Rehabilitation Effect Of Remote Ischemic Conditioning Combined With Early Rehabilitation Nursing On Patients With Acute Ischemic Stroke

Objective:To construct RIC combined early rehabilitation nursing intervention program by literature research methods,combined with expert meeting methods and preliminary trials,and test the clinical effect of it.Methods:Evidence-based medicine and expert meeting methods were used to construct remote ischemic conditioning combined early rehabilitation nursing program.Revised the program through preliminary trials to form the final draft of the intervention program.From January 2020 to October 2020,selected patients with acute ischemic stroke who met the inclusion criteria in the neurology department of a tertiary general hospital in Zhuhai City 180 people were divided into experimental group,control group 1 and control group 2 through the random number table method using the research method of randomized controlled trials.On the basis of conventional treatment and nursing care the three groups of patients received,the control group 1(60 peoples)received rehabilitation nursing,the control group 2(60 peoples)received remote ischemic conditioning treatment,and the experimental group received early rehabilitation nursing and remote ischemic conditioning treatment.The NIHSS score and BI index score were used to measure the three groups of patients before the intervention baseline measurement(hereinafter referred to as "T0"),at the end of the intervention(hereinafter referred to as "T1")and 3 months after the intervention(hereinafter referred to as "T2").Evaluation,the main outcome indicator was the patient’s neurological function recovery;the secondary outcome indicator was the patient’s ability to take care of themselves in daily life.Results:Statistical analysis using the generalized estimation equation showed that the NIHSS scores of the three groups of patients at T1 stage were 5.32±1.67 vs 5.62±1.99 vs 3.97±1.81,and the BI index scores were 69.67±21.88 vs 71.25±22.26 vs 73.25±22.26,both There were significant intra-group and inter-group effects(P<0.05).NIHSS scores at T2 stage were 4.48±1.61 vs 4.60±5.62 vs 2.58±1.50,and BI index scores were 73.08±20.57 vs 75.50 ± 20.86 vs 79.00 ± 20.97,there were significant intra-group effects,inter-group effects,and interaction effects(P<0.05).As time progressed,the NIHSS scores of the three groups showed a linear downward trend,and the BI scores showed a linear upward trend.The decrease and the increase of BI score were better than those of the two control groups(P<0.05).The grouping of independent variables and the measurement time node were important factors that affect the changes of the dependent variable NIHSS score and BI score.Conclusion:1.RIC combined with the early rehabilitation nursing intervention program can promote the neurological rehabilitation of patients with acute ischemic stroke,improved the rehabilitation effect of the patients and the self-care ability of the patients,and improved the quality of life.2.RIC combined with early rehabilitation nursing intervention program integrates the advantages of early rehabilitation nursing and RIC treatment,and the effect was better than that of RIC treatment and early rehabilitation nursing alone.