Therapeutics and Clinical Risk Management (May 2025)
Positive Collaboration in Rehabilitation Nursing Enhances Fall Efficacy and Confidence in Elderly Patients with Cerebral Infarction
Abstract
Fang Luo,1 Wenyao Xu,2 Yaqin Xu,3 Lingdi Lou,1 Chunyan Xu3 1Department of Rehabilitation Medicine - Cerebrovascular Accident Rehabilitation Ward, Zhejiang Provincial People’s Hospital, Hangzhou, Zhejiang, 310024, People’s Republic of China; 2Convalescence Zone 1, Air Force Hangzhou Special Service Convalescence Center, Hangzhou, Zhejiang Province, 310007, People’s Republic of China; 3Department 5 of Geriatrics, Zhejiang Provincial People’s Hospital, Hangzhou, Zhejiang, 310007, People’s Republic of ChinaCorrespondence: Chunyan Xu, Email [email protected]: Cerebral infarction is a prevalent disabling condition among the elderly, often leading to limb dysfunction and psychological challenges that significantly impair quality of life. Traditional nursing approaches have primarily focused on physical rehabilitation; however, growing evidence highlights the importance of psychological factors—such as emotional well-being and rehabilitation confidence—in influencing recovery outcomes. Positive collaboration in rehabilitation nursing, which involves coordinated efforts among patients, healthcare providers, and family members, has emerged as a holistic approach to enhance both physical and psychological recovery.Objective: To analyze the effects of positive collaboration concept rehabilitation nursing on elderly patients with cerebral infarction, focusing on fall efficacy and rehabilitation confidence.Methods: A retrospective analysis was conducted on clinical data from 106 elderly patients with cerebral infarction, admitted from October 2022 to April 2024. Patients were divided into a control group (n=53, receiving routine care) and an observation group (n=53, receiving positive collaboration rehabilitation nursing). Neurological function (NIHSS), negative emotions (SAS, SDS), fall efficacy (MFES), activities of daily living (ADL), quality of life (SS-QOL), rehabilitation confidence (CaSM), and nursing satisfaction (NSNS) were compared between the two groups.Results: The observation group showed significantly lower NIHSS scores at 2 weeks and 1 month post-intervention (P< 0.05). Both groups demonstrated reduced SAS and SDS scores, with the observation group showing greater improvement (P< 0.05). A higher proportion of patients in the observation group (56.60%) showed excellent fall efficacy compared to the control group (37.74%) (P< 0.05). The observation group also had greater improvements in ADL, SS-QOL, and rehabilitation confidence, with higher patient satisfaction (90.57% vs 71.70%, P< 0.05).Conclusion: Positive collaboration rehabilitation nursing significantly improves neurological function, emotional well-being, fall efficacy, and quality of life in elderly patients with cerebral infarction. This approach increases patient and family satisfaction, highlighting the potential benefits of integrating collaborative care into clinical practice.Keywords: cerebral infarction, elderly, positive collaboration concept rehabilitation nursing, fall efficacy, rehabilitation confidence, satisfaction, effect, impact
