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. 2021 Sep 15;13(9):10656-10662.
eCollection 2021.

Clinical nursing pathway improves disease cognition and quality of life of elderly patients with hypertension and cerebral infarction

Yingying Liao  1 , Tingting Ye  1 , Siying Liang  2 , Xiaoxiao Xu  2 , Yuncao Fan  1 , Xiaofang Ruan  1 , Mengjie Wu  1
Affiliations

Clinical nursing pathway improves disease cognition and quality of life of elderly patients with hypertension and cerebral infarction

Yingying Liao et al. Am J Transl Res. .

Abstract

Objective: This study aimed to explore the application effect of clinical nursing pathway model in elderly patients with hypertension and cerebral infarction.

Methods: A total of 106 elderly patients with hypertension and cerebral infarction were recruited and divided into a control group (n=51) and a test group (n=55). Both groups of patients received conventional care, and the test group was given additional care if clinical nursing pathway. The blood pressure indexes, knowledge of stroke, nursing satisfaction, neurological deficit, and activity of daily living (ADL) of the two groups of patients were observed.

Results: After nursing care, the scores of Stroke Knowledge Questionnaire (SKQ) and Barthel index (BI) increased in both groups, and they were significantly higher in the test group than in the control group. The scores of systolic blood pressure (SBP), diastolic blood pressure (DBP) and National Institutes of Health Stroke Scale (NIHSS) decreased significantly in both groups after nursing, and they were lower in the test group than the control group. In addition, patients in the test group exhibited higher nursing satisfaction than the control group, as well as higher rates of blood pressure control at discharge, two months, four months and six months after discharge.

Conclusion: The application of clinical nursing pathway can improve the disease cognition and quality of life of elderly patients with hypertension and cerebral infarction, and promote their recovery.

Keywords: Clinical nursing pathway; cerebral infarction; hypertension; quality of life.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Patient health knowledge of stroke and neurological score. After care, the SKQ score is elevated and the NIHSS score is decreased in both groups. In the test group, the SKQ score is higher, and the NIHSS score shows greater decrease. Note: *P<0.05.
Figure 2
Figure 2
Comparison of blood pressure between two groups of patients. After care, SBP (A) and DBP (B) decrease significantly in both group, and they are lower in the test group than in the control group. Note: *P<0.05.
Figure 3
Figure 3
Patient ADL. After care, the BI is elevated in both groups, and the BI is higher in the test group than in the control group. Note: *P<0.05.
See this image and copyright information in PMC

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