Application of Multidisciplinary Collaborative Interventions in the Early Rehabilitation of Patients with Hemorrhagic Stroke and Kinesiophobia
Download PDF
$currentUrl="http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"

Keywords

Hemorrhagic stroke
Kinesiophobia
Multidisciplinary collaborative interventions
Early rehabilitation

DOI

10.26689/jcnr.v8i11.8976

Submitted : 2024-10-29
Accepted : 2024-11-13
Published : 2024-11-28

Abstract

Objective: This study aims to explore the role of multidisciplinary collaborative interventions in the early rehabilitation of patients with hemorrhagic stroke and kinesiophobia. Methods: Using a convenience sampling method, 100 patients with hemorrhagic stroke and kinesiophobia admitted to the Department of Neurology at Nantong First People’s Hospital between January 2022 and December 2023 were selected as subjects. Fifty patients admitted between January 2022 and January 2023 were assigned to the control group, while 50 patients admitted between February 2023 and December 2023 were assigned to the experimental group. The control group received conventional care, while the experimental group received multidisciplinary collaborative interventions provided by a team consisting of neurologists, rehabilitation therapists, psychological counselors, and nurses. The study evaluated the differences in emotional state (using the Hospital Anxiety and Depression Scale, HAD), kinesiophobia level (using the Tampa Scale for Kinesiophobia, TSK), functional recovery (using the modified Rankin Scale, mRS), and daily living abilities (using the Barthel Index, BI) before and after intervention. Results: After the intervention, the HAD scores in the experimental group were significantly lower than those in the control group (P < 0.05). The TSK scores in the experimental group were also significantly lower than in the control group (P < 0.05), while mRS and BI scores showed significant improvement compared to the control group (P < 0.05). Conclusion: Multidisciplinary collaborative interventions have significant effects in reducing kinesiophobia, promoting functional recovery, and improving the quality of life in patients with hemorrhagic stroke.

References

Su Y, Tang J, 2021, Construction and Application of Discharge Plan for Hemorrhagic Stroke Patients in Sequela Period. Chinese Nursing Research, 35(9): 1667–1669.

Chinese Society of Neurology, Stroke Group of the Chinese Society of Neurology, 2019, Chinese Guidelines for Diagnosis and Treatment of Intracerebral Hemorrhage (2019). Chinese Journal of Neurology, 52(12): 994–1005.

Zhu J, Cai W, Tao Z, et al., 2023, Analysis of Rehabilitation Exercise Compliance and Its Influencing Factors in Young and Middle-aged Patients with Hemorrhagic Stroke. Chinese Journal of Nursing, 58(5): 580–586.

Han H, Fu S, Fan C, et al., 2021, Analysis of the Status and Influencing Factors of Agoraphobia in Postoperative Patients with Intracerebral Hemorrhage. Journal of Neuroscience and Mental Health, 21(9): 652–657.

Liu Y, Cai L, Xu Q, et al., 2017, Advances in the Study of Kinesiophobia in Patients with Chronic Pain. Chinese Journal of Nursing, 52(2): 234–239.

Liu H, Huang L, Yang Z, et al., 2023, Research Progress on Commonly Used Assessment Scales for Kinesiophobia. Chinese Journal of Rehabilitation Medicine, 38(9): 1305–1310.

Alpalhão V, Cordeiro N, Pezarat-Correia P, 2022, Kinesiophobia and Fear Avoidance in Older Adults: A Scoping Review on the State of Research Activity. J Aging Phys Act, 30(6): 1075–1084. https://doi.org/10.1123/japa.2021-0409

Tkachuk GA, Harris CA, 2012, Psychometric Properties of the Tampa Scale for Kinesiophobia-11 (TSK-11). J Pain, 13(10): 970–977. https://doi.org/10.1016/j.jpain.2012.07.001

Cai L, Liu Y, Li Y, et al., 2020, The Effects of Multidisciplinary Teamwork Intervention for Total Knee Arthroplasty Patients with Kinesiophobia. Chinese Journal of Nursing, 55(4): 494–499.

Zhang B, Hou S, 2021, Application of MDT Diagnosis and Treatment Mode in Cognitive Dysfunction Patients after Aneurysm Subarachnoid Hemorrhage. Chinese Nursing Research, 35(22): 4089–4092.

Tang X, Hong Y, Mao J, 2022, Influence of Different Early Rehabilitation Strategies on Affected Upper Limb Function in Hemiplegic Patients of Stroke. Chinese Journal of Rehabilitation Medicine, 37(6): 779–783.

Jin J, Li M, Chen Y, et al., 2020, Construction of Early Motor Rehabilitation Nursing Program Based on Modified Barthel Index Grading for Stroke Patients. Chinese Journal of Nursing, 55(8): 1360–1365.

Bordeleau M, Vincenot M, Lefevre S, et al., 2022, Treatments for Kinesiophobia in People with Chronic Pain: A Scoping Review. Front Behav Neurosci, 16: 933483. https://doi.org/10.3389/fnbeh.2022.933483

Song Y, Yang H, 2021, Research Progress on Timing of Rehabilitation Nursing Intervention for Stroke Patients. Chinese Nursing Research, 35(3): 451–453.

Lu J, Liu X, Xue F, 2021, Effect of Intensive Cognitive Intervention on Cognitive Function and Negative Emotions of Stroke Patients with Depression and Anxiety. China Journal of Health Psychology, 29(11): 1631–1636.

Report on Stroke Center in China Writing Group, 2021, Brief Report on Stroke Center in China, 2019. Chinese Journal of Cerebrovascular Diseases, 18(5): 355–360.

Fang Y, Qin W, Wang X, et al., 2023, Evaluation of the Impact of the MDT Combined with a Comprehensive Health Education Model on Elderly Diabetic Patients Using the Propensity Score Matching Method. Chinese Journal of Gerontology, 43(17): 4339–4342.