The influence of the nursing model centered on functional rehabilitation on patients after thrombectomy for acute ischemic stroke
以功能康复为核心的护理模式对急性缺血性脑卒中取栓术后患者的影响

摘要

目的 探究以功能康复为核心的护理模式对急性缺血性脑卒中取栓术后患者神经功能恢复、日常生活能力及并发症的影响。方法 选取2023年1月至2025年1月我院40例接受急性缺血性脑卒中取栓术的患者，随机分为对照组和实验组各20例。对照组实施常规护理，实验组采用以功能康复为核心的护理模式。比较两组护理前后美国国立卫生研究院卒中量表（NIHSS）评分、Barthel指数（BI）、Fugl - Meyer运动功能评定量表（FMA）评分及并发症情况。结果 护理前，两组NIHSS、BI及FMA评分差异无统计学意义（P>0.05）；护理后，实验组NIHSS评分（4.21±1.33分）低于对照组（7.84±1.52分），BI评分（78.32±6.45分）、FMA评分（72.45±5.36分）高于对照组（61.23±5.87分、56.78±4.92分），差异均有统计学意义（P<0.05）。实验组并发症总发生率（5.00%）低于对照组（30.00%），差异有统计学意义（P<0.05）。结论 以功能康复为核心的护理模式可促进患者神经及运动功能恢复，提高日常生活能力，降低并发症发生率，值得临床推广。

Abstract

Objective To explore the influence of the nursing model centered on functional rehabilitation on the recovery of neurological function, activities of daily living and complications of patients after thrombectomy for acute ischemic stroke.
Methods Forty patients who underwent thrombectomy for acute ischemic stroke in our hospital from January 2023 to January 2025 were selected and randomly divided into a control group and an experimental group, with 20 cases in each group. The control group received routine care, while the experimental group adopted a nursing model centered on functional rehabilitation. The National Institutes of Health Stroke Scale (NIHSS) scores, Barthel Index (BI), Fugl-Meyer Assessment (FMA) scores and complications of the two groups before and after nursing were compared.
Results Before the nursing care, there was no statistically significant difference in NIHSS, BI and FMA scores between the two groups (P>0.05); After the nursing care, the NIHSS score of the experimental group (4.21±1.33 points) was lower than that of the control group (7.84±1.52 points), and the BI score (78.32±6.45 points) and FMA score (72.45±5.36 points) were higher than those of the control group (61.23±5.87 points, 56.78±4.92 points). The differences were all statistically significant (P<0.05). The total incidence of complications in the experimental group (5.00%) was lower than that in the control group (30.00%), and the difference was statistically significant (P<0.05).
Conclusion   The nursing model centered on functional rehabilitation can promote the recovery of patients' neurological and motor functions, improve their ability of daily living, and reduce the incidence of complications. It is worthy of clinical promotion.