Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2022; 10(5): 1508-1516
Published online Feb 16, 2022. doi: 10.12998/wjcc.v10.i5.1508
Timing theory continuous nursing, resistance training: Rehabilitation and mental health of caregivers and stroke patients with traumatic fractures
Ya-Li Shen, Zong-Qun Zhang, Li-Juan Zhu, Jing-Hua Liu
Ya-Li Shen, Li-Juan Zhu, Department of Orthopedics, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Zong-Qun Zhang, Department of Neurology, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Jing-Hua Liu, Department of Nursing, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Author contributions: Shen YL and Zhang ZQ design the experiment; Zhu LJ drafted the work, Liu JH and Shen YL collected the data; Zhang ZQ and Zhu LJ analyzed and interpreted data, Liu JH and Shen YL wrote and revised the manuscript.
Institutional review board statement: This study was Approved by the Ethics Committee of Chengde Central Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declared that there is no conflict of interest between them.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Hua Liu, MD, Nurse, Department of Nursing, Chengde Central Hospital, No. 11 Guangren Street, Shuangqiao District, Chengde 067000, Hebei Province, China. 5446468liu@163.com
Received: November 14, 2021
Peer-review started: November 14, 2021
First decision: December 9, 2021
Revised: December 19, 2021
Accepted: January 8, 2022
Article in press: January 8, 2022
Published online: February 16, 2022
Processing time: 88 Days and 21.3 Hours
Abstract
BACKGROUND

Stroke is the leading cause of adult lifelong disability worldwide. A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms. Around 75% of surviving stroke patients experience impaired nerve function, and some suffer from traumatic fractures, which can lead to special care needs.

AIM

To determine the effect of timing theory continuous care, with resistance training, on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.

METHODS

Between January 2017 to March 2021, we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture. Two participant groups were created: (1) Control group: given resistance training; and (2) Observation group: given timing theory continuous care combined with resistance training. The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared. The self-perceived burden scale (SPBS) and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers. The Harris hip function score, ability of daily living (ADL) scale, and global quality of life questionnaire (GQOL-74) were used to evaluate hip function, ability of daily living, and quality of life.

RESULTS

Data were collected prior to and after intervention. Alkaline phosphatase (ALP), osteocalcin, and vitamin D3 in the observation group and control group increased after intervention (P < 0.05), and carboxy-terminal peptide of type I collagen β Special sequence (β-CTX) decreased (P < 0.05). ALP and osteocalcin in the observation group were higher than in the control group (P < 0.05). There was no significant difference in β-CTX and vitamin D3 between the two groups (P > 0.05). The SPBS score of the observation group was lower and the ADL score was higher than the control group. The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group (P < 0.05). The observation group’s satisfaction rating was 94.00%, which was higher than the rating from the control group (P < 0.05).

CONCLUSION

Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.

Keywords: Timing theory continuous nursing; Resistance training; Stroke; Traumatic fracture; Mental health

Core Tip: Through a retrospective study of patients with hemiplegia and traumatic fractures after stroke, we proved that the timing theory and continuous nursing combined with resistance training can reduce hip dysfunction in patients with traumatic fractures after stroke, and improve the quality of life of patients and nursing staff.