Objective:To evaluate the effect of extension nursing based on online interactive platforms in patients with ischemic stroke through a Meta-analysis.Methods:Randomized controlled trials on extension nursing for ischemic stroke patients through online interactive platforms were searched in databases including China National Knowledge Infrastructure, Wanfang Data, VIP, Cochrane Library, Web of Science, PubMed, CINAHL, and Embase, with a search deadline of January 31, 2024. Two researchers independently screened the literature and extracted data according to the inclusion and exclusion criteria, and the quality of the studies was assessed using the Cochrane Handbook 5.1.0. Meta-analysis was performed using R 4.3.3 software.Results:A total of 13 studies were included, involving 1 899 patients. The Meta-analysis revealed that extension nursing based on online interactive platforms significantly improved Activities of Daily Living ( MD=9.14, 95% CI: 7.05-11.23, P<0.01), Fugl-Meyer Assessment Scale scores ( MD=15.16, 95% CI: 8.93-21.40, P<0.01), and Stroke-Specific Quality of Life scores ( MD=15.77, 95% CI: 13.28-18.26, P<0.01) . Conclusions:Extension nursing based on online platforms effectively improves self-care abilities, motor function, and quality of life in patients with ischemic stroke.

Objective To systematically evaluate the factors that promote and hinder exercise in frail older adults,and to provide references for the formulation of exercise intervention programs.Methods We searched PubMed,Web of Science,Embase,CINAHL,Cochrane library,CNKI,Wanfang,VIP database,and China Biomedical Literature Database for qualitative studies on exercise facilitators and hindrances in frail older adults,and the search time period was from the establishment of the databases to September 1,2024.The quality of the literature was evaluated using the Joanna Brigg Institute Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research(2016),and the results were integrated by integrating methods.Results A total of 18 studies were included,and 72 research results were extracted,and 10 categories were summarized.The final synthesis included 2 integrated results:the facilitators included personal exercise motivation,physical and psychological benefits,positive interpersonal interactions,multiple social support systems and person-centred exercise programme;the impediments included underlying diseases and somatic functional limitations,negative psychological status,low health literacy,family role conflicts and limits of the environment.Conclusion Exercise for frail older adults is affected by a variety of factors.Healthcare professionals should improve the positive perception of exercise for frail older people and help them overcome psychological barriers;establish an all-round support system to enhance the sense of social contact of the frail elderly;formulate a personalised exercise programme with a human-centred approach to enhance the motivation of the frail elderly.

Objective To systematically evaluate the factors that promote and hinder exercise in frail older adults,and to provide references for the formulation of exercise intervention programs.Methods We searched PubMed,Web of Science,Embase,CINAHL,Cochrane library,CNKI,Wanfang,VIP database,and China Biomedical Literature Database for qualitative studies on exercise facilitators and hindrances in frail older adults,and the search time period was from the establishment of the databases to September 1,2024.The quality of the literature was evaluated using the Joanna Brigg Institute Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research(2016),and the results were integrated by integrating methods.Results A total of 18 studies were included,and 72 research results were extracted,and 10 categories were summarized.The final synthesis included 2 integrated results:the facilitators included personal exercise motivation,physical and psychological benefits,positive interpersonal interactions,multiple social support systems and person-centred exercise programme;the impediments included underlying diseases and somatic functional limitations,negative psychological status,low health literacy,family role conflicts and limits of the environment.Conclusion Exercise for frail older adults is affected by a variety of factors.Healthcare professionals should improve the positive perception of exercise for frail older people and help them overcome psychological barriers;establish an all-round support system to enhance the sense of social contact of the frail elderly;formulate a personalised exercise programme with a human-centred approach to enhance the motivation of the frail elderly.

