The Role of Traditional Chinese Medicine Nursing for Stroke: An Umbrella Review

Hu, Chaoqun; Qin, Xiaohui; Ye, Richun; Jiang, Minqing; Lu, Yuhua; Lin, Changting

doi:10.1155/2021/9918687

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…Prevention of stroke requires timely control of the primary disease, improvement of unhealthy lifestyles and habits, followed by initiation of secondary prevention therapy, which mainly includes blood pressure control, antipolymerization and lipid regulation plus plaque stabilization; moreover, combination of the three methods can reduce the risk of stroke. 80% incidence [ 21 , 22 ]. Chinese medicine emphasizes on stroke care: maintain emotional well-being and reduce adverse stimulation; keep the room sunny and ventilated; eat more light, digestible, high-quality protein-rich foods; carry out traditional Chinese medicine special care, such as cupping, acupuncture and traditional Chinese medicine fumigation; often observe the vital signs and state of consciousness of the patients in the acute stage, and pay attention to the nursing of the second bowel movement [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Grading Rehabilitation Nursing Mode on Limb Function, Speech Rehabilitation, and Quality of Life of Stroke Patients

Qian¹,

Zhang²,

Chen

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. The aim of this study is to investigate the influence of grading rehabilitation nursing mode on limb function, speech function, and QOL of stroke patients. Methods. From January 2018 to April 2019, the stroke patients who received treatment in our hospital were selected as the study participants. Based on the random number table, they were assigned to CG (n = 60) and OG (n = 60). The routine rehabilitation nursing mode was used in the CG, and the grading rehabilitation nursing mode was used in the OG. The limb function, speech function, QOL, and nursing satisfaction were evaluated in both the groups, and the survival curve was analyzed after 12 months of follow-up. Results. The motor function of upper and lower limbs in OG was significantly higher than that in CG, and the total effective rate of speech function recovery in OG was 95.00%, which was obviously higher than 81.67% in CG ( P < 0.05 ); the total QOL score in OG was (80.72 ± 7.15), which was significantly higher than (69.53 ± 6.42) in CG. The nursing satisfaction of the OG was higher ( P < 0.05 ). The Kaplan–Meier curve analysis revealed that the difference of 12-month survival rate between CG and OG was statistically significant (χ2 = 4.710, P = 0.030 ). Conclusion. The application of grading rehabilitation nursing mode in stroke patients can effectively facilitate the recovery of extremity function and speech function, ameliorate the QOL and nursing satisfaction of patients, reduce the death and disability of patients, and prolong the survival time of patients.

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Section: Discussionmentioning

confidence: 99%

Effect of Grading Rehabilitation Nursing Mode on Limb Function, Speech Rehabilitation, and Quality of Life of Stroke Patients

Qian¹,

Zhang²,

Chen

2022

Evidence-Based Complementary and Alternative Medicine

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“…Thus, early interventions for stroke are conducive to the prevention of permanent brain damage and complications [ 5 ]. In traditional Chinese medicine (TCM), rehabilitation care after stroke attacks focuses on the elimination of evil qi and the restoration of healthy qi in the patient's body [ 6 ]. TCM rehabilitation nursing improves patient treatment compliance, restoring the limb function of patients and lowering the disability rate through psychological and physical interventions such as psychological management, acupoint massage, and health education [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Effective Analysis of Multichannel Functional Electrical Stimulation plus Early Rehabilitation Training for Hemiplegic Patients after Stroke

