Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
J Clin Nurs. 2024 Jun;33(6):2249-2258. doi: 10.1111/jocn.17124. Epub 2024 Mar 21.
To comprehensively examine the prevailing condition of care dependence among middle-aged individuals who have experienced hemiplegia subsequent to a stroke and were currently undergoing post-acute rehabilitation. Additionally, the study sought to analyse the determinants that impacted this phenomenon.
A single-centre, cross-sectional study design.
During the period from January 2020 to October 2022, a cohort of 196 hemiplegic stroke patients, aged between 40 and 65, and within 6 months of their stroke onset, was selected from the cerebrovascular outpatient clinic at a tertiary hospital in Hangzhou. The demographic and disease-related data, care dependence level, mental state, nutrition and depression status were collected. Furthermore, all collected data were analysed by descriptive and correlative statistical methods.
The care dependence level was 51.04 ± 9.42, with an incidence of care dependence of 78.1%. Multivariate regression analysis showed that age, history of falls, physical dysfunction, chronic comorbidities, depression, nutritional status and cognitive dysfunction were influencing factors for care dependence in the participants after a stroke.
The incidence of care dependence among hemiplegic patients aged from 40 to 65 years old in the early stage after a stroke was high. Nursing staff should focus on these patients with a history of falling, physical dysfunction, comorbidity, depression status, nutritional status and cognitive dysfunction in clinical practice.
The incidence of care dependence in middle-aged hemiplegic patients following a stroke is significantly increased. Some risk factors should be assessed, monitored, and controlled by nursing staff as early as possible in order to reduce the dependence levels in post-acute rehabilitation period and improve the quality of life of hemiplegia patients.
Our study complies with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Checklist: cross-sectional studies (see Table S1).
No patient or public contribution.
全面调查中年中风偏瘫患者在经历急性康复后目前处于依赖护理的普遍状况，并分析影响这种现象的决定因素。
单中心、横断面研究设计。
2020 年 1 月至 2022 年 10 月期间，从杭州市一家三级医院的脑血管门诊选取了 196 名年龄在 40 至 65 岁之间、中风发病后 6 个月内的偏瘫中风患者。收集了人口统计学和疾病相关数据、护理依赖程度、精神状态、营养和抑郁状况。此外，所有收集的数据均采用描述性和相关性统计方法进行分析。
护理依赖程度为 51.04±9.42，护理依赖发生率为 78.1%。多变量回归分析显示，年龄、跌倒史、身体功能障碍、慢性合并症、抑郁、营养状况和认知功能障碍是中风后患者发生护理依赖的影响因素。
中风后 40 至 65 岁偏瘫患者早期护理依赖发生率较高。护理人员在临床实践中应重点关注有跌倒史、身体功能障碍、合并症、抑郁状态、营养状况和认知功能障碍的患者。
中风后中年偏瘫患者护理依赖发生率显著增加。护理人员应尽早评估、监测和控制某些危险因素，以降低急性康复后护理依赖程度，提高偏瘫患者的生活质量。
我们的研究符合《观察性研究的加强报告（STROBE）清单：横断面研究》（见表 S1）。
无患者或公众贡献。
