Study on the collaborative strategy of heart health management and exercise rehabilitation nursing for stroke patients in recovery period
脑卒中恢复期患者心脏健康管理与运动康复护理的协同策略研究

摘要

目的 分析脑卒中恢复期患者心脏健康管理与运动康复护理的协同策略实施效果。方法 选取病例样本为脑卒中恢复期患者，选取时间在2024年6月至2025年8月，共选入74例。将其通过随机数字表法分为两组，每组37例，对照组实施常规护理，研究组在此基础上实施心脏健康管理协同运动康复护理，比较两组的心肺耐力、日常生活活动能力、不良心血管事件发生率。结果 经过干预后，两组之间对比各项心肺耐力指标及MBI评分均呈现出统计学差异（P＜0.05），其中研究组的ED更长，VO2max、VO2/WRslope更高，MBI评分更高。研究组的不良心血管事件发生率相较于对照组更低，且对比呈现出统计学差异（P＜0.05）。结论 为脑卒中恢复期患者实施心脏健康管理与运动康复护理的协同策略，有助于增强其心肺耐力，减少不良心血管事件的发生，提高日常生活活动能力。

Abstract

Objective To analyze the implementation effect of collaborative strategy between cardiac health management and exercise rehabilitation nursing for stroke patients in recovery period.
Methods the study enrolled 74 patients in the recovery phase of stroke, with the selection period spanning from June 2024 to August 2025. Participants were randomly assigned to two groups of 37 cases each using a random number table. The control group received conventional nursing care, while the study group received cardiac health management combined with exercise rehabilitation nursing in addition to standard care. The two groups were compared in terms of cardiopulmonary endurance, activities of daily living capacity, and incidence of adverse cardiovascular events.
Results After intervention, statistical differences were observed between the two groups in all cardiopulmonary endurance indicators and MBI scores (P<0.05). The study group exhibited longer ED, higher VO2max, VO2/WRslope, and higher MBI scores. The incidence of adverse cardiovascular events in the study group was lower compared to the control group, with statistically significant differences (P<0.05).
Conclusion   implementing a synergistic strategy of cardiac health management and exercise rehabilitation nursing for stroke patients in the recovery phase can enhance their cardiopulmonary endurance, reduce the incidence of adverse cardiovascular events, and improve their activities of daily living.