| ObjectiveThe purpose of this study is to explore the effectiveness of telerehabilitation nursing model based on HTR platform on motor function recovery and quality of life in stroke patients.MethodsRandomized single-blind controlled trials were used for the study.A total of 64 patients who met the study conditions in the Neurology Department of the Third Affiliated Hospital of Soochow University,were recruited for home rehabilitation and family care.According to the random number table method,they were divided into intervention group and control group in a ratio of 1:1.Both groups were given regular treatment and acute rehabilitation nursing instructions during hospitalization.The control group was followed by regular telephone follow-up after discharge.The intervention group was given continuous care based on the HTR platform after discharge.The recovery of Brunnstrom’s motor function staging is the main basis for selecting specific interventions.At the time of patient enrollment,Week 4,Week 8 and Week 12 were evaluated for functional recovery and quality of life,including Fugl-Meyer motor function(FMA),balance ability(BBS),and standing-walking test(TUG).,Six-minute walk test(6MWT),Daily Living Activity Capacity(MBI),and Quality of Life(SS-QOL).All the data obtained in this study were managed by EXCEL2016.Statistical analysis was performed using SPSS20,0 software;measurement data was expressed in the form of x ±s,count data were expressed in frequency and percentage;overall comparison between groups was performed using repeated measurement analysis of variance,at the same time The point-group comparisons were performed using independent sample t-tests.Bonferroni-corrected results were used for comparisons within the groups.The test level was 0.05,P<0.05 indicates that the difference was statistically significant.Result(1)The FMA values of the intervention group at the various time points after discharge were higher than those of the control group at the same time,and the there were statistically significant differences between groups(P<0.05);the comparison between the intervention group and the control group at each time point there was a statistical difference(P<0.001).The scores of the upper limb function(FMA-UE)of the intervention group at each time point after discharge were higher than those of the control group at the same time,and the differences between groups were statistically significant(P<0.05);the two groups of the time in the intervention group and the control group for comparison,there were statistical differences(P<0.001).With the passage of intervention time,Lower limb function(FMA-LE)values have been significantly improved.However,at the end of the study,the 12th week after the intervention,there was no significant difference in the FMA-LE value(28.66±1.63)between the intervention group and the control group(27.87±1.73)(P>0.05).The scores between groups were statistically significant(P<0.05).The differences between the intervention group and the control group at each time were statistically significant(P<0.001).(2)Balance ability(BBS).According to the BBS assessment,the balance of the two groups of subjects was significantly improved after the intervention;the BBS measurement values of the intervention group at each time point after discharge were higher than that of the control group;the results showed that after discharge,The difference between groups at each time point was statistically significant(P<0.05).The comparison between the two groups at each time point showed that the differences were statistically significant(P<0.001).(3)Timed "UP&GO" test(TUG).There was statistically significant difference between groups at each time point after the standing-walking test result comparison(TUG)(P<0.05);the comparison results between the two groups at each time point showed that the control group was discharged from the hospital.The difference between the 12th week(26.84±2.32)and the 8th week after discharge(26.40±2.01)was not statistically significant(P>0.05).The difference between the rest of the time points in the control group was between the two.Statistical significance(P<0.001);There was a statistically significant difference between the two groups at each time point in the intervention group(P<0.001).(4)Comparison of six-minute walking test results(6MWT).Differences between groups at each time point after discharge were statistically significant(P<0.05);the comparison results of the two groups at each time point in the two groups showed that there were differences.Statistical significance(P<0.05).(5)After the intervention of ADL,both groups achieved basic self-care level in the 12th week after discharge,intervention group(67.38±2.99,12w),control group(61.19±5.22,12w);post-discharge intervention group MBI values were higher in each time point than in the control group and there was a statistically significant difference between the two groups at each time point in the intervention group(P<0.05).(6)Quality of life(SS-QOL).After the intervention,the total quality of life of the subjects in the two groups was significantly improved;after the discharge,the intervention group was rated higher than the control group at each time;the total grouping time at each time point after discharge The differences were statistically significant(P<0.05).The results of the comparison between the two groups at each time point in the two groups showed that the differences were statistically significant(P<0.001).Further analysis of the results of the three dimensions of quality of life showed that the assessment values of family roles,language,activities,self-care ability,social roles,and upper limb function of the intervention group at each time point after discharge were higher than patients in the control group and statistically significant(P<0.05);There was no significant difference in energy and work dimensions between the two groups at the 4th week after discharge(P>0.05),and there was a statistically significant difference between the 8th week and the 12th week after discharge(P<0.05);There was no statistical difference in the emotional dimension of the 8th week after discharge(P>0.05),and there was a statistically significant difference between the 4th week and the 12th week after discharge(P<0.05);the personality,thinking,and visual acuity of the two groups were three.There was no significant difference(P>0.05)in the evaluation of the dimensions at each time after discharge.ConclusionAfter 12 weeks of intervention,the patient’s overall motor function,balance ability,functional walking and walking endurance were significantly improved.The ability of activities of daily living in the intervention group reached basic self-care level 12 weeks after discharge,and was higher than that of the control group.The improvement of the quality of life of the intervention group after discharge from the hospital was significantly higher than that of the control group,especially in the dimensions of family role,language,activity ability,self-care ability,social role,and upper limb function.In summary,telerehabilitation of stroke nursing model based on HTR platform is safe and effective for promoting recovery of motor function,improving activities of daily living activities,and improving quality of life in patients with stroke,and is operable and practical.Characteristics,there is value for further promotion and application. |
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