Application of Comprehensive Nursing Intervention in Elderly Patients with Post-stroke Epilepsy
DOI:
https://doi.org/10.54097/mz6t9v65Keywords:
Neurology, Stroke, Epilepsy, Comprehensive NursingAbstract
Objective To investigate the efficacy of comprehensive nursing intervention in elderly patients with post-stroke epilepsy. Methods A total of 2,025 elderly patients with post-stroke epilepsy admitted to our hospital from January 2025 to December 2025 were selected. Randomly, 7 8 patients were divided into two groups: the comprehensive nursing group (intervention group, n=39) and the conventional nursing group (control group, n=39). The control group received conventional neurological nursing, while the intervention group received comprehensive nursing. Evaluation indicators included the National Institute of Health Stroke Scale (NIHSS), Activities of Daily Living (ADL) scores, Mini-Attitude Scale (MAS) scores, hospitalization duration, patient satisfaction rate, and clinical efficacy before and 3 months after intervention. Results After intervention, the NIHSS scores in the intervention group were significantly lower than those in the control group (P<0.05). The ADL scores and MAS scores in the intervention group were significantly higher than those in the control group (P<0.05). Compared with baseline values, the NIHSS scores in the intervention group were lower after intervention, while the ADL scores and MAS scores were higher after intervention, with statistically significant differences (P<0.05); hospitalization days in the intervention group (15.79± 2.4 8) Less than the control group (21.9 2± 2 .4.0), with statistically significant differences (P<0.0 5); the satisfaction rate in the intervention group (89.75%) was higher than that in the control group (69.23%), with statistically significant differences (P<0.05); the improvement in seizure frequency and duration in the intervention group was superior to that in the control group, with statistically significant differences (P<0.05). Conclusion: Comprehensive nursing interventions should be implemented for post-stroke epilepsy to significantly improve clinical efficacy and patient satisfaction.
Downloads
References
Zhao YH, Li XY, Zhang K, Zhao YH, Li XY, Zhang K, et al. The progress of epilepsy after stroke[J]. Curr Neuropharmacol, 2018, 16(1):71-78.
[2] Luo Yujie, Ma Xiao, Chen Zhixiang, et al. Research Progress on Influencing Factors and Nursing Care of Post-stroke Epilepsy [J].China Modern Distance Education in Traditional Chinese Medicine, 2018,16(20):155-158.
[3] Chai Changfeng, Zhang Xiutian, Bi Xiaoying.Research Progress on Post-Stroke Epilepsy [J].World Clinical Drugs, 2019,40(10):675-681.
[4] Wang Yan, Xie Xing, Li Zibin.Analysis of the Improvement Degree of Pulmonary Function and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease Complicated by Tuberculosis Through Comprehensive Nursing Intervention [J].China Anti-Tuberculosis Journal, 2024, 46: 221-223.
[5] Wei Fuhong. Evaluation of the Effect of Comprehensive Nursing Intervention in Preventing Falls in Elderly Patients with Hypertension or Diabetes in Community Settings [J].China Health and Nutrition, 2021,31:186.
[6] Liu Li, Yang Yuxuan, Sun Yujun.The Impact of Comprehensive Rehabilitation Nursing on Rehabilitation Outcomes and Activities of Daily Living in Stroke Patients with Hemiplegia [J].Healthcare Medicine Research and Practice, 2023,20:203-205.
[7] China Expert Consensus on the Diagnosis and Treatment of Post-Stroke Epilepsy [J]. Chinese Journal of Cerebrovascular Diseases (Electronic Edition), 2022,16:80-83.
[8] Chinese Medical Association Neurology Branch, Chinese Medical Association Neurology Branch Cerebrovascular Disease Group. Guidelines for the Application of Common Brain Imaging Techniques in Stroke Diagnosis [J].Chinese Journal of Neurology, 2024,57(03):206-224.
[9] Hou Dongzhe, Zhang Ying, Wu Jialing, et al. Research on the Reliability and Validity of the Chinese Version of the National Institutes of Health Stroke Scale[J].Chinese Journal of Physical Medicine and Rehabilitation, 2012,34(5):372-374.
[10] Lee Y C, Yu W H, Hsueh I P, et al. Test-retest reliability and responsiveness of the Barthel Index-based supplementary scales in patients with stroke[J]. European Journal of Physical and Rehabilitation Medicine, 2017,53(5):710-718.
[11] Gunther A C, Bottai M, Schandl A R, et al. Variability of palmar skin conductance and its relationship with stimulation, pain, and the motor activity assessment scale in intensive care unit patients[J]. Critical Care (London, England), 2013,17(2): R51.
[12] Wang Weiwen. Diagnostic Criteria and Efficacy Assessment Standards for Clinical Diseases [M].Beijing: Science and Technology Literature Publishing House, 2010.
[13] Sun Z, Jiang H, Chen C, Sun Z, Jiang H, Chen C, et al. Effect of comprehensive nursing intervention on the effect of CT-guided intravenous thrombolysis in acute cerebral infarction[J]. Journal of Healthcare Engineering, 2022, 2022(1): 6959416.
[14] Wang Aihong, Xu Guihua, Wu Qiudi, et al.Effect of comprehensive nursing intervention on quality of life and self-care ability in community rehabilitation stroke patients [J].China Practical Nursing Journal, 2010,26(8):11-14.
[15] Zhou Shuli.Application of Nursing Intervention Combined with Comprehensive Rehabilitation Training in the Treatment of Stroke Patients [J].China Traditional Medicine Emergency, 2012,21(10):1717-1718.
[16] Liu W, Zhang H, Du K. Effect of comprehensive nursing on quality of life and nursing satisfaction in parkinson’s patients[J]. Int J Clin Exp Med, 2019, 12(10): 12340-12347.
[17] Wenfang Z, Wenrui Z, Yueqin L, Wenfang Z, Wenrui Z, Yueqin L, et al. Impact of comprehensive nursing intervention on rehabilitation adherence, nursing satisfaction, and quality of life in patients with chronic heart failure[J]. MEDS Public Health and Preventive Medicine, 2024, 4(2): 47-53.
[18] Hong Y, Yan H, Zhang G. The effects of comprehensive nursing interventions on the negative emotions, quality of life, and nursing satisfaction in intracerebral hemorrhage patients[J]. American Journal of Translational Research, 2021, 13(5): 4860.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
