Life Ability Of Patients Research Articles

Clinical observation on treatment of Alzheimer's disease with Sun's scalp-abdominal acupuncture combined with donepezil hydrochloride.

To observe the effect of scalp-abdominal acupuncture combined with donepezil hydrochloride on cognition and life ability of patients with Alzheimer's disease (AD), so as to evaluate its clinical efficacy. Sixty AD patients were collected and randomly divided into control group (30 cases) and observation group (30 cases). Patients in the control group were treated with oral donepezil hydrochloride (5 mg, once daily). Patients in the observation group were treated with scalp-abdominal acupuncture at Baihui (GV20), Yintang (GV24+), Sishencong (EX-HN1), "emotional area", Shenting (GV24), "abdominal area 1""abdominal area 8", and bilateral Fengchi (GB20), Taixi (KI3), Xuanzhong (GB39), Zusanli (ST36) on the basis of control group, and electroacupuncture (10 Hz/50 Hz, 0.5 to 5.0 mA) was applied to EX-HN1, "emotional area""abdominal area 1" and "abdominal area 8", once daily, 30 min each time. Four weeks as a course of treatment, both the two groups were treated for two consecutive courses. Before and after treatment, the mini-mental state examination (MMSE), AD assessmennt scale-cognitive subscale (ADAS-Cog) and activity of daily living scale (ADL) were evaluated. The clinical efficacy index was calculated and safety was evaluated. After treatment, the MMSE and ADL scores were higher (P<0.05) and the ADAS-Cog score was lower (P<0.05) than those before treatment in both groups. Compared with the control group, the MMSE and ADL scores were increased (P<0.05) and ADAS-Cog score was decreased (P<0.05) in the observation group. The total effective rate of the observation group (26/30, 86.67%) was higher (P<0.05) than that of the control group (23/30, 76.67%). No adverse reactions occurred in both groups during the treatment. Scalp-abdominal acupuncture combined with donepezil hydrochloride can effectively improve the cognitive ability and daily living ability of AD patients, and the efficacy is better than that of oral donepezil hydrochloride alone.

Impact of perioperative care and cognitive training on neurological recovery and life ability in hypertensive intracerebral hemorrhage patients undergoing minimally invasive hematoma evacuation.

To evaluate the effects of perioperative care combined with cognitive training on neurological recovery and life ability in patients with hypertensive intracerebral hemorrhage undergoing minimally invasive hematoma evacuation. A retrospective analysis was conducted using electronic records and data from patients treated at the Central South Hospital of Wuhan University from March 2022 to March 2023. The control group consisted of 44 patients receiving routine care, while the research group included 56 patients who received perioperative care combined with cognitive training. Baseline characteristics were analyzed, and neurological function, cognitive function, motor function, life ability, emotional status, and quality of life were assessed before and after intervention. Additionally, recovery time of gastrointestinal function, hospital stay, complications, and nursing satisfaction were compared between the groups. Post-intervention, both groups showed significant decreases in NIHSS (National Institutes of Health Stroke Scale), SAS (Self-Rating Anxiety Scale), and SDS (Self-Rating Depression Scale) scores (P<0.05), with the research group showing significantly lower scores than the control group (all P<0.05). Significant improvements in MMSE (Mini-Mental State Examination), ADL (Activities of Daily Living), SS-QOL (Stroke Specific Quality of Life Scale), and motor function scores were observed in both groups, with the research group achieving significantly higher scores (all P<0.05). The research group had shorter recovery time for gastrointestinal function, reduced hospital stays, and lower complication rates compared to the control group (all P<0.05). Nursing satisfaction was significantly higher in the research group (P<0.05). Logistic multivariate analysis identified hemorrhage volume and nursing methods as independent risk factors affecting prognosis (P<0.05). Perioperative care combined with cognitive training significantly enhances neurological recovery, cognitive function, motor ability, and overall life quality in patients with hypertensive intracerebral hemorrhage undergoing minimally invasive hematoma evacuation.

Application of Integrated Emergency Care Model Based on Failure Modes and Effects Analysis in Patients With Ischemic Stroke.

