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International Journal of Evidence Based Nursing And Practices Original Research

Functional Recovery Among Stroke Survivors Following Targeted Nursing Interventions: Evidence from a Quasi-Experimental Study

  1. Shruti m Roy Department of Nursing, Index Nursing College
  2. Peter Jasper Youtham Department of Nursing, Index Nursing College

Abstract

Background: Stroke rehabilitation is crucial for reducing disability and improving functional independence. However, in India, nursing-led rehabilitation interventions remain underexplored. This study evaluates the effectiveness of nursing-led rehabilitation programs in improving mobility, ADL independence, and psychological well-being among stroke survivors.

Methods: A quasi-experimental study was conducted at Index Medical College, Hospital & Research Center, involving 200 stroke survivors. Participants were divided into two groups: (1) Intervention Group (n = 100): Received nursing-led rehabilitation interventions along with physiotherapy. (2) Control Group (n = 100): Received routine physiotherapy only. Patients were assessed using the Functional Mobility Scale (FMS), Timed Up and Go (TUG) test, Barthel Index (BI), and PHQ-9 Depression Scale at Baseline, Week 12, and Week 24.

Results: (1) Mobility Scores Improved Significantly in the Intervention Group (FMS Week 24: 4.05 ± 0.48 vs. 3.10 ± 0.52, p Conclusion: Nursing-led rehabilitation interventions significantly improve mobility, ADL independence, and psychological well-being among stroke survivors. Early integration of structured nursing-led rehabilitation into standard stroke care is recommended.

Keywords

References (20)

  1. World Health Organization (WHO). Global burden of stroke. WHO Report. 2021.
  2. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet Neurol. 2018;17(10):860-72.
  3. Pandian JD, Sudhan P. Stroke epidemiology and prevention in India. J Stroke. 2013;15(3):128-34.
  4. Kwakkel G, Kollen BJ, van der Grond J. Functional recovery after stroke: a review of current evidence. Lancet Neurol. 2015;14(2):182-92.
  5. Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: AHA/ASA scientific statement. Stroke. 2016;47(6):e98-169.
  6. Mehrholz J, Pohl M, Platz T, Kugler J, Elsner B. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev. 2018;10(10):CD006185.
  7. Bernhardt J, Hayward KS, Kwakkel G, et al. Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable Taskforce. Int J Stroke. 2017;12(5):444-450.
  8. Hakkennes S, Brock K, Hill K, et al. Selection for inpatient rehabilitation after severe stroke: What factors influence rehabilitation clinicians’ decision-making? J Rehabil Med. 2020;52(4):361-368.
  9. Cramer SC, Nudo RJ. Brain repair after stroke: Recovery mechanisms and translational implications. Neurorehabil Neural Repair. 2010;24(6):506-514.
  10. Hackett ML, Pickles K. Part I: Frequency of depression after stroke: An updated systematic review and meta-analysis of observational studies. Int J Stroke. 2014;9(8):1017-1025.
  11. Clarke PJ, Black SE, Badley EM, Lawrence JM, Williams JI. Mobility limitations among older adults: Combined impact of visual and cognitive impairments. Neurology. 2017;89(1):1-8.
  12. Bour A, Rasquin S, Boreas A, Limburg M, Verhey F. How predictive is the MMSE for cognitive performance after stroke? J Neurol. 2018;255(4):620-625.
  13. Prabhakaran S, Ruff I, Bernstein RA. Acute stroke intervention: A systematic review. JAMA Neurol.2015;72(2):202-208.
  14. Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev. 2018;7(7):CD002840.
  15. Barker-Collo S, Feigin VL, Parag V, Lawes CM, Senior H. Auckland Stroke Outcomes Study: Part 2. Cognition and functional outcomes 5 years post-stroke. Stroke. 2015;41(10):2317-2323.
  16. Cumming TB, Thrift AG, Collier JM, Churilov L, Dewey HM, Donnan GA. Very early mobilization after stroke fast-tracks return to walking: Further results from the AVERT randomized controlled trial. Stroke.2020;51(7):1843-1850.
  17. Langhorne P, Stott DJ, Robertson L, MacDonald J, Jones L, McAlpine C, et al. Medical complications after stroke: A multicenter study. Stroke. 2017;31(6):1223-1229.
  18. Winstein CJ, Wolf SL, Dromerick AW, et al. Effect of a task-oriented rehabilitation program on upper extremity recovery following stroke: The ICARE randomized clinical trial. JAMA Neurol. 2016;76(6):930-939.
  19. Pandian JD, William AG, Kate MP, et al. Strategies to improve stroke care services in low- and middle-income countries: A systematic review. Neuroepidemiology. 2020;53(1):55-68.
  20. Indian Council of Medical Research (ICMR). National guidelines for stroke rehabilitation in India. ICMR Report.2022.