| Objective: In this study,the patients with ischemic stroke hemiplegia were taken as the research object,and the video feedback method was applied to ADL exercise and disease knowledge guidance of stroke hemiplegia patients,to explore its influence on disease-related knowledge,compliance of functional exercise,motor function and activities of daily living of stroke hemiplegia patients.Through data analysis,the corresponding conclusions are drawn,which provide theoretical and practical basis for clinical nursing and related research.Methods: This study is an experimental study.Eighty-four patients with first stroke and hemiplegia who were hospitalized in the Department of Encephalopathy of a third-class firstclass hospital in Changchun City from December 2021 to October 2022 were selected as the research object,and randomly divided into two groups according to the random number table:the control group(42 cases)and the observation group(42 cases).Patients in the control group received routine ADL exercise,while patients in the observation group received video feedback ADL exercise.The scores of stroke knowledge questionnaire,functional exercise compliance questionnaire(EAQ),motor assessment scale,MAS)and modified Barthel Index,MBI)were evaluated before intervention,at discharge and 4 weeks after discharge.All the data were statistically analyzed by SPSS.27.0 software,and the difference was statistically significant with P<0.05.Results: A total of 84 subjects were included in this study,42 in the control group and42 in the observation group.Among them,2 cases in the observation group and 2 cases in the control group fell off,and finally 80 patients completed the intervention,with 40 cases in each group.The results show that:(1)Statistical analysis of general data: There was no statistical difference in age,sex,hemiplegia,education level and course of disease between the two groups(P>0.05).(2)Comparison of the scores of the questionnaire on knowledge of stroke: Before the intervention,the scores of patients in the control group were(10.20±2.66)and those in the observation group were(10.50±3.02),and there was no statistical difference between the two groups before the intervention(P>0.05).At the time of discharge,the score of the control group was(15.08±2.48),and that of the observation group was(17.13±2.22).Four weeks after discharge,the score of the control group was(16.90±2.75),and that of the observation group was(19.25±3.21).At the time of discharge and 4 weeks after discharge,the scores of knowledge questionnaire in the observation group and the control group were significantly higher than those before intervention(P<0.05).The results of repeated measurement analysis of variance show that the score of knowledge questionnaire has obvious time effect(F=198.263,P < 0.001),inter-group effect(F=19.560,P < 0.001)and interaction effect(F=27.788,P=0.017).(3)Comparison of scores of functional exercise compliance questionnaire: Before the intervention,the scores of patients in the control group were(30.38±4.51)and those in the observation group were(30.80±3.84),and there was no statistical difference in the scores of EAQ questionnaire between the two groups(P>0.05).At discharge,the scores of patients in control group and observation group were(34.43±3.94)and(36.95±4.28),respectively.Four weeks after discharge,the scores of patients in control group and observation group were(37.88 ± 4.05)and(41.33 ± 4.17),respectively,and the scores of EAQ questionnaire in observation group were.At the time of discharge and 4 weeks after discharge,the EAQ scores of patients in the observation group and the control group were significantly higher than those before intervention(P<0.05).The results of repeated measurement analysis of variance show that the score of EAQ questionnaire has obvious time effect(F=115.854,P<0.001),intergroup effect(F=11.790,P<0.001)and interaction effect(F=3.407,P=0.036).(4)Score of motor function scale: Before the intervention,the score of patients in the control group was(20.98±4.41),and the score of patients in the observation group was(21.13±4.19).There was no statistical difference between the two groups in MAS score before the intervention(P>0.05).At discharge,the score of patients in the control group was(23.58±4.10),and that of patients in the observation group was(25.50±3.81).Compared with the control group at discharge and 4 weeks after discharge,the score of MAS in the observation group was higher(P<0.05).At discharge and 4 weeks after discharge,the MAS scores of patients in the observation group and the control group were improved compared with those before intervention(P<0.05).The results of repeated measurement analysis of variance show that MAS score has obvious time effect(F=100.639,P<0.001)and crossinteraction effect(F=5.348,P=0.007),but the inter-group effect is not obvious(F=3.780,P=0.055).(5)The score of modified Barthel index scale: Before the intervention,the score of patients in the control group was(55.38±9.02),and the score of patients in the observation group was(55.65±9.39).There was no statistical difference in the MBI score between the two groups before the intervention(P>0.05).At discharge,the scores of patients in the control group were(59.20±8.69)and those in the observation group were(61.63±9.09).Although the MBI scores of patients in the observation group were improved compared with those in the control group,the difference was not significant(P>0.05).Four weeks after discharge,the scores of patients in the control group were(63.23±8.98)and those in the observation group were(67.35±8.57).There was a significant difference in MBI scores between the observation group and the control group(P<0.05).The MBI scores of the patients in the observation group and the control group were improved at discharge and 4weeks after discharge(P<0.05).The results of repeated measurement analysis of variance show that MBI score has obvious time effect(F=362.498,P<0.001)and interaction effect(F=14.122,P<0.001),but the inter-group effect is not obvious(F=1.348,P=0.249).Conclusions:1.Video feedback method can improve patients’ mastery of disease-related knowledge and exercise skills.2.Video feedback method can improve the compliance of patients with functional exercise.3.Video feedback can improve patients’ motor function and ability of daily living. |
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