PurposeTo explore the application value of an integrated emergency care model based on failure modes and effects analysis (FMEA) in patients with acute ischemic stroke (AIS).MethodsAccording to the convenience sampling method, 100 patients with AIS who visited the emergency department in our hospital from October 2018 to March 2019 were randomly selected as the control group and received routine emergency care mode intervention. Another 100 AIS patients who visited the emergency department from April to October 2019 were selected as the intervention group and received the integrated emergency care model based on FMEA. The total time spent from admission to completion of each emergency procedure [total time spent from admission to emergency physician reception (T0−1), total time spent from admission to stroke team reception (T0−2), total time spent from admission to imaging report out (T0−3), total time spent from admission to laboratory report out (T0−4), and total time spent from admission to intravenous thrombolysis (T0−5)] was recorded for both groups. The clinical outcome indicators (vascular recanalization rate, symptomatic intracerebral hemorrhage incidence, mortality rate) were observed for both groups. The National Institutes of Health Stroke Scale (NIHSS) score and Barthel score were evaluated for both groups after the intervention. The treatment satisfaction rate of the patients was investigated for both groups.ResultsThe total time of T0−1, T0−2, T0−3, T0−4, T0−5 in the intervention group (0.55 ± 0.15, 1.23 ± 0.30, 21.24 ± 3.01, 33.30 ± 5.28, 44.19 ± 7.02) min was shorter than that of the control group (1.22 ± 0.28, 4.01 ± 1.06, 34.12 ± 4.44, 72.48 ± 8.27, 80.31 ± 9.22) min (P < 0.05). The vascular recanalization rate in the intervention group (23.00%) was higher than that in the control group (12.00%) (P < 0.05). There was no statistical significance in the symptomatic intracerebral hemorrhage incidence and mortality rate in the two groups (P > 0.05). After intervention, the NIHSS score of the intervention group (2.95 ± 0.91) was lower than that of the control group (6.10 ± 2.02), and the Barthel score (77.58 ± 7.33) was higher than that of the control group (53.34 ± 5.12) (P < 0.05). The treatment satisfaction rate in the intervention group (95.00%) was higher than that of the control group (86.00%) (P < 0.05).ConclusionThrough FMEA, the failure mode that affects the emergency time of AIS patients is effectively analyzed and the targeted optimization process is proposed, which are important to enhance the efficiency and success rate of resuscitation of medical and nursing staff and improve the prognosis and life ability of patients.

Effect of Systematic Holistic Nursing in Psychiatry Department on Life Ability of Patients with Schizophrenia in Rehabilitation Period

Effect of Systematic Holistic Nursing in Psychiatry Department on Life Ability of Patients with Schizophrenia in Rehabilitation Period

Evaluation of the Effect of Nursing Intervention on the Curative Effect and Living Ability of Elderly Patients with Myocardial Infarction

This article is to explore the effect of applying nursing intervention methods on the life ability of elderly patients with myocardial infarction. The method of this reserch is to take patients in our hospital as an example to carry out research work. The study selected patients who were treated in our hospital from December 2019 to December 2020 as an example. The researchers selected all elderly patients with myocardial infarction, and the number of patients was selected as 100 cases. The different nursing methods of patients were divided into two groups --- the conventional nursing methods and comprehensive nursing methods were applied respectively, named the control group and the research group, and the nursing effects of the two groups of patients were compared and analyzed. The effective rates of the two groups of patients were 98.00% and 82.00% respectively. At admission, the patients’ BNP, living ability and psychological scores were significantly higher than those of the control group. There was a big difference in data between the groups, P&gt;0.05. After nursing intervention, the patients in the research group had better scores compared with the control group, P&lt;0.05, which was statistically significant, and the research group had better nursing effects. The application of comprehensive nursing methods in elderly patients with myocardial infarction has a significant clinical effect, which can improve the living ability of the patients and is of positive significance for the recovery of the patients.

Meta-analysis of the intervention effects of early ambulation on acquired weakness in intensive care unit patients with mechanical ventilation

Objective To systematic analyze the intervention effects of early ambulation on ICU acquired weakness (ICU-AW) in ICU patients. Methods The Cochrane Library, PubMed, EMBASE, MEDLINE, CBM, CNKI and Wanfang database were searched via computer for randomized controlled trials on early ambulation to prevent ICU-AW in ICU patients from the data base establishment date to February 10th, 2019.After screening literature, extracting data and evaluating the quality of literature, Meta-analysis was carried out with RevMan 5.3 software. Results Finally, 11 randomized controlled trials were included. Meta-analysis results showed that the incidence of ICU-AW was RR=0.52, 95%CI was (0.41, 0.66) ; muscle strength (MRC-score) WMD=8.08, 95%CI was (6.27, 9.81) ; Barthel index WMD=18.24, 95%CI was (7.27, 29.2) ; mechanical ventilation time was WMD=-1.29, 95%CI was (-1.96, -0.61) ; ICU hospitalization time was MD=-1.81, 95%CI was (-2.78, -0.84) ; total hospitalization time WMD=-3.39, 95%CI (-5.91, -0.88) . Conclusions Based on the present evidence, early ambulation can reduce the incidence of ICU-AW, improve the activity of daily life ability of patients, shorten the duration of mechanical ventilation, length of stay in ICU and hospital, which is worthy of clinical application. Key words: Intensive care unit; Respiration, artificial; Early ambulation; Early exercise; ICU acquired weakness; ICU acquired muscle weakness

Application value of progressive rehabilitation nursing in improving the life ability of patients with cerebral infarction

目的 探讨渐进式康复护理在提高脑梗死患者生活能力中的应用效果，为临床提供指导。 方法 选择脑梗死患者98例为观察对象，采用随机数字表法分为两组。康复组49例患者应用渐进式康复护理，常规组49例患者应用常规护理，比较两组肢体运动功能评分、日常生活活动能力评分、生活质量评分及满意度。 结果 护理后，康复组肢体运动功能、日常生活活动能力评分分别为(81.27±4.49)分、(82.63±4.46)分，均高于常规组的(65.69±4.67)分、(72.24±3.61)分(t＝16.834、12.675，均P<0.05)；康复组生活质量评分为(89.32±4.58)分，高于常规组的(82.24±3.60)分(t＝8.507，P<0.05)；康复组患者的满意度为95.92%，高于常规组的77.55%(χ2＝7.183，P<0.05)。 结论 对脑梗死患者采取渐进式康复护理可显著提高患者的肢体运动功能，增强其日常生活活动能力，有助于改善患者的生活质量，增加其对护理服务的满意度。

