Original Article

Effects of Predictive Nursing Intervention among Patients with Acute Stroke


Background: To explore the effects of predictive nursing intervention among patients with acute stroke.

Methods: One hundred and sixty participants were included. They were hospitalized in the Department of Neurology of a third-level first-class hospital in Changsha, Hunan Province, from January to August 2019. They were categorized into control group and intervention group by random number table, with 80 patients in each group. General nursing for patients in Neurology Department was offered to the control group. On the basis of general nursing, predictive nursing intervention was offered to the intervention group. The effectiveness of predictive nursing intervention were evaluated by disparity in neurologic function, movement function, daily life ability and sleep quality before intervention and 2 weeks after intervention. The neurologic function, movement function, daily life ability and sleep quality were evaluated by National Institute of Health acute stroke scale (NIHSS), Fugl-Meyer scale, Barthel indicator, and Pittsburgh sleep quality indicator (PSQI), respectively.

Results: There was no significant difference in gender, age, complications and treatment methods between two groups. There was no significant difference in the scores of NIHSS, Fugl-Meyer scale, Barthel indicator, and PSQI before intervention. The scores of NIHSS and PSQI were significantly lower in the intervention group than those in the control group, and the scores of Fugl-Meyer scale and Barthel indicator were significantly higher in the intervention group than those in the control group (P <0.05).

Conclusion: Predictive nursing intervention could help improve not only neurologic function, movement function, and daily life ability, but also sleep quality among patients with acute stroke.

1. Lo J, Chan L, Flynn S (2021). A Systematic Review of the Incidence, Prevalence, Costs, and Activity/Work Limitations of Amputation, Osteoarthritis, Rheumatoid Arthritis, Back Pain, Multiple Sclerosis, Spinal Cord Injury, Stroke, and Traumatic Brain Injury in the United States: A 2019 Update. Arch Phys Med Rehabil,102(1):115-131.
2. Yazhe Wu, Weiwei Chen (2016). General sit-uation of stroke in China. Prevention and Treatment of Cardio-Cerebral-Vascular Disease, 16 (06): 410-414.
3. Jiang B (2019). Suggestions for Domestic Primary Stroke Care Arising from Epi-demiological Characteristics, Prevention and Treatment of Stroke in China. Chinese General Practice, 22 (30): 3653-3661.
4. Chimatiro GL, Rhoda AJ (2019). Scoping review of acute stroke care management and rehabilitation in low and middle-income countries. BMC Health Serv Res, 19 (1): 789.
5. Yoon CW, Park HK, Bae EK, et al (2020). Sleep Apnea and Early Neurological De-terioration in Acute Ischemic Stroke. J Stroke Cerebrovasc Dis, 29 (2): 104510.
6. Morawo AO, Adams CA (2019). Early Management of Acute Ischaemic Stroke: A Clinical Perspective. West Afr J Med, 36 (3): 286-289.
7. Powers W J, Rabinstein A A, Ackerson T, et al (2019). Guidelines for the Early Man-agement of Patients with Acute Ischemic Stroke: 2019 Update to the 2018 Guide-lines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the Amer-ican Heart Association/American Stroke Association. Stroke, 50 (12): e344-e418.
8. Yew KS, Cheng EM (2015). Diagnosis of acute stroke. Am Fam Physician, 91 (8): 528-536.
9. Wu S, Wu B, Liu M, et al (2019). Stroke in China: Advances and Challenges in Epi-demiology, Prevention, and Management. Lancet Neurol, 18 (4): 394-405.
10. Zhou M, Wang H, Zeng X, et al (2019). Mortality, Morbidity, and Risk Factors in China and Its Provinces, 1990-2017: A Systematic Analysis for the Global Bur-den of Disease Study 2017. Lancet, 394 (10204): 1145-1158.
11. Ferguson C, George A, Villarosa AR, et al (2020). Exploring nursing and allied health perspectives of quality oral care af-ter stroke: A qualitative study. Eur J Cardi-ovasc Nurs, 19(6): 505-512.
12. Meng X, Chen X, Liu Z, et al (2020). Nurs-ing practice in stroke rehabilitation: Per-spectives from multi-disciplinary healthcare professionals. Nurs Health Sci, 22 (1): 28-37.
13. Aadal L, Angel S, Langhorn L, et al (2018). Nursing roles and functions addressing relatives during in-hospital rehabilitation following stroke. Care needs and in-volvement. Scand J Caring Sci, 32 (2): 871-879.
14. Fant GN, Lakomy JM (2019). Timeliness of Nursing Care Delivered by Stroke Certi-fied Registered Nurses as Compared to Non-Stroke Certified Registered Nurses to Hyperacute Stroke Patients. J Neurosci Nurs, 51 (1): 54-59.
IssueVol 50 No 7 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i7.6629
Predictive nursing intervention Acute stroke Neurologic function Movement function Daily life ability Sleep quality

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How to Cite
Gong L, Ruan C, Yang X, Lin W. Effects of Predictive Nursing Intervention among Patients with Acute Stroke. Iran J Public Health. 50(7):1398-1404.