/s
Intervention
60
2.38 ± 0.19
3.78 ± 0.25
1.78 ± 0.16
3.26 ± 0.19
5.27 ± 0.32
7.25 ± 0.25
Control
60
2.42 ± 0.21
3.07 ± 0.22
1.80 ± 0.19
2.28 ± 0.16
5.24 ± 0.36
5.83 ± 0.23
t value
-
0.868
16.605
0.665
30.908
0.499
32.288
P value
-
0.43
< 0.001
0.553
< 0.001
0.665
< 0.001
Table 3 Comparison of blood gas analysis indicators in t groups
Group
Number of cases
PaO2 pre-intervention, mmHg
PaO2 post-intervention, mmHg
PaCO2 pre-intervention, mmHg
PaCO2 post-intervention, mmHg
SaO2 pre-intervention, %
SaO2 post-intervention, %
Intervention
60
61.32 ± 6.35
79.21 ± 5.16
73.52 ± 5.46
58.14 ± 6.10
76.70 ± 7.15
93.66 ± 7.71
Control
60
61.24 ± 6.31
62.96 ± 5.34
73.60 ± 5.54
73.07 ± 5.84
77.34 ± 7.11
86.79 ± 7.62
t value
-
0.074
17.061
0.084
13.77
0.495
4.93
P value
-
0.941
< 0.001
0.933
< 0.001
0.671
< 0.001
Table 4 Comparison of complication incidence rates in both groups
Group
Cases, n
Aspiration
Pulmonary atelectasis
Pulmonary infection
Shoulder-Hand syndrome
Total cases
Incidence rate, %
Intervention
60
2
1
1
0
4
6.67
Control
60
3
3
2
6
14
23.33
Table 5 Comparison of quality of life scores before and after nursing care in both groups
Group
Cases, n
Physical function
Social function
Mental health
Physiological role
Body pain
Energy
Emotional role
General health status
Before
After
Before
After
Before
After
Before
After
Before
After
Before
After
Before
After
Before
After
Intervention
60
55.50 ± 4.15
78.05 ± 4.52
53.55 ± 4.89
77.30 ± 5.11
54.25 ± 4.94
78.35 ± 5.00
56.65 ± 4.10
78.76 ± 4.80
56.60 ± 4.24
80.12 ± 4.60
54.30 ± 4.93
79.30 ± 5.14
55.45 ± 4.95
78.80 ± 4.85
56.70 ± 4.08
79.05 ± 4.70
Control
60
55.46 ± 4.22
67.70 ± 4.56
53.81 ± 4.95
66.82 ± 5.40
54.58 ± 5.15
67.85 ± 5.00
56.90 ± 4.30
69.33 ± 4.60
56.05 ± 4.32
68.30 ± 4.56
53.90 ± 4.97
66.70 ± 5.25
55.60 ± 5.07
69.47 ± 5.00
56.98 ± 4.18
70.05 ± 4.60
t value
0.049
13.061
0.27
10.6
0.332
10.994
0.308
11.68
0.648
14.21
0.402
12.511
0.151
10.8
0.331
10.09
P value
0.961
0
0.788
0
0.741
0
0.759
0
0.518
0
0.689
0
0.881
0
0.741
0
Citation: Peng X, Ni HQ, Liu YM, Zhu JL, Bai YT. Information-motivation-behavioral guided nursing for stroke patients with pulmonary dysfunction: A randomized controlled trial. World J Clin Cases 2024; 12(24): 5549-5557