Objective:To evaluate the effect of extension nursing based on online interactive platforms in patients with ischemic stroke through a Meta-analysis.Methods:Randomized controlled trials on extension nursing for ischemic stroke patients through online interactive platforms were searched in databases including China National Knowledge Infrastructure, Wanfang Data, VIP, Cochrane Library, Web of Science, PubMed, CINAHL, and Embase, with a search deadline of January 31, 2024. Two researchers independently screened the literature and extracted data according to the inclusion and exclusion criteria, and the quality of the studies was assessed using the Cochrane Handbook 5.1.0. Meta-analysis was performed using R 4.3.3 software.Results:A total of 13 studies were included, involving 1 899 patients. The Meta-analysis revealed that extension nursing based on online interactive platforms significantly improved Activities of Daily Living ( MD=9.14, 95% CI: 7.05-11.23, P<0.01), Fugl-Meyer Assessment Scale scores ( MD=15.16, 95% CI: 8.93-21.40, P<0.01), and Stroke-Specific Quality of Life scores ( MD=15.77, 95% CI: 13.28-18.26, P<0.01) . Conclusions:Extension nursing based on online platforms effectively improves self-care abilities, motor function, and quality of life in patients with ischemic stroke.

Objective To systematically evaluate the real-life experience of stroke patients in the hospital-home transition period,and to provide a reference for better clinical development of transitional nursing practice.Methods We searched PubMed,Web of Science,Embase,CINAHL,Cochrane library,CNKI,Wanfang Data,VIP database,and China Biomedical Literature Database for qualitative studies on the real experience of stroke patients in the hospital-to-home transition period from the establishment of the database to October 2023.The quality of the literature was evaluated using the Joanna Brigg Institute(JBI)Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research(2016),and the results were integrated using meta-integration methods.Results A total of 14 studies were included,and 48 research results were extracted and 9 categories were summarized.The final synthesis included 3 integrated results:the discharge preparation period was in contradiction;after being discharged from the hospital,life changed dramatically and there was a variety of transition barriers;active response to illness and the experience of self-growth.Conclusion The hospital-home transition period for stroke patients is a critical period for patients'rehabilitation,and medical staff should strengthen the implementation of the transitional discharge plan,strengthen the connection between hospitals and families and communities,pay attention to the psychological experience of patients,so as to help stroke patients achieve a smooth transition from hospital to home.

Objective:To integrate qualitative research on the influencing factors of exercise compliance in elderly patients with cognitive impairment.Methods:The research is a Meta-synthesis of qualitative research. Qualitative research on the influencing factors of exercise compliance in elderly patients with cognitive impairment were electronically searched on PubMed, Embase, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, VIP, and SinoMed. The search period was from the establishment of the database to April 25, 2023. Two researchers independently evaluated the literature using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center (2016 edition). The aggregative integration method was used to integrate the results.Results:A total of 16 articles were included, and 54 research results were extracted. These results were reorganized into seven categories and integrated into three outcomes, namely the personal factors that affected the exercise compliance of elderly patients with cognitive impairment including intrinsic motivation factors, physical and cognitive function factors, and psychological factors, social and interpersonal factors that affected exercise compliance in elderly patients with cognitive impairment including exercise team and caregiver factors, environmental factors that affected exercise compliance in elderly patients with cognitive impairment including social and natural environments factors.Conclusions:The exercise compliance of elderly patients with cognitive impairment is influenced by multiple factors. Medical and nursing staff should enhance patients' perception and belief in the benefits of exercise, pay attention to patients' psychological experience, establish a comprehensive support system to evaluate and develop personalized exercise plans, comprehensively evaluate the exercise environment and create a good exercise atmosphere to improve patients' enthusiasm for exercise.

Objectives:To search, evaluate, and summarize the evidence related to the application management of over-the-counter (OTC) medications for constipation in the elderly, providing evidence-based support for the rational use of these medications.Methods:A systematic search was conducted through computerized decision support systems, guideline websites, professional association websites, and databases for clinical decisions, guidelines, evidence summaries, and expert consensus on the management of OTC medications for constipation in the elderly. The search period spanned from January 2018 to March 2023. The quality of the literature was independently assessed, and evidence was extracted. The 2014 version of the Joanna Briggs Institute (JBI) evidence grading system was used to determine the levels of evidence.Results:A total of 18 article were included, consisting of two clinical decisions, five guidelines, seven expert consensus statements, and four evidence summaries. These covered five areas: medication principles for elderly individuals with different characteristics, medication selection, medication monitoring, health education, and precautions, culminating in a total of 30 best evidence.Conclusions:This study summarizes the best evidence for the management of OTC medications for constipation in the elderly, providing evidence-based support for the rational application of these medications.

