Abstract
Objective To investigate the effects of systemic rehabilitation nursing combined with WeChat publicity and education on the early cognitive function and living quality of the patients with cerebral arterial thrombosis. Methods Ninety-two patients with cerebral arterial thrombosis treated in our hospital (January 2019–January 2021) were selected as the research objects and equably divided into control group and study group according to their nursing model, with 46 patients in each group. The control group received routine nursing, while the study group received systemic rehabilitation nursing combined with WeChat publicity and education based on the routine nursing. The early cognitive functions, living quality, and other observation indexes of the two groups after nursing were compared, and the intervention effects were evaluated. Results No statistical difference in the general data was observed between the two groups (P > 0.05). The NIHSS (National Institutes of Health Stroke Scale) scores, Fugl-Meyer scores, and MoCA (Montreal Cognitive Assessment) scores of the two groups after nursing were all better than those before nursing, and the NIHSS score, Fugl-Meyer score, and MoCA score of the study group after nursing were better than those of the control group (P < 0.05). Compared with the control group, the study group had a remarkably higher excellent and good rate of daily living ability after nursing (P < 0.05) and prominently higher SIS (Sensory Index Score) after nursing (P < 0.05). The SIS included the scores of emotion, strength, ADL (activities of daily living), memory and thinking, hand function, communication and participation as well as the total score. Conclusion The systemic rehabilitation nursing combined with WeChat publicity and education can effectively reduce the degree of neurological deficit of the patients with cerebral arterial thrombosis, improve their early cognitive function and motor function, and increase their daily living ability and prognostic living quality.
Highlights
Cerebral arterial thrombosis, as known as cerebral infarction, is one of the most common cerebrovascular diseases and features high incidence, mutilation rate, and mortality
Motor Function. e Fugl-Meyer scores of the two groups increased after nursing, and the study group had a prominently higher Fugl-Meyer score after nursing than the control group (P < 0.05; Table 2)
Cognitive Function. e MoCA scores of the two groups increased after intervention, and the study group had a much higher MoCA score than the control group (P < 0.05; Figure 2)
Summary
As known as cerebral infarction, is one of the most common cerebrovascular diseases and features high incidence, mutilation rate, and mortality. After the acute treatment stage, more than 75% of patients need to receive rehabilitation training to improve their living quality and limb movement function. E traditional mode of publicity and education is mainly carrying out oral education for patients when discharged and asking for the patients’ rehabilitation through telephone follow-up after discharged. With the development of science and technology, WeChat publicity and education breaks the limitations of time and space, improves the effectiveness of communication, and is conducive to the nursing service in clinic. In order to improve the clinical nursing and service quality for the patients with cerebral arterial thrombosis, our hospital has established a systemic rehabilitation nursing model combined with WeChat publicity and education, attempting to ensure the patients’ rehabilitation effects. There are few relevant studies, and this paper conducts a retrospective analysis of the clinical cases, summarized as follows
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