Effect of the nursing model based on disease trajectory framework on self-care ability and rehabilitation effects of patients with cerebral infarction complicated with hemiplegia

ObjectiveTo analyze the effects of the nursing model based on disease trajectory framework on self-care ability and rehabilitation effects of patients with cerebral infarction complicated with hemiplegia.

MethodsNinety patients with stroke complicated with hemiplegia were andomly divided into the study group(n=45) and control group(n=45).The control group was nursed with routine care plan, and the study group was nursed with the nursing model based on disease trajectory framework.The functional recovery and self-care ability in two groups were compared between before and after intervention.

ResultsBefore intervention, the differences of the Brunnstrom scores of upper and lower limbs, FM-B scores of Fugl-Meyer scale, modified Barthel index(MBI) and exercise of self-care agency(ESCA) scores between two groups were not statistically significant(P>0.05).After intervention, the Brunnstrom scores of the upper and lower limbs, FM-B scores, MBI and ESCA scores in two groups increased compared with before intervention(P < 0.05), the Brunnstrom scores of the upper and lower limbs, FM-B scores and ESCA scores in study group were higher than those in control group(P < 0.05 to P < 0.01), and there was no statistical significance in MBI score between two groups(P>0.05).

ConclusionsThe nursing model based on chronic disease trajectory framework can significantly improve the self-care ability, and enhance the effects of functional rehabilitation of stroke patients with hemiplegia.