Objective:To understand the health needs of patients with non-dementia cognitive impairment after stroke, to provide reference for targeted interventions.Methods:Using the convergent mixed research method, convenience sampling was used to select post-stroke patients with non-dementia cognitive impairment in China-Japan Friendship Hospital and Beijing University of Chinese Medicine Third Affiliated Hospital, a cross-sectional survey was conducted on 191 patients with non-dementia cognitive impairment after stroke using the health needs questionnaire in March to August 2023. A descriptive study was used to conduct semi-structured interviews with 16 patients.Results:A total of 191 questionnaires were distributed and 191 valid questionnaires were collected, including 103 male and 88 female patients, aged from 34 to 90 years old. The items of the post-stroke health questionnaire were (3.47 ± 0.54), with the highest need for understanding the rehabilitation program (148/191); multiple linear regression analysis showed that gender and primary caregiver type were factors influencing their health needs ( t = 2.39, 2.73, both P<0.05). A total of 16 patients with non-dementia cognitive impairment after stroke, 10 males and 6 females, aged from 58 to 90 years old, were interviewed. Four themes were extracted, namely, information support and behavioral guidance needs, psychological care needs, social support needs, and pre-established medical care plan needs. Conclusions:The health needs of patients with non-dementia cognitive impairment after stroke are at an above medium level and have diversified characteristics. Medical staff should conduct systematic health management based on patients′specific conditions and actual needs to help patients recover or maintain cognitive function.

Objective:To systematically synthesize and evaluate qualitative studies on the rehabilitation experience of stroke patients using virtual reality.Methods:A comprehensive search of databases including PubMed, Embase, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, VIP, and SinoMed was conducted for qualitative studies on the rehabilitation experience of stroke patients using virtual reality, with studies included up to October 24, 2023. Two researchers independently assessed study quality using the Joanna Briggs Institute qualitative assessment tool, and a Meta-synthesis approach was used to integrate findings.Results:Fourteen studies were included, yielding 72 distinct results that were categorized into 13 themes, and further integrated into four main themes: stroke patients' experience with virtual reality-assisted rehabilitation, facilitators for virtual reality-assisted rehabilitation, barriers to virtual reality-assisted rehabilitation, and stroke patients' needs and expectations for virtual reality-assisted rehabilitation.Conclusions:Virtual reality is widely appreciated by stroke patients for its rehabilitation benefits. Future efforts should focus on patient training, system enhancement, and the development of diverse and personalized virtual reality content to improve the user experience.

Objective:To systematically synthesize and evaluate qualitative studies on the rehabilitation experience of stroke patients using virtual reality.Methods:A comprehensive search of databases including PubMed, Embase, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, VIP, and SinoMed was conducted for qualitative studies on the rehabilitation experience of stroke patients using virtual reality, with studies included up to October 24, 2023. Two researchers independently assessed study quality using the Joanna Briggs Institute qualitative assessment tool, and a Meta-synthesis approach was used to integrate findings.Results:Fourteen studies were included, yielding 72 distinct results that were categorized into 13 themes, and further integrated into four main themes: stroke patients' experience with virtual reality-assisted rehabilitation, facilitators for virtual reality-assisted rehabilitation, barriers to virtual reality-assisted rehabilitation, and stroke patients' needs and expectations for virtual reality-assisted rehabilitation.Conclusions:Virtual reality is widely appreciated by stroke patients for its rehabilitation benefits. Future efforts should focus on patient training, system enhancement, and the development of diverse and personalized virtual reality content to improve the user experience.