Feasibility and Effectiveness of Rehabilitation Nursing for Acute Stroke
- Conditions
- NursingAcute Ischemic Stroke
- Interventions
- Behavioral: The modified Barthel Index-based rehabilitation nursing programBehavioral: Usual care
- Registration Number
- NCT04402736
- Lead Sponsor
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- Brief Summary
In the clinical setting, it is difficult to obtain effective rehabilitation during the acute phase, the reasons may include insufficient awareness of early rehabilitation due mainly to a limitation in number and variety of rehabilitation professionals in Low- and middle-income countries. It is necessary to shift tasks to other healthcare providers who are trained to provide rehabilitation like nurses. The purpose of this study is to examine the feasibility and effectiveness of a modified Barthel Index based rehabilitation nursing program on acute stroke inpatients.
- Detailed Description
Ischemic stroke is the main cause of disability in the world. More than 70% of stroke patients show various degrees of neural function impairment. Early rehabilitation in acute phase is beneficial for improving patient's activity of daily livings and motor function. However, it is difficult to obtain effective rehabilitation during the acute phase of stroke because of the insufficiency of professional rehabilitation therapists in stroke wards in China. The investigators assume that implementing program based on modified Barthel Index can realize nursing-directed motor rehabilitation during acute phase of ischemic stroke. The present study is to conduct quasi-experimental research to confirm the feasibility and effectiveness of nursing-directed precision rehabilitation in acute stroke patients.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 104
- diagnosed with ischemic stroke and met the diagnostic criteria of the World Health Organization;
- initial stroke within seven days, with limb dysfunction;
- NIHSS scale consciousness scores of 0 or 1;
- provided informed consent form.
- incomplete clinical data;
- having a physical disability or other diseases that affect the limb function;
- having cognitive impairment or other diseases that interfere with participation;
- having serious cardiopulmonary dysfunction or another disease that requires absolute bed rest;
- having progressive stroke or having severe complications that patients drop the study before completion.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Modified Barthel Index-based rehabilitation nursing program The modified Barthel Index-based rehabilitation nursing program Patients received the Modified Barthel Index based rehabilitation nursing from qualified nurses. Usual care Usual care Patients received the usual care.
- Primary Outcome Measures
Name Time Method Change from baseline the Modified Barthel Index (MBI) on day 7 Day 0 and day 7 The MBI score ranges from 0 to 100, the higher scores mean a better outcome.
Change from baseline the motor assessment scale (MAS) on day 7 Day 0 and day 7 The MAS scale excluding general tonus, may be summed to provide an overall score out of a possible 48 points and the higher scores mean a better outcome.
Change from baseline the National Institute of Health Stroke Scale (NIHSS) on day 7 Day 0 and day 7 The NIHSS scale ranges from 0 to 42, and the higher scores mean a worse outcome.
- Secondary Outcome Measures
Name Time Method The completion rate Day 7 The completion means participants completed all the study stage and all the data collection.
The adverse events rate Day 7 The adverse events including pneumonia, stroke progression or recurrent, fall.
Trial Locations
- Locations (1)
Second Affiliated Hospital, School of Medicine, Zhejiang University
🇨🇳Hangzhou, Zhejiang, China