Yan¹,

Yang²

2022

Evidence-Based Complementary and Alternative Medicine

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Purpose. The research paper aims to investigate the value of multichannel functional electrical stimulation (FES) plus early rehabilitation training for hemiplegic patients after stroke attacks and assesses the impact of the combined therapy on walking capacity and daily life activities of patients. Methods. Totally, 100 hemiplegic patients after stroke treated in No. 215 Hospital of Shaanxi Nuclear Industry from March 2019 to July 2020 were recruited and randomized into the control group and study group, with 50 cases in each group. The control group received early rehabilitation training, and the study group received multiple channel FES plus early rehabilitation. The rehabilitation effective rate, the Fugl–Meyer Assessment (FMA), the Berg Balance Scale (BBS), National Institutes of Health Stroke Scale (NIHSS), Barthel index (BI), the Quality of Life index (QLI), Mental Status Scale in Nonpsychiatric Settings (MSSNS), Self-rating Anxiety Scale (SAS), Self-rating depression scale (SDS), and the incidence of adverse response were evaluated. Results. The study group patients had higher scores in FMA, BBS, BI, and QLI than the control group. Multiple channel FES plus early rehabilitation adopted in the study group resulted in a higher rehabilitation efficacy and a longer walking duration at 1, 2, and 4 weeks after the treatment. NIHSS score, MSSNS score, SAS score, SDS score, and incidence rate of adverse response in the study group were significantly lower compared to those of the control group. Conclusions. Multichannel FES plus early rehabilitation training effectively enhances the rehabilitation of patients after stroke attacks.

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“…Besides, clinical observations have also indicated that spasticity changes with posture, temperature weather (worse in cold), pain and emotion (anxiety, anger) ( 6 ). Tailored and systematic TCM nursing protocol, for example, normal limb placement plus exercise nursing, body warm-keeping with moxibustion or hot compress therapy, pain care as well as emotional nursing care ( 128 ), are especially recommended to deal with up-mentioned aggravating factors. Meanwhile, given that poor nutritional status is common among stroke survivors that not only leads to muscle loss but negatively impacts on poststroke recovery ( 129 ), positive solution to malnutrition is therefore considered as a meaningful supplement for the conventional treatment.…”

Section: Discussion and Expectationmentioning

confidence: 99%

New insights into acupuncture techniques for poststroke spasticity

Wang

Fidimanantsoa

2023

Front. Public Health

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With the trend of aging population getting more obvious, stroke has already been a major public health problem worldwide. As a main disabling motor impairment after stroke, spasticity has unexpected negative impacts on the quality of life and social participation in patients. Moreover, it brings heavy economic burden to the family and society. Previous researches indicated that abnormality of neural modulation and muscle property corelates with the pathogenesis of poststroke spasticity (PSS). So far, there still lacks golden standardized treatment regimen for PSS; furthermore, certain potential adverse-events of the mainstream therapy, for example, drug-induced generalized muscle weakness or high risk related surgery somehow decrease patient preference and compliance, which brings challenges to disease treatment and follow-up care. As an essential non-pharmacological therapy, acupuncture has long been used for PSS in China and shows favorable effects on improvements of spastic hypertonia and motor function. Notably, previous studies focused mainly on the research of antispastic acupoints. In comparison, few studies lay special stress on the other significant factor impacting on acupuncture efficacy, that is acupuncture technique. Based on current evidences from the clinic and laboratory, we will discuss certain new insights into acupuncture technique, in particular the antispastic needling technique, for PSS management in light of its potential effects on central modulations as well as peripheral adjustments, and attempt to provide some suggestions for future studies with respect to the intervention timing and course, application of acupuncture techniques, acupoint selection, predictive and aggravating factors of PSS, aiming at optimization of antispastic acupuncture regimen and improvement of quality of life in stroke patients. More innovations including rigorous study design, valid objective assessments for spasticity, and related experimental studies are worthy to be expected in the years ahead.

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The Role of Traditional Chinese Medicine Nursing for Stroke: An Umbrella Review

Cited by 9 publications

References 17 publications

Effect of Grading Rehabilitation Nursing Mode on Limb Function, Speech Rehabilitation, and Quality of Life of Stroke Patients

Effect of Grading Rehabilitation Nursing Mode on Limb Function, Speech Rehabilitation, and Quality of Life of Stroke Patients

Effective Analysis of Multichannel Functional Electrical Stimulation plus Early Rehabilitation Training for Hemiplegic Patients after Stroke

New insights into acupuncture techniques for poststroke spasticity

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