Analysis On The Effect Of Acute Stage Of Hemiplegia In Ischemic Stroke Patients And The Influencing Factors

Objective:To evaluate the effect of nursing intervention on the recovery of patients with hemiplegia in acute stage of ischemic stroke,and to select the influencing factors of recovery effect in acute stage of ischemic stroke patients,and to provide reference for individualized nursing intervention program in acute stage of ischemic stroke patients.Methods:149 patients with hemiplegia of ischemic stroke were selected from the Neurology Department of a grade three hospital in Shanxi province,based on the current clinical routine of stroke treatment,the patients were divided into three groups: nursing+acupuncture treatment group,nursing + rehabilitation treatment group and nursing +acupuncture and rehabilitation group(nursing + combined rehabilitation group)according to different nursing rehabilitation program.Collect all patient data according to the Epidata database of the uniform design before nursing intervention,including demographic characteristics,lifestyle habits,past history of disease and family history,laboratory tests at admission,infarct types and infarct sites,MBI and NIHSS scores before hospitalization,and MBI and NIHSS scores were collected again at the time of discharge.Analysis of the recovery effect of patients in acute stage using the method of variance analysis of repeated measurement data,the factors influencing the recovery effect in the acute stage were analyzed by logistic regression method.Results:Before and after routine clinical treatment and nursing intervention,nursing group,nursing + acupuncture treatment group,nursing + rehabilitation group,nursing +combined rehabilitation group of three groups of patients in general the situation is basically similar to the demographic characteristics of indicators,life behavior habits,previous disease history and family history,laboratory testing indicators,such as the distribution of basic balance.There were differences in MBI and NIHSS scores between the three groups and the basic condition of the three groups was different before treatment.The patients in the nursing + acupuncture treatment group the degree of disease before the treatment is better than the nursing + rehabilitation group and nursing + combined rehabilitation group.The scores of MBI were different in the treatment group before and after treatment,F = 133.237,P <0.001,acupuncture treatment group MBI score increased more.The scores of NIHSS before and after treatment were compared with F = 70.497,P<0.001,which indicated that the scores of NIHSS before and after treatment were different in the three group.There was no significant difference in the NIHSS scores between the three groups.Age,care + routine treatment group and pre-treatment NIHSS score is a significant factor affecting the MBI score after treatment.60-year-old and above patients recovery effect was not better(OR =0.403);nursing + rehabilitation the recovery effect was better than in patients treated with nursing + acupuncture(OR = 9.616);and nursing + combined group was better than in patients treated with nursing + acupuncture group(OR = 2.235).The low NIHSS score before treatment was better than that of patients with a high NIHSS score(OR = 0.126).Nursing + routine treatment group and NIHSS score before treatment were significant factors influencing the NIHSS score after treatment.The recovery effect of the nursing + rehabilitation group was better than the nursing + acupuncture treatment group(OR = 5.947);the nursing + combined group the recovery effect was better than in the nursing + acupuncture group(OR = 1.513).The patients with lower NIHSS score wasbetter than that of the higher NIHSS score before treatment(OR = 1.161).Conclusion:MBI and NIHSS score are both indicators to evaluate the patient’s condition and indicators of the effect of nursing intervention in acute stage.Based on the status of clinical treatment,nursing + acupuncture group,nursing + rehabilitation group and nursing + combined rehabilitation group before and after treatment the score of MBI and NIHSS were difference,acute care interventions improve the recovery effect of patients.Age,nursing + routine treatment and pre-treatment NIHSS scores were significant factors influencing post-treatment MBI scores;nursing + routine treatment and pre-treatment NIHSS scores were significant factors influencing NIHSS scores after treatment.