Shen Ya-Li, Zhang Zong-Qun, Zhu Li-Juan, Liu Jing-Hua
Department of Orthopedics, Chengde Central Hospital, Chengde 067000, Hebei Province, China.
Department of Neurology, Chengde Central Hospital, Chengde 067000, Hebei Province, China.
World J Clin Cases. 2022 Feb 16;10(5):1508-1516. doi: 10.12998/wjcc.v10.i5.1508.
Stroke is the leading cause of adult lifelong disability worldwide. A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms. Around 75% of surviving stroke patients experience impaired nerve function, and some suffer from traumatic fractures, which can lead to special care needs.
To determine the effect of timing theory continuous care, with resistance training, on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.
Between January 2017 to March 2021, we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture. Two participant groups were created: (1) Control group: given resistance training; and (2) Observation group: given timing theory continuous care combined with resistance training. The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared. The self-perceived burden scale (SPBS) and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers. The Harris hip function score, ability of daily living (ADL) scale, and global quality of life questionnaire (GQOL-74) were used to evaluate hip function, ability of daily living, and quality of life.
Data were collected prior to and after intervention. Alkaline phosphatase (ALP), osteocalcin, and vitamin D3 in the observation group and control group increased after intervention ( < 0.05), and carboxy-terminal peptide of type I collagen β Special sequence (β-CTX) decreased ( < 0.05). ALP and osteocalcin in the observation group were higher than in the control group ( < 0.05). There was no significant difference in β-CTX and vitamin D3 between the two groups ( > 0.05). The SPBS score of the observation group was lower and the ADL score was higher than the control group. The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group ( < 0.05). The observation group's satisfaction rating was 94.00%, which was higher than the rating from the control group ( < 0.05).
Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.
中风是全球成年人终身残疾的主要原因。中风是一种病因多样且伴有相应临床症状的急性脑血管疾病。约75%存活的中风患者存在神经功能受损，部分患者还患有外伤性骨折，这会导致特殊的护理需求。
确定时机理论连续性护理结合抗阻训练对伴有外伤性骨折的中风患者及其护理人员康复及心理健康的影响。
2017年1月至2021年3月期间，我们选取了100例中风后偏瘫合并外伤性骨折的住院患者。创建了两个参与者组：（1）对照组：给予抗阻训练；（2）观察组：给予时机理论连续性护理结合抗阻训练。比较两组的满意度以及骨和磷代谢指标的差异。采用自我感知负担量表（SPBS）和护理人员负担问卷评估患者及护理人员的心理健康状况。采用Harris髋关节功能评分、日常生活能力（ADL）量表和生活质量综合问卷（GQOL-74）评估髋关节功能、日常生活能力和生活质量。
在干预前后收集数据。干预后，观察组和对照组的碱性磷酸酶（ALP）、骨钙素和维生素D3升高（<0.05），I型胶原β特殊序列羧基末端肽（β-CTX）降低（<0.05）。观察组的ALP和骨钙素高于对照组（<0.05）。两组间β-CTX和维生素D3无显著差异（>0.05）。观察组的SPBS评分较低，ADL评分高于对照组。负担评分较低，Harris髋关节功能和GQOL-74评分高于对照组（<0.05）。观察组的满意度为94.00%，高于对照组（<0.05）。
时机理论连续性护理结合抗阻训练可减轻伴有外伤性骨折的中风患者的髋关节功能障碍，提高患者及护理人员的生活质量和心理健康水平。
