Rehabilitation nursing teaching is one of the key points of nursing teaching. The quality of rehabilitation nursing teaching directly affects the comprehensive ability of clinical interns. Therefore, teachers must further deepen the reform of clinical nursing teaching, improve the teaching system, and explore effective clinical nursing teaching methods. This paper introduces the application of the network teaching mode based on sandwich in rehabilitation nursing teaching, which provides guidance and help for the clinical nursing teaching mode. Through sandwich teaching activities for third year students of the nursing department, taking mastering theoretical knowledge, changing critical thinking ability, and changing learning initiative as indicators, this paper analyzes the sandwich teaching mode and discusses the cultivation of nursing students’ ability. The experimental results showed that after the intervention, there was a statistically significant difference in the learning initiative of students in the experimental group ( t = − 29.713 , p ≤ 0.001 ). After the intervention, there was a significant difference in the learning initiative of the control group ( t = − 3.368 , p ≤ 0.001 ).

Background Few studies have investigated the influence of white matter lesions (WMLs) on the prognosis of acute cardioembolic stroke (CES). We aimed to explore the role of WMLs in predicting 3-month prognosis of CES without reperfusion therapy. Methods A number of 251 acute CES patients without reperfusion therapy at a single center were retrospectively recruited. The severity of WMLs was evaluated by Fazekas scale and patients were divided into mild WMLs group (188 cases, Fazekas ≤ 2 points) and moderate to severe WMLs group (63 cases, Fazekas ≥ 3 points) accordingly. General data and clinical features of the two groups were compared. Functional outcomes of patients were followed up for 3 months using the modified Rankin scale (mRS) and patients were divided into poor outcome group (mRS ≥ 3) and favorable outcome group (mRS ≤ 2). The effect of WMLs on the prognosis was identified by binary logistic regression. Results Patients in moderate to severe WMLs group were older (P < 0.001). Also, they had higher baseline National Institutes of Health Stroke Scale (NIHSS) score (P < 0.001) and elevated incidence of asymptomatic cerebral hemorrhage (P = 0.040) and stroke associated pneumonia (P = 0.001) than those in mild WMLs group. At 3 months, there were 100 cases in the poor outcome group. Patients in poor outcome group had higher baseline NIHSS score, increased proportion of moderate to severe WMLs, and elevated incidence of stroke associated pneumonia than those in favorable outcome group (P < 0.001). Binary logistic regression analysis showed that moderate to severe WMLs (odds ratio [OR] = 4.105, 95 % confidence interval [CI] = 1.447–11.646), baseline NIHSS score (OR = 1.368, 95 % CI = 1.240–1.511), and stroke-associated pneumonia (OR = 4.840, 95 %CI = 1.889–12.400) were independent risk factors for poor outcome. Conclusions Moderate to severe WMLs is an independent risk factor for prognosis of CES patients without reperfusion therapy.

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