A study on the correlation between symptom networks structure and rehabilitation confidence in middle-aged patients during the recovery period of stroke
10.3761/j.issn.0254-1769.2025.15.007
- VernacularTitle:中年脑卒中恢复期患者症状网络结构与康复信心的相关性研究
- Author:
Peiran GUO
1
;
Zhixia ZHANG
;
Jiao YE
;
Rong CHENG
;
Linru QIAO
;
Qiuxia CHEN
;
Fang JIANG
;
Yaping LIU
Author Information
1. 430064 武汉市 武汉科技大学附属天佑医院护理部
- Publication Type:Journal Article
- Keywords:
Middle Aged;
Stroke;
Recovery Phase;
Network Analysis;
Recovery Confidence;
Rehabilita-tion Nursing
- From:
Chinese Journal of Nursing
2025;60(15):1837-1843
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the interaction relationship among symptoms in middle-aged patients during the recovery period of stroke and explore its correlation with rehabilitation confidence,providing a reference for the implementation of precise rehabilitation nursing.Methods A cross-sectional study was conducted,and 365 middle-aged patients in the recovery period of stroke who were hospitalized in 4 tertiary general hospitals in Wuhan from April 20 to August 31,2024 were conveniently selected as the subjects of the investigation.Data were collected using the General Information Questionnaire,Stroke Symptom Experience Scale,and Confidence after Stroke Measure Questionnaire.Symptom network analysis was conducted using R software,and a network structure model of symptoms-rehabilitation confidence was constructed;meanwhile,the stability of the network structure was evaluated.Results Finally,350 middle-aged stroke patients in the recovery period were included.The most common symptom was"limb weakness"(81.1％).Symptom network analysis showed that"limited limb movement"was the core symptom(rs=1.118).The symptoms strongly associated with recovery confidence were"limited physical movement","annoyance at not being able to do what you want to do"and"slow reaction times".Stability tests suggest that the model results are all good.Conclusion Symptoms of middle-aged patients in the recovery period after stroke are interrelated,and the mechanisms by which different symptoms affect rehabilitation confidence are also different.It is recommended that healthcare professionals prioritize interventions based on core symptoms and inter-symptom relationships in order to accurately enhance patient outcomes and improve recovery outcomes.
