The Effect Of Inpatient Stroke Rehabilitation-a Longitudinal Study

Background:The incidence of stroke in China is highest in the world. There are 2,000,000 new cases every year. Mortality of stroke is 20% and there currently are 7000000 stroke survivors. Most survivors have different degree of disability. High morbidity and high disability of stroke survivors have affected patients’quality of life and have increased their families and society’s burden. Rehabilitation can make more than half of the patients completely or mostly restored the ability of daily life from stroke. The stroke rehabilitation research mostly focus on the effectiveness of rehabilitation programs, the time of intervention and influence factors to rehabilitation.both few research paid attention to multipoint evaluating the effect of rehabilitation and use of scales in rehabilitation evaluation.Objectives:To describe the effect of rehabilitation for stroke patients; To explore the effect of nursing involved rehabilitation to the patients; To examine the relationship of the stroke rehabilitation related scales.Methods:Using survey method, collected the data in 4 points which indicated patients’ rehabilitation in different times and compared the different in motor function rehabilitation、activities of daily living ability, cognitive and depression.Results:Patients from the first admitted to and discharged from second, FMA total score and the movement function of upper and lower limbs scores are on the rise,4 time points of the FMA total score and the movement function of upper and lower limbs scores between the differences were statistically significant (P< 0.01); two adjacent time points FMA total score and the movement function of upper and lower limbs between the scores the differences were statistically significant (P< 0.01). Patients from the first admission to and discharged from second, FIM total scores, sports a scoring function and cognitive function are on the rise,4 time points in patients with FIM motor function, cognitive ability, total scores between the differences were statistically significant (P< 0.01), the adjacent two time points FIM total score, score, cognitive function ability scores between the differences were statistically significant (P< 0.01). Patients from the first admission to and discharged from second, MMADD, BDI, HRSD total score score score overall decreasing trend,4 time points in patients with depression scores between the differences were statistically significant (P< 0.01), the adjacent two time points BDI, HRSD, MMADD score compares the first hospital admission, and for the first time the second discharge and second admission scores between the differences were statistically significant (P< 0.01), second at admission and the first discharge between the scores showed no significant differences (P> 0.05). In patients with a first admission, at discharge measured second times the LOTCA scores between the difference was statistically significant (P< 0.01).Patients from the first admission to the second and 2 months after discharge compliance of rehabilitation training of the overall assumes the trend of escalation,5 time points between compliance of patients with significant difference (P< 0.01), the adjacent two time points compliance comparison in patients with a first discharge and first admission, at discharge and second second admission compliance among the differences were statistically significant (P< 0.01), second at admission and at discharge, the first 2 months after discharge and second discharge between the scores showed no significant differences (P> 0.05).Nurses involved rehabilitation can help patients to decrease their depression and increase compliance to rehabilitation program.FMA Scale total score and upper extremity motor function scores between the correlation coefficient r= 0.931, the total score and motor function of lower limbs in scores between the correlation coefficient r= 0.952, upper and lower extremity motor function scores between the correlation coefficient r= 0.803. FIM Scale total score and motor function scores between the correlation coefficient r=0.938, the total score and cognitive function scores between the correlation coefficient r=0.857, motor function and cognitive function scores between the correlation coefficient r=0.660. MMADD total scores and BDI scores between the correlation coefficient r= 0.963, the total score and HRSD score between the correlation coefficient r =0.885, BDI and HRSD scores between the correlation coefficient r= 0.768. The LOTCA total score and directed scores between the correlation coefficient r= 0.773, the total score and perception scores between the correlation coefficient r= 0.859, the total score and visual movement scores between the correlation coefficient r= 0.915, the total score and the thinking operation scores between the correlation coefficient r= 0.931, directional scoring and perception scores between the correlation coefficient r= 0.669, directional scoring and visual movement scores between the correlation coefficient r= 0.652, directional scoring and thinking operation scores between the correlation coefficient r= 0.668, and the apparent motion perception score organization scores between the correlation coefficient r= 0.866, perception score and the thinking operation scores between the correlation coefficient r= 0.686, as the movement scoring and thinking operation scores between related coefficient r= 0.763. FMA, FIM, MMADD, LOTCA Scale total score correlation relationship between FIM and FMA, shows the total score total scores between the correlation coefficient r= 0.623, FIM total scores and LOTCA scores between the correlation coefficient r= 0.348. FIM cognitive scores and LOTCA total score and the LOTCA internal project score correlation coefficient in 0.343～0.374 between. FIM cognitive score and HRSD score correlation coefficient r= 0.279. FIM sports scores and total scores and lower scores on the FIM correlation coefficients were greater than 0.581. Patients from the first admission to the second and 2 months after discharge compliance of rehabilitation training of the overall assumes the trend of escalation,5 time points between compliance of patients with significant difference (P< 0.01), the adjacent two time points compliance comparison in patients with a first discharge and first admission, at discharge and second second admission compliance among the differences were statistically significant (P< 0.01), second at admission and at discharge, the first 2 months after discharge and second discharge between the scores showed no significant differences (P> 0.05).Conclusions:Continued rehabilitation has effect in patients functional rehabilitation. Nursing involved rehabilitation can help patients reduce depression and increase compliance to the rehabilitation. There are correlation within and between the scales.