A study of modified ankle pump exercise in stroke patients
10.3761/j.issn.0254-1769.2025.09.007
- VernacularTitle:改良式踝泵运动在脑卒中患者中的应用研究
- Author:
Yun CAO
1
;
Guozhen SUN
;
Feng CHEN
;
Xueli JI
;
Mengwan YAN
;
Lei JING
;
Kun QIAN
Author Information
1. 210000 南京市 南京医科大学第一附属医院急诊与危重症医学科
- Publication Type:Journal Article
- Keywords:
Ankle Pump Exercise;
Ultrasonography;
Doppler;
Stroke;
Venous Thrombosis Prevention;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1068-1074
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of ankle pump exercises,based on hemodynamic mechanisms,on the prevention of venous thrombosis in stroke patients.Methods A total of 110 stroke patients,admitted to a tertiary A hospital in Jiangsu Province between June 2023 and June 2024,were selected using a convenience sampling method.The patients were divided into an experimental group and a control group,with 55 patients in each group.The experimental group received ankle pump exercise nursing interventions based on hemodynamic mechanisms,while the control group received routine nursing interventions.The incidence of lower extremity deep vein thrombosis,Pittsburgh Rehabilitation Participation Scale scores,subjective perceived fatigue,and exercise self-efficacy scores were compared between 2 groups on the 7th day of hospitalization.Results No dropouts occurred in either group.The incidence of deep vein thrombosis was significantly lower in the experimental group than it in the control group(P=0.004).The Pittsburgh Rehabilitation Participation scores on day 1,3,5,and 7 were higher in the experimental group compared to them in the control group(P＜0.001).A significant time-dependent trend was observed in Pittsburgh Rehabilitation Participation scores(P=0.034).Subjective fatigue was significantly lower in the experimental group at various time points(P＜0.001).Both groups showed an increase in exercise self-efficacy over time(P=0.016),with the experimental group demonstrating higher exercise self-efficacy than the control group on the day before discharge(P=0.003).Conclusion Ankle pump exercises,based on hemodynamic mechanisms,can effectively reduce the incidence of deep vein thrombosis in stroke patients,enhance rehabilitation participation and exercise self-efficacy,without increasing subjective fatigue.
