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      Using Logistic Multivariate Analysis to Explore the Effects of Nursing and Psychological Factors on Motor and Cognitive Rehabilitation in Patients with Stroke: Based on a Retrospective Case-Control Study

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      Publication date (Electronic):
      Journal: Computational Intelligence and Neuroscience
      Publisher: Hindawi

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          Abstract

          Objective

          Based on a retrospective case-control study, logistic multivariate analysis was employed to explore the effects of nursing and psychological factors on the rehabilitation of motor and cognitive function in patients with stroke.

          Methods

          A total of 200 stroke patients treated from February 2019 to April 2020 were enrolled in our hospital. According to the results of exercise and cognitive rehabilitation, the patients with good rehabilitation were divided into the control group ( n = 140) and the research group ( n = 60). The effects of nursing and psychological factors on the rehabilitation of motor and cognitive function in patients with stroke were analyzed.

          Results

          First of all, we compared the general data. There were significant differences in terms of age, years of education, occupational status, payment methods of medical expenses, family income and the course of the disease, and the difference was statistically significant ( P < 0.05). There was no significant difference in general data ( P > 0.05). Secondly, we compared the nursing effective rates. The nursing effective rates of the study group were 10 cases, 15 cases, 12 cases, and 23 cases, and the nursing effective rate was 61.67%. In the control group, 78 cases were markedly effective, 33 cases were effective, 25 cases were general and 14 cases were ineffective, and the nursing effective rate was 90.00%. The effective rate of nursing in the study group was higher than that in the control group, and the difference was statistically significant ( P < 0.05). There was no significant difference in anxiety and depression scores before nursing ( P > 0.05), but they decreased after nursing. In addition, the scores of anxiety and depression in the study group were higher than those in the control group, and the difference was statistically significant ( P < 0.05). There was no significant difference in motor function and cognitive function between prenursing and prenursing ( P > 0.05); after nursing, the motor function increased and the score of cognitive function decreased. Furthermore, the motor function of the study group was lower compared to the control group, and the score of cognitive function of the study group was higher compared to the control group, and the difference was statistically significant ( P < 0.05). The results of the Person correlation analysis showed that there was a significant correlation between nursing anxiety depression and the rehabilitation effect of motor cognitive function in stroke patients. The results of logistic regression analysis showed that age, family income, nursing efficiency, anxiety, and depression were the factors affecting the rehabilitation of motor and cognitive function in stroke patients.

          Conclusion

          Age and family income may be the risk factors affecting the psychological mood of patients. Medical staff should pay attention to the negative emotion of patients and strengthen the nursing intervention of patients.

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          Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature

          Fred S. Sarfo, Bruce Ovbiagele, Ohene Opare-Sem … (2018)
          Background Tele-rehabilitation for stroke survivors has emerged as a promising intervention for remotely supervised administration of physical, occupational, speech and other forms of therapies aimed at improving motor, cognitive and neuropsychiatric deficits from stroke. Objective To provide an updated systematic review on the efficacy of tele-rehabilitation interventions for recovery from motor, higher cortical dysfunction and post-stroke depression among stroke survivors. Methods We searched PubMed and Cochrane library from January 1, 1980 to July 15, 2017 using the following keywords: Telerehabilitation stroke”, “Mobile health rehabilitation”, “Telemedicine stroke rehabilitation”, Telerehabilitation. Our inclusion criteria were randomized controlled trials, pilot or feasibility trials that included an intervention group that received any tele-rehabilitation therapy for stroke survivors compared with a control group on usual or standard of care. Results This search yielded 49 abstracts. By consensus between two investigators, 22 publications met the criteria for inclusion and further review. Tele-rehabilitation interventions focused on motor recovery (n=18), depression or caregiver strain (n=2) and higher cortical dysfunction (n=2). Overall, tele-rehabilitation interventions were associated with significant improvements in recovery from motor deficits, higher cortical dysfunction and depression in the intervention groups in all studies assessed but significant differences between intervention versus control groups were reported in 8 out of 22 studies in favor of tele-rehabilitation group while the remaining studies reported non-significant differences. Conclusion This updated systematic review provides evidence to suggest that tele-rehabilitation interventions have either better or equal salutary effects on motor, higher cortical and mood disorders compared with conventional face-to-face therapy.
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            Virtual Reality and Cognitive Rehabilitation in People With Stroke: An Overview

            Maria Grazia Maggio, Desiree Latella, Giuseppa Maresca … (2019)
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              Cognitive rehabilitation for attention deficits following stroke

