Application effect of intermediate care on elderly patients with stroke
Zheng Tianru
Chen Zheng
Wang Yao
Gao Maolong
Abstract：Objective To observe the feasibility and practicability of intermediate care service in elderly stroke patients,and to analyze the effect on activity of daily living(ADL) and cognitive function.Methods From June to December 2016,80 elderly patients with stroke were enrolled in Beijing Geriatric Hospital.They were randomly divided into observation group and control group,with 40 cases in each group.The observation group was treated with medical care treatment,rehabilitation and nursing at the intermediate care unit for 2 weeks.Patients in the control group discharged after conventional treatment for stroke or they were transferred to other hospitals to continue the treatment.ADL scale,Mini-Mental State Examination (MMSE),Geriatric Depression Scale-15 (GDS-15),Fall Risk Assessment(FRA),Mini-Nutritional Assessment(MNA) and European Quality of 5 Dimensions (EQ-5D) were assessed.Results Thirty-seven patients in the observation group and 39 patients in the control group were included.General clinical data were similar between groups (P ＞ 0.05).At 2,6,12 weeks after rehabilitation therapy,ADL,GDS-15,FRA,EQ-5D scores in the observation group were significantly lower than those in the control group[2 weeks after treatment:(21.5 ±5.8) vs (28.3 ±2.1),(1.9 ± 1.8) vs (3.2 ±2.9),(9.9 ± 2.6) vs (10.9 ± 7.3) scores,(2.4 ± 1.8) vs (4.6 ± 2.3);6 months of follow-up:(19.1 ± 5.8) vs (28.2±2.6),(1.5±0.9) vs (3.2±2.7),(9.3±2.3) vs (10.6±7.7),(2.2+1.7) vs (2.7±1.7);12 months of follow-up:(17.4 ±7.8) vs (28.7 ±3.7),(1.6 ± 1.3) vs (3.3 ±2.8),(9.2 ±2.4) vs (10.6 ±7.6),(2.1 ± 1.7) vs (2.2 ± 1.5)];MMSE and MNA scores in the observation group were significantly higher than those in the control group[2 weeks after treatment:(28 ±3) vs (20 ±91),(19.5 ±2.7) vs (15.2 ±4.5);6 months of follow-up:(28 ± 3) vs (21 ± 9),(19.4 ± 2.9) vs (13.3 ± 1.8);12 months of follow-up:(29 ± 3) vs (21 ±9),(19.4 ±3.0) vs (13.3 ±2.0)] (all P＜0.05).Conclusion Intermediate care can significantly improve ADL and health status,reduce fall risk and improve nutritional status in elderly stroke patients;it also has certain effect on post-stroke depression and cognitive function.
Keywords：StrokeIntermediate care
Publication Date：2018-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1323-1327 )