Effect of nursing intervention based on ischemic adaptation training on neurological impairment, self-identity, quality of life, and prognosis of patients with acute stroke

Abstract Objective This study investigates the effectiveness of a nursing strategy incorporating ischemic adaptation training on improving neurological outcomes, personal identity, and long-term prognosis in patients diagnosed with acute stroke. Methods This was a quasi-experimental study. A total of 50 patients with acute stroke admitted between February 2019 and June 2021 were non-randomly assigned to two groups: a control group receiving standard nursing care and an intervention group receiving ischemic adaptation-based intensive nursing. Parameters compared between groups included nursing satisfaction, neurological function via NIHSS, activities of daily living via Barthel Index, self-identity via Segment Involvement Score (SIS), patient compliance, and quality of life scores. Results The intervention group demonstrated a higher rate of nursing satisfaction compared to the control group (100% vs. 92%, P < 0.05). Post-intervention assessments showed significant improvement in neurological scores (NIHSS), Barthel Index, and SIS in the intervention group at discharge, and 1, 3, and 6 months after discharge (P < 0.05). Quality of life outcomes also significantly favored the intervention group across all domains. Compliance was markedly higher in the intervention group (P < 0.05). Conclusion Intensive nursing based on ischemic adaptation training significantly enhances neurological recovery, independence in daily activities, and overall quality of life in patients with acute stroke. This method holds potential as a supportive rehabilitative strategy.