Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2024; 12(8): 1406-1415
Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1406
Effect of comprehensive nursing on the quality of life and swallowing function in individuals diagnosed with ischemic stroke
Heng-Fen Hu, Yu-Fei Sang, Yan-Qing Xiao
Heng-Fen Hu, Medical School, Hunan Vocational and Technical College of Environmental Biology, Hengyang 421005, Hunan Province, China
Yu-Fei Sang, Medical Team, The Unit 95246 Of Chinese People’s Liberation Army, Nanning 530007, Guangxi Zhuang Autonomous Region, China
Yan-Qing Xiao, Department of Gynecology and Obstetrics, Hengyang Maternal and Child Health Hospital, Hengyang 421001, Hunan Province, China
Author contributions: Hu HF and Sang YF contributed to the conception and design of the study, acquisition of data, and analysis and interpretation of data; Xiao YQ contributed to the drafting the article and making critical revisions related to the relevant intellectual content of the manuscript; All authors validated and approved the final version of the article to be published.
Institutional review board statement: This study was approved by the Ethics Committee of Hengyang Maternal and Child Health Hospital (No. 202001151).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Data sharing statement: Data supporting the findings of this study are available upon reasonable request from the corresponding authors.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
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: Heng-Fen Hu, MD, PhD, Associate Professor, Medical School, Hunan Vocational and Technical College of Environmental Biology, No. 165 Wangcheng Road, Shigu District, Hengyang 421005, Hunan Province, China. huhengfenfen@126.com
Received: November 27, 2023
Peer-review started: November 27, 2023
First decision: January 15, 2024
Revised: January 23, 2024
Accepted: February 27, 2024
Article in press: February 27, 2024
Published online: March 16, 2024
Processing time: 105 Days and 14.9 Hours
Abstract
BACKGROUND

Ischemic stroke (IS) is a widely recognized disease characterized by high prevalence, mortality, morbidity, disability, and recurrence rates. It ranks prominently in terms of mortality, constituting 60%-80% of stroke cases.

AIM

To explore the impact of comprehensive nursing care on the quality of life and swallowing function in individuals diagnosed with IS.

METHODS

This study comprised 172 patients with IS admitted to our hospital between February 2018 to March 2021. The participants were divided into two groups, namely the control group (n = 80) receiving routine care and the research group (n = 92) receiving comprehensive care. Various assessment scales, including the standard swallowing function assessment scale (SSA), National Institutes of Health Stroke scale (NIHSS), European stroke scale (ESS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), Barthel index (BI), and the motor function assessment scale (MAS), were employed to evaluate the improvement in swallowing function, neurological deficits, clinical outcomes, anxiety, depression, daily living activities, and motor function before and after care. Furthermore, the study compared the occurrence of adverse reactions during the nursing period, life quality before and after the intervention, rehabilitation compliance, and nursing satisfaction between the two groups.

RESULTS

After the nursing intervention, the research group exhibited significantly improved SSA and NIHSS scores compared to the control group (P < 0.05). Moreover, both groups demonstrated significant reductions in SAS and SDS scores (P < 0.05), with the research group showing more obvious advantages (P < 0.05). Compared to the control group, the research group displayed significantly better ESS, BI, and MAS scores (P < 0.05), coupled with a lower incidence of adverse reactions (P < 0.05). Additionally, the research group demonstrated markedly higher levels of life quality, rehabilitation compliance, and nursing satisfaction compared to the control group (P < 0.05).

CONCLUSION

Comprehensive nursing effectively improved swallowing function, quality of life, and patient satisfaction, highlighting its clinical significance.

Keywords: Comprehensive nursing; Stroke; Swallowing function; Quality of life; Patient satisfaction

Core Tip: In this study, the effect of a comprehensive nursing model on ischemic stroke (IS) patients and their swallowing function were analyzed. This model could provide more choices for nursing plans for patients suffering from IS.