Abstract
Objective To analyze the changes in blood lipids, serum visfatin and adiponectin in patients with ischemic stroke before and after implementation of stroke unit mode, and to explore the effects of this nursing mode on the prognosis and functional recovery of patients. Methods A total of 128 patients with ischemic stroke in the Neurology Department of Nanyang Nanshi Hospital from March 2016 to June 2017 were selected as the research objects. According to the order number, they were divided into the observation group and the control group, with 64 cases in each group. 7 patients fell off, 3 from the observation group and 4 from the control group. The control group was given routine rehabilitation nursing in Neurology Department, while the observation group was given stroke unit rehabilitation nursinig mode. All the objects were evaluated for exercise function, living ability and nursing satisfaction using National Institute of Health Stroke Scale (NIHSS) , Fugl-Meyer Assessment (FMA) , Barthel Index (BI) and a self-designed nursing satisfaction survey. Results There were no statistical significance in the differences of serum total cholesterol (TC) , triglyceride (TG) , visfatin and adiponectin levels between the two groups before the intervention (P>0.05) . After the intervention, the values of TC, TG and visfatin of the observation group were all lower than those of the control group, however the adiponectin level was higher. All the differences were statistically significant (P 0.05) . The score of NIHSS of the observation group was lower than that of the control group after the intervention, but the scores of FMA and BI were higher (P<0.001) . The satisfaction of nursing quality, nursing attitude, nurse patient relationship and health knowledge awareness in the observation group were significantly higher than those of the control group (P<0.05) . Conclusions Stroke unit mode can improve blood lipid and reduce visfatin, increase adiponectin content and improve neurological function in patients with ischemic stroke, so as to improve living ability and motor function of patients. Key words: Dyslipidemias; Ischemic stroke; Stroke unit; Visfatin; Sdiponectin
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