              Tobias Loetscher, Kristy-Jane Potter, Dana Wong … (2019)
              Many survivors of stroke report attentional impairments, such as diminished concentration and distractibility. However, the effectiveness of cognitive rehabilitation for improving these impairments is uncertain.This is an update of the Cochrane Review first published in 2000 and previously updated in 2013. To determine whether people receiving cognitive rehabilitation for attention problems 1. show better outcomes in their attentional functions than those given no treatment or treatment as usual, and 2. have a better functional recovery, in terms of independence in activities of daily living, mood, and quality of life, than those given no treatment or treatment as usual. We searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO, PsycBITE, REHABDATA and ongoing trials registers up to February 2019. We screened reference lists and tracked citations using Scopus. We included controlled clinical trials (CCTs) and randomised controlled trials (RCTs) of cognitive rehabilitation for impairments of attention for people with stroke. We did not consider listening to music, meditation, yoga, or mindfulness to be a form of cognitive rehabilitation. We only considered trials that selected people with demonstrable or self‐reported attentional deficits. The primary outcomes were measures of global attentional functions, and secondary outcomes were measures of attentional domains (i.e. alertness, selective attention, sustained attention, divided attention), functional abilities, mood, and quality of life. Two review authors independently selected trials, extracted data, and assessed the risk of bias. We used the GRADE approach to assess the certainty of evidence for each outcome. We included no new trials in this update. The results are unchanged from the previous review and are based on the data of six RCTs with 223 participants. All six RCTs compared cognitive rehabilitation with a usual care control. Meta‐analyses demonstrated no convincing effect of cognitive rehabilitation on subjective measures of attention either immediately after treatment (standardised mean difference (SMD) 0.53, 95% confidence interval (CI) –0.03 to 1.08; P = 0.06; 2 studies, 53 participants; very low‐quality evidence) or at follow‐up (SMD 0.16, 95% CI –0.23 to 0.56; P = 0.41; 2 studies, 99 participants; very low‐quality evidence). People receiving cognitive rehabilitation (when compared with control) showed that measures of divided attention recorded immediately after treatment may improve (SMD 0.67, 95% CI 0.35 to 0.98; P < 0.0001; 4 studies, 165 participants; low‐quality evidence), but it is uncertain that these effects persisted (SMD 0.36, 95% CI –0.04 to 0.76; P = 0.08; 2 studies, 99 participants; very low‐quality evidence). There was no evidence for immediate or persistent effects of cognitive rehabilitation on alertness, selective attention, and sustained attention. There was no convincing evidence for immediate or long‐term effects of cognitive rehabilitation for attentional problems on functional abilities, mood, and quality of life after stroke. The effectiveness of cognitive rehabilitation for attention deficits following stroke remains unconfirmed. The results suggest there may be an immediate effect after treatment on attentional abilities, but future studies need to assess what helps this effect persist and generalise to attentional skills in daily life. Trials also need to have higher methodological quality and better reporting. Cognitive rehabilitation for attention problems following stroke Review question Our aim was to review the evidence about the effect of cognitive rehabilitation on attention, the ability to perform daily activities, mood, and quality of life in people who have attention problems following a stroke. Background Many people have problems with attention after stroke. They are unable to concentrate for prolonged periods of time and are distractible, being unable to focus on a specific task in the presence of competing information. 'Cognitive rehabilitation' involves providing therapeutic activities to reduce the severity of cognitive problems, like attention, following damage to the brain. The benefit of cognitive rehabilitation for attention problems following stroke is unclear. Study characteristics We identified six studies that compared cognitive rehabilitation with a control group who received their usual care (but not cognitive rehabilitation) for people with attention problems following stroke. We did not consider listening to music, meditation, yoga, or mindfulness to be a form of cognitive rehabilitation. The six studies involved 223 participants who demonstrated attentional problems or reported having such problems following stroke. The evidence is current to February 2019. Key results We found no evidence that cognitive rehabilitation improved general (global) measures of attention. The group that received cognitive rehabilitation performed better than the control group on tasks that required people to divide attention. However, this benefit was only seen immediately after the rehabilitation period with no suggestion that the benefits persist for longer. There was no evidence to suggest that cognitive rehabilitation was beneficial for other types of attention problems, or daily life activities, mood, or quality of life. More research is needed. Certainty of the evidence The very low to moderate methodological quality of the studies identified, and the lack of studies means that we cannot draw firm conclusions about the effect of cognitive rehabilitation for attention following stroke.
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                Author and article information

                Contributors
                Liping Meng:
                ORCID: https://orcid.org/0000-0002-7811-0918
                Journal
                Journal ID (nlm-ta): Comput Intell Neurosci
                Journal ID (iso-abbrev): Comput Intell Neurosci
                Journal ID (publisher-id): cin
                Title: Computational Intelligence and Neuroscience
                Publisher: Hindawi
                ISSN (Print): 1687-5265
                ISSN (Electronic): 1687-5273
                Publication date Collection: 2022
                Publication date (Electronic): 19 August 2022
                Volume: 2022
                Electronic Location Identifier: 1411670
                Affiliations
                Department of Rehabilitation Medicine, Zhejiang Hospital, Hangzhou 310000, China
                Author notes

                Academic Editor: Dong Chen

                Author information
                https://orcid.org/0000-0002-7811-0918
                Article
                DOI: 10.1155/2022/1411670
                PMC ID: 9417779
                PubMed ID: 36035851
                SO-VID: c3bec61e-a464-46ec-ad6a-c2d1b431dbb8
                Copyright © Copyright © 2022 Wenxin Lin et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 8 June 2022
                Date revision received : 6 July 2022
                Date accepted : 8 July 2022
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Neurosciences
                Data availability:
                ScienceOpen disciplines: Neurosciences

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