Rehabilitation Nursing Application Of Acupuncture And Motor Imagery Therapy On Stroke Patients With Hemiplegia

Objective: Explore the rehabilitation effects of acupuncture and motor imagery therapy in stroke patients.Methods: 1 Subjects investigatedUsing random assignment method, 60 subjects were randomly selected from the patients treated at my department from January 2014 to October 2014 1.1 Inclusion criteriaConfirmed by CT/MRI scan, results consistent with the criteria set by the Fourth National Disease Seminar; hemiplegia occurred during the first stroke and muscle power ranking between II to III; fully conscious, no cognitive impairment; kinesthetic and visualimagery questionnaire test results come normal thus score higher than 25 points; age 40 to 65; patients fully voluntary and cooperative with concession of patients and their family. 1.2 Exclusion criteriaPatients with Alzheimer’s disease or cognitive impairment; suffering from severe heart conditions and complications; limb dysfunction exited before stroke; patients with emotional or cognitive impairment, hearing impairment, aphasia etc causing difficulties in completing or cooperating mental imagery therapy; refusal to participate 2 Implementation methodThe study was conducted by a group of three individuals, one physician, one therapist and one nurse 2.1 Control group: physician provides conventional medication and internal medicine treatment; therapist provides acupuncture and rehabilitation treatment including physical therapy, kinesiotherapy, occupational therapy etc; nurse provides rehabilitation including placing functional limbs, exercise in bed, rotation, movement, and daily rehabilitation training guidance. The guidelines are mainly demonstration method and correction method. 2.2 Experimental group: patients received treatment measures in accordance with control group, however, patients also receive motor imagery therapy as part of daily rehabilitation training sessions along with acupuncture. 2.3 Evaluation criteria 2.3.1 Activities of daily living capability: using activities of daily living(ADL) barthel index to evaluate, collect and compare the Barthel index results of the control and experimental group respectively at prior to the study, on the 4th week and 8th week of the study 2.3.2 Motor function assessment: using simplified Fugl-Meyer motor function evaluation rating scale, collect and compare the FMA rating results of two groups respectively at prior to the study, on the 4th week and 8th week of the study. 2.3.3 The compliance of rehabilitation exercises: create patient rehabilitation exercise log, compare the results of rehabilitation exercises from two groups after the study is completed. 2.3.4 Patient satisfaction: generate patient satisfaction questionnaire and compare the results of two groups after the study is completed. 2.4 Statistical processing:data entry use the epidata by two person,is back to check at any time and is verified again and again in order to ensure the accuracy of the data.Input data into SPSS17.0 for statistic analyses, process measurement data adopt mean±and standard deviation( x ±s)to show,the comparison of normal distribution data in group adopted by Independednt-samples t test,process count data by chi-square test, statistically significant results only when P<0.05Results:1 General data analysisThere are no significant differences between the patients from control and experimental group in the age, gender, education, types of strokes, conditions of hemiplegic and basic rating.(P>0.05)2 The FMA rating results from two groups both elevated at the 4th week of intervention as well as the 8th week of intervention, there were significant differences for the rating improvements(FMA ratings) between the two groups, thus the results are statistically significant.(P<0.05)3 The BI ratings results from the two groups both elevated at the 4th week of intervention as well as the 8th week of intervention, there were significant differences for the rating improvements(BI ratings) between the two groups, thus the results are statistically significant.(P<0.05)4 There were significant differences between the two groups on the compliance of rehabilitation exercise sessions, thus the results are statistically significant.(P<0.05)5 There were significant differences between the two groups on patient satisfaction after treatment, thus the results are statistically significant.(P<0.05)Conclusion: through the study on two groups of patients receiving different rehabilitation exercise sessions, we can make the conclusion of:1 Combination of acupuncture and motor imagery therapy treatments in rehabilitation exercise sessions benefits patients better at motor function, and activities of daily living capabilities.2 Combination of acupuncture and motor imagery therapy treatments in rehabilitation could improve the compliance of patient during exercise sessions.3 Combination of acupuncture and motor imagery therapy treatments in rehabilitation exercise sessions could help patients better understand and memorize the exercise drills and methods, improve the compatibilities between doctors and patients, thus enhance the patients’ satisfaction.