ENHANCING MOTOR FUNCTION AND QUALITY OF LIFE IN HEMIPLEGIC STROKE PATIENTS THROUGH COMBINED REFINED NURSING AND REHABILITATION TRAINING

Abstract

Objective: This study aims to evaluate the effectiveness of refined nursing practices combined with rehabilitation training on improving motor function and quality of life in stroke patients with hemiplegia. Methods: We enrolled 100 stroke patients with hemiplegia, treated at our facility from January 2020 to April 2022. Patients were randomly assigned to either the control group, which received standard nursing care (n=50), or the observation group, which benefited from enhanced nursing combined with structured rehabilitation training (n=50). The intervention lasted for two months. Results: Post-intervention assessments revealed significant improvements in both groups. The Fugl-Meyer Motor Assessment (FMA) scores increased notably in both groups; however, the observation group showed significantly greater improvements compared to the control group (P<0.05). Similarly, Stroke-specific Quality of Life Scale (SS-QOL) scores were higher in the observation group (P<0.05). The National Institutes of Health Stroke Scale (NIHSS) scores decreased, and the Modified Barthel Index (MBI) scores increased substantially, indicating better neurological function and daily living capabilities in the observation group (P<0.05). Additionally, patient satisfaction with nursing care was significantly higher in the observation group (98%) compared to the control group (70%) (P<0.05) Conclusion: Refined nursing coupled with rehabilitation training substantially enhances motor functions, quality of life, neurological recovery, and daily living abilities in stroke patients with hemiplegia, also improving patient satisfaction with care. These findings suggest that this combined approach should be considered a valuable addition to standard care protocols for such patients.