Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 26, 2023; 11(3): 621-628
Published online Jan 26, 2023. doi: 10.12998/wjcc.v11.i3.621
Application of a hospital–community–family trinity rehabilitation nursing model combined with motor imagery therapy in patients with cerebral infarction
Wen-Wen Li, Min Li, Xiao-Juan Guo, Fu-De Liu
Wen-Wen Li, Min Li, Xiao-Juan Guo, Fu-De Liu, Department of Neurology, The First Affilated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China
Author contributions: Li WW and Liu FD designed the research study; Li WW performed the research; Li M contributed new reagents and analytic tools; Guo XJ analyzed the data and wrote the manuscript; and all authors have read and approve the final manuscript.
Supported by the Key Research and Development Programs of Shaanxi Province, No. 2021SF-059.
Institutional review board statement: The study was reviewed and approved by The First Affiliated Hospital of Xi'an Jiaotong University School of Medicine Institutional Review Board (Approval No. XJTU1AF2021LSK-454).
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement checklist of items, and the manuscript was prepared and revised according to the STROBE statement checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fu-De Liu, MHSc, Attending Doctor, Department of Neurology, The First Affilated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Rd, Xi'an 710061, Shaanxi Province, China. liufude1011@163.com
Received: November 10, 2022
Peer-review started: November 10, 2022
First decision: November 25, 2022
Revised: December 17, 2022
Accepted: December 23, 2022
Article in press: December 23, 2022
Published online: January 26, 2023
Abstract
BACKGROUND

Rehabilitation nursing is considered an indispensable part of the cerebral infarction treatment system. The hospital–community–family trinity rehabilitation nursing model can provide continuous nursing services across hospitals, communities, and families for patients.

AIM

To explore the application of a hospital–community–family rehabilitation nursing model combined with motor imagery therapy in patients with cerebral infarction.

METHODS

From January 2021 to December 2021, 88 patients with cerebral infarction were divided into a study (n = 44) and a control (n = 44) group using a simple random number table. The control group received routine nursing and motor imagery therapy. The study group was given hospital–community–family trinity rehabilitation nursing based on the control group. Motor function (FMA), balance ability (BBS), activities of daily living (BI), quality of life (SS-QOL), activation status of the contralateral primary sensorimotor cortical area to the affected side, and nursing satisfaction were evaluated before and after intervention in both groups.

RESULTS

Before intervention, FMA and BBS were similar (P > 0.05). After 6 months’ intervention, FMA and BBS were significantly higher in the study than in the control group (both P < 0.05). Before intervention, BI and SS-QOL scores were not different between the study and control group (P > 0.05). However, after 6 months’ intervention, BI and SS-QOL were higher in the study than in the control group (P < 0.05). Before intervention, activation frequency and volume were similar between the study and the control group (P > 0.05). After 6 months’ intervention, the activation frequency and volume were higher in the study than in the control group (P < 0.05). The reliability, empathy, reactivity, assurance, and tangibles scores for quality of nursing service were higher in the study than in the control group (P < 0.05).

CONCLUSION

Combining a hospital–community–family trinity rehabilitation nursing model and motor imagery therapy enhances the motor function and balance ability of patients with cerebral infarction, improving their quality of life.

Keywords: Activities of daily living, Cerebral infarction, Hospital–community–family trinity rehabilitation nursing model, Motor skills, Motor imagery therapy, Postural balance

Core Tip: Various clinical treatments are used for cerebral infarction patients, including motor imagery therapy and rehabilitation nursing. We evaluated a combination of the hospital–community–family trinity rehabilitation nursing model and motor imagery therapy in terms of balance ability, motor ability, and quality of life of cerebral infarction patients. Combined treatment enhanced patients’ motor function and balance ability, with concomitant changes in the relevant sensorimotor cortical area brain area. This improved their abilities to conduct activities of daily life as well as in their quality of life, and also resulted in a higher degree of nursing satisfaction.