基于循证医学的延续护理干预对脑卒中患者躯体及神经功能康复的影响OA

Objective To explore the effect of continuing nursing care based on evidence-based medicine on physical and neu-rological rehabilitation in stroke patients.Methods A total of 132 stroke patients admitted to Changzhou Third People's Hospital,from July 2024 to June 2025 were selected as study participants.Using a random number table method,they were assigned to a study group and a control group,with 66 patients in each group.Patients in the control group received routine nursing,while patients in the study group received continuing nursing care based on evidence-based medicine in addition to routine nursing.The motor function(Fugl-Meyer scale[FM]),activities of daily living(Barthel Index),neurological func-tion(National Institutes of Health Stroke Scale[NIHSS]),and quality of life(Chinese version of the 36-Item Short-Form Health Survey[SF-36])were compared between the two groups before intervention and at 3 months of intervention.The occurrence of complications at 3 months of intervention was compared between the two groups.Results Before interven-tion,there were no statistically significant differences in the upper limb FM,lower limb FM,and Barthel Index scores be-tween the two groups(P>0.05).After intervention,the upper limb FM,lower limb FM,and Barthel Index scores in both groups were higher than those before intervention,and the scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Before intervention,there was no statistically significant differ-ence in NIHSS scores between the two groups(P>0.05).After intervention,NIHSS scores in both groups were lower than those before intervention,and the score in the study group was lower than that in the control group,with statistically significant differences(P<0.05).Before intervention,there were no statistically significant differences in the SF-36 scores of physical function,general health,role physical,vitality,bodily pain,role emotional,social function,and mental health dimensions between the two groups(P>0.05).After intervention,the SF-36 scores of these dimensions in both groups were higher than those before intervention,and the scores in the study group were higher than those in the control group,with statistically significant differences(P<0.05).The complication rate in the study group was significantly lower than that in the control group(3.03%vs.12.12%;P<0.05).Conclusion Continuing nursing care based on evidence-based medicine can significantly improve physical and neurological function,reduce the risk of complications,and raise the quality of life in stroke patients,warranting clinical promotion and application.