Purpose: To evaluate the effectiveness of advanced practice nurse–guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. Methods: This randomized controlled study recruited 121 patients with lower limb spasticity post-stroke. Intervention (n = 59) and control (n = 62) groups underwent 12-month HREPro and conventional rehabilitation, respectively, after discharge. The Fugl–Meyer assessment of spasticity measurement, modified Ashworth scale of motor function, 10-Meter Walk Test of walking ability, and Barthel index of activities of daily living (ADL) were evaluated at 0, 3, 6, and 12 months after discharge. Results: Significant differences were found in spasticity degree, motor function, walking ability, and ADL at 6 and 12 months after discharge between the control and intervention groups. Lower limb spasticity and ADL in the intervention group were significantly improved. Conclusion HREPro is effective for rehabilitation of patients with lower limb spasticity post-stroke and has favorable home application.

Purpose: To evaluate the effectiveness of advanced practice nurse–guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. Methods: This randomized controlled study recruited 121 patients with lower limb spasticity post-stroke. Intervention (n = 59) and control (n = 62) groups underwent 12-month HREPro and conventional rehabilitation, respectively, after discharge. The Fugl–Meyer assessment of spasticity measurement, modified Ashworth scale of motor function, 10-Meter Walk Test of walking ability, and Barthel index of activities of daily living (ADL) were evaluated at 0, 3, 6, and 12 months after discharge. Results: Significant differences were found in spasticity degree, motor function, walking ability, and ADL at 6 and 12 months after discharge between the control and intervention groups. Lower limb spasticity and ADL in the intervention group were significantly improved. Conclusion HREPro is effective for rehabilitation of patients with lower limb spasticity post-stroke and has favorable home application.

ObjectiveTo establish a green passage for elderly patients with hip fracture, and explore the feasibility and nursing mode of establishing an independent orthopedics unit for elderly patients with hip fracture. Methods? From January 2017 to June 2018, a total of 391 cases of elderly patients with hip fracture in the Second Affiliated Hospital of Wenzhou Medical University were selected. The patients were divided into two groups according to their admission to the ward. The 213 patients in the elderly hip fracture independent orthopedics unit group were admitted to the emergency green channel; 178 patients in the general orthopedics ward were given routine treatment and nursing. The time interval from admission to operation and the prognosis were compared between the two groups. Results? 77.46% of the elderly patients in the independent orthopedics unit group received operation within 36 hours after admission, while only 29.21% in the general orthopedics ward group, with statistical significance (P＜ 0.01). Rehabilitation and discharge rate of independent orthopaedic unit group was 89.20% and 77.53% in control group within one week after operation. The difference was statistically significant (P=0.009). Conclusions? The establishment of independent orthopedics unit with green channel in geriatric orthopedics reduces the waiting time, bed rest and hospitalization time of patients, and saves medical and nursing resources.