Academic journal article Iranian Journal of Public Health

Rehabilitation Nursing for Cerebral Stroke Patients within a Suitable Recovery Empty Period

Academic journal article Iranian Journal of Public Health

Rehabilitation Nursing for Cerebral Stroke Patients within a Suitable Recovery Empty Period

Article excerpt


The recovery empty period refers to the period after sufficiently obtaining food and having a break except conventional fixed training time, which was not scientifically controlled by the diplomate and the nurse (1). Cerebral stroke recovery training is a sustaining process. Suitable training intensity and time can improve the effect of the functional recovery and shorten the training time (2). After cerebral stroke, the recombination and reproduction of the nerve cell impulsion and the synaptic connection are required to repeatedly and mechanically train, and reproduce a positive response through stimulating the injured cells of the body and speech activity (3).

In China, the fine recovery training room is generally conducted from 9:00 - 12:00 a.m. and 2:00 - 4:00 p.m. and the vigor of the patient is relative good at 6:00 - 7:00 a.m. and 7:00-9:00 p.m., but lack in correct and effective training. Currently, there is little research in China on how to conduct recovery training effectively within the recovery empty period.

In response to this dearth of research, our center is researching whether the use of functional strength training and careful observation of a patients' life routines during the suitable recovery empty period impacts patient outcomes.

Materials and Methods

Patient data

Seventy-two cerebral stroke patients were selected from patients entering Xuzhou Central Hospital from June 2014 to June 2015 to receive the function recovery training during the recovery period. Patients were included in the study based on the following criteria: 1) Well compliant, correctly understands the recovery skill, and accurately expresses discomfort; 2) Illness/condition stable within the last month and no new cerebral stroke has occurred; and 3) The recovery training has to be conducted in at least 3 months. The exclusion criteria were: 1) Cerebral stroke is combined with the serious underlying disease such as the dysfunction of the visceral organs such as heart, liver and kidney; 2) Serious mental diseases such as anxiety, depression and suicide; and 3) incompatibility for the questionnaire and function score. The Ethics Committee of Xuzhou Recovery Hospital, China approved the research. Written informed consent was obtained from all participants before the study.

The control group and treatment group each contained 36 participants. There were 20 men and 16 women in the control group. The age range of the control group participants was 42-76 yr old, with an average of 56.8±14.2 yr. The cerebral stroke occurred approximately 1-3 months prior to the intervention, with an average of (1.4±0.5) month. There were 21 men and 15 women in the treatment group. Their age was at a range of 44-75 yr old, with an average of 57.2±13.5. The cerebral stroke occurred approximately 0.5-3 months prior to the intervention, with an average of 1.3±0.6 months. There was no significant difference in the baseline data between the control and treatment group.

Research methods

The research was completed by the recovery team. The control group participated in the recovery guidance training during two times each day from 9:00-12:00 a.m. and 2:00-4:00 p.m. The body and speech training were conducted on all patients in the recovery training room.

The main methods were as follows: 1)The body activity was conducted at the early period and it included the abduction, internal rotation and upthrow of the upper limb, and the raise, buckling, extorsion and adduction of the lower limbs once per day for 20-30 min; The function training including activities such as dressing clothes, eating foods, holding things and brushing teeth at the later period; 2) The nerve development therapy and the common Bobath technology use the normal post and balance reflex to induce normal action and adjust muscular tension and to establish a normal moving model.

Brunnstrom technology mainly uses the common post occurring to the hemiplegia period to conduct the functional exercises to coordinate the action. …

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