The effect of finger exercises combined with local physiotherapy on recovery of hand function in postoperative with flexor tendon injury

Objective To investigate the effect of finger exercises combined with local physiotherapy on recovery of hand function in postoperative with flexor tendon injury. Methods The data of 286 cases of flexor tendon injury who were received by emergency trauma patients during the period from January 2014 to January 2016. According to the order of admission for single finger exercise function exercise set as the experience group, and routine functional exercise set as control group, to observe the hand function recovery, the satisfaction of patients and the quality of life of patients were compared between the two groups. Results There were no statistical differences of the effective rate of treatment and the daily living ability score between the experimental group and control group in one month after the operation (P>0.05). The effective rate of treatment and the daily living ability score were 95.10% (136/143), (15.32±1.98) points in six months after the operation in the experience group, and 81.12%(116/143), (22.62±1.42) points in the control group, and there were statistical differences between two groups (χ2/t=13.35, -14.44, P<0.05). The patient satisfaction score were (88.46±2.20), (96.32±2.64) points in one and six months after the operation in the experimental group and (80.97±3.69), (87.54±2.39) points in the control group (P<0.05), and there were statistical differences between the experimental group and control group (t=20.77, 21.35, all P<0.05). Conclusions The finger exercises combined with local physiotherapy could not only improve the hand function of patients, but also improve the daily life ability of patients, and improve patient satisfaction, it is worth popularizing in clinical practice. Key words: Rehabilitation; Finger exercise; Tendon injury

The relationship between acute inflammatory cytokines, nerve function defect, daily living ability and PSD

To investigate the correlation between poststroke depression (PSD) and serum levels of inflammatory cytokines, neurologic impairment, daily life ability in patients with acute cerebral infarction at different time. Two hundreds and eighty patients who admitted to our hospital with a diagnosis of acute infarction excluded the patients mismatch conditions were evaluated by Hamilton depres-sion rating scale (HDRS) to diagnose PSD respectively at admission and 3 months after stroke. Serum inflammatory cytokines high-sensitivity C-reactive protein(hs-CRP), tumor necrosis factor-α(TNF-α) and interleukin-6(IL-6) were determined. NIH stroke scale(NIHSS) and Barthel index for daily life ability were used to evaluate nerve functions. Then we analyzed the correlation between PSD and serum inflammatory cytokines, correlation between PSD and functional impairment and daily life ability at different time. Logistic regression was performed to ana-lyze the risk factors of PSD. The PSD incidence was higher in recovery stage than that in acute stage, but there was no difference. Serum inflammatory cytokines were higher in PSD group at admission than that in non-PSD group. The NIHSS score and Barthel index in PSD group were different from those in non-group at acute and recovery stage. The OR score was 1.765, 1.646, 1.817, 1.188 and 2.015 respec-tively to TNF-α, IL-6 and Barthel index in the acute phase and to NIHSS and Barthel index in recovery stage. The pathogenesis of PSD at different courses of stroke is not same. TNF-α, IL-6 and Barthel index are the independent risk factors of PSD in acute phase, so do NIHSS score and Barthel index in recovery period.

Effects of individualized rehabilitation plan with network on functional recovery in movement disorders patients with traumatic brain injury after operation

Objective To explore the effects of individualized rehabilitation plan with network on functional recovery in movement disorders patients with traumatic brain injury after operation. Methods A total of 160 movement disorders patients with traumatic brain injury accepted operation in the period between March 2012 and March 2014 in our hospital were selected and randomly divided into experimental group (80 cases) and control group (80 cases). The personalized rehabilitation nursing with network were performed in the experimental group, while the routine nursing was performed in the control group; Fugl-Meyer rehabilitation evaluation table and Barthel index table were used to evaluate patients′ motor function and activity of daily living after the nursing care, and the self-designed questionnaires were used to evaluate patients′ satisfaction. Results There were no significant differences in the motor function, balance, feeling, activity and joint pain between two groups before the intervention (P>0.05). The scores of each items in the experimental group were significantly higher than those of control group, and the total score of two groups in motor function were (140.83±14.28) and (114.79±10.73) after interventions (P<0.01). The score of daily life ability was (79.95±15.28) in the experimental group, which was apparently higher than (46.97±16.17) in the control group after the intervention (P<0.01). The total number of satisfied patients of experimental group was 79, which was significantly more than that of control group (59) (P<0.01). Conclusions Individualized rehabilitation plan with network can improve motor function and daily life ability of patients with traumatic brain injury, and increase patients′ satisfaction, which has excellent application effects. Key words: Individualized rehabilitation; Traumatic brain injury; Movement disorder; Activity of daily living; Computer communication networks