A clinical investigation into the role of family members involved in the rehabilitation training for individuals with acute ischemic stroke

doi:10.3969/j.issn.1004-583X.2025.03.005

Abstract

Abstract:

Objective To investigate the role of family members involved in the rehabilitation training and psychological support therapy in improving daily living abilities and alleviating anxiety and depression of patients with acute ischemic stroke. Methods A total of 120 stroke patients in the recovery phase were selected and randomly divided into the control group (61 patients) and treatment group (59 patients). Patients in the control group only received 2 weeks of inpatient rehabilitation treatment, while those in the treatment group were intervened by 2 weeks of inpatient rehabilitation treatment plus rehabilitation training and psychological support therapy from their family members at home. The primary outcome was the proportion of patients with a modified Rankin sclae (mRS) score of 0-2 at 90 days, and the secondary outcomes included the proportion of patients with an mRS score of 0-3 at 90 days, the increase value in the Fugl-Meyer Scale (FMS) score at 90 days, the improvement in the Barthel index at 90 days, and the decrease value in the Self-Rating Depression Scale (SDS) score at 90 days. Results The proportion of patients with an mRS score of 0-2 at 90 days was 55.9% in the treatment group and 36.1% in the control group, showing a significant difference (P<0.05). There was a significant difference in the proportion of patients with an mRS score of 0-3 at 90 days between groups (P<0.05). The improvements in the FMS score and Barthel index at 90 days were significantly higher in the treatment group than those of the control group (P<0.05). The SDS score at 90 days decreased by 4 (0, 5) points in the treatment group, and 2 (0, 6) points in the control group, showing a significant difference between groups (P<0.05). Conclusion Training family members to provide rehabilitation training for patients with acute ischemic stroke, while also assisting family members in providing psychological counseling to patients, can improve patients' daily living abilities at 3 months and alleviate their depressive state.

Key words: ischemic stroke, rehabilitation, home-based rehabilitation, psychiatric rehabilitation

CLC Number:

R743.3

Bu Zhiping, ZhaoYu , Liu Hongfeng, Liu Guangliang, Han Wenqin. A clinical investigation into the role of family members involved in the rehabilitation training for individuals with acute ischemic stroke[J]. Clinical Focus, 2025, 40(3): 222-226.

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URL: https://lchc.magtechjournal.com/EN/10.3969/j.issn.1004-583X.2025.03.005

https://lchc.magtechjournal.com/EN/Y2025/V40/I3/222

Figures/Tables 4

References 25

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组别		例数	性别(例)			年龄 (岁)		既往史[例(%)]								吸烟史 [例(%)]		阿替普酶溶栓 [例(%)]
组别		例数	男性	女性		年龄 (岁)		高血压		心房颤动	糖尿病		冠心病	脑卒中		吸烟史 [例(%)]		阿替普酶溶栓 [例(%)]
治疗组		59	48	11		61(54,69.5)		43(72.9)		4(6.8)	25(42.4)		14(23.7)	18(30.5)		23(39.0)		9(15.3)
对照组		61	46	15		64(57,69.5)		45(73.8)		4(6.6)	30(49.2)		8(13.1)	18(29.5)		23(37.7)		12(19.7)
Z/χ²值			0.625			1.340		0.012		0.000	0.560		2.257	0.014		0.021		0.405
P值			0.429			0.183		0.912		1.000	0.454		0.133	0.905		0.886		0.524
组别	入院时收缩压 (mmHg)				入院时NIHSS 评分(分)		入组距发病时间(d)		入组时FuglMeyer 评分(分)			入组时Barthel 评分(分)			入组时焦虑自评量表评分(分)		入组时抑郁量表自测评分(分)
治疗组	149(135,167)				5(1,16)		6(3,10)		64(55,76)			60(50,75)			35(30,37)		30(28,34)
对照组	152(134.5,166.5)				5(1,16)		5(3,10)		70(62,80)			60(45,70)			34(32,36)		33(29,34)
Z值	0.776				0.660		0.410		1.308			0.604			0.081		1.799
P值	0.439				0.511		0.682		0.301			0.547			0.935		0.075

组别		例数	性别(例)			年龄 (岁)		既往史[例(%)]								吸烟史 [例(%)]		阿替普酶溶栓 [例(%)]
组别		例数	男性	女性		年龄 (岁)		高血压		心房颤动	糖尿病		冠心病	脑卒中		吸烟史 [例(%)]		阿替普酶溶栓 [例(%)]
治疗组		59	48	11		61(54,69.5)		43(72.9)		4(6.8)	25(42.4)		14(23.7)	18(30.5)		23(39.0)		9(15.3)
对照组		61	46	15		64(57,69.5)		45(73.8)		4(6.6)	30(49.2)		8(13.1)	18(29.5)		23(37.7)		12(19.7)
Z/χ²值			0.625			1.340		0.012		0.000	0.560		2.257	0.014		0.021		0.405
P值			0.429			0.183		0.912		1.000	0.454		0.133	0.905		0.886		0.524
组别	入院时收缩压 (mmHg)				入院时NIHSS 评分(分)		入组距发病时间(d)		入组时FuglMeyer 评分(分)			入组时Barthel 评分(分)			入组时焦虑自评量表评分(分)		入组时抑郁量表自测评分(分)
治疗组	149(135,167)				5(1,16)		6(3,10)		64(55,76)			60(50,75)			35(30,37)		30(28,34)
对照组	152(134.5,166.5)				5(1,16)		5(3,10)		70(62,80)			60(45,70)			34(32,36)		33(29,34)
Z值	0.776				0.660		0.410		1.308			0.604			0.081		1.799
P值	0.439				0.511		0.682		0.301			0.547			0.935		0.075

组别	例数	90 d mRS 0~1	90 d mRS 0~2	90 d mRS 0~3
治疗组	59	17(28.8)	33(55.9)	49(83.1)
对照组	61	13(21.3)	22(36.1)	34(55.7)
χ²值		0.946	2.168	3.143
OR及95%置信区间		1.5(0.65~3.44)	2.25(1.08~4.68)	3.89(1.66~9.07)
P值		0.344	0.030	0.002

组别	例数	90 d mRS 0~1	90 d mRS 0~2	90 d mRS 0~3
治疗组	59	17(28.8)	33(55.9)	49(83.1)
对照组	61	13(21.3)	22(36.1)	34(55.7)
χ²值		0.946	2.168	3.143
OR及95%置信区间		1.5(0.65~3.44)	2.25(1.08~4.68)	3.89(1.66~9.07)
P值		0.344	0.030	0.002

组别	例数	90 d FuglMeyer 评分增加	90 d Barthel 评分改善	90 d焦虑自评量表评分下降	90 d抑郁自评量表分下降
治疗组	59	18(10,24)	25(15,30)	9(2,15)	4(0,5)
对照组	61	12(8,20.5)	20(15,31)	7(0,10.5)	2(0,6)
Z值		2.101	2.023	1.739	2.030
P值		0.038	0.045	0.085	0.045