International Journal of Nursing Research

Objective To explore the effects of narrative nursing combined with ward-based extended training on rehabilitation compliance and limb function in stroke patients. Methods Ninety stroke patients (39 cases of cerebral infarction, 51 cases of cerebral hemorrhage) admitted between October 2023 and October 2024 were selected and randomly divided into an observation group (n=45) and a control group (n=45) using a random number table. The control group received conventional rehabilitation nursing and daytime rehabilitation training. The observation group received additional narrative nursing combined with ward-based extended training beyond routine rehabilitation therapy, based on the interventions given to the control group. After 4 weeks of intervention, rehabilitation compliance (Compliance Scale score), limb function (Fugl-Meyer Assessment score), and negative emotions (SAS and SDS scores) were compared between the two groups. Results After the intervention, the compliance score in the observation group was significantly higher than that in the control group (P<0.05); the Fugl-Meyer score in the observation group was significantly higher than that in the control group (P<0.05); the SAS score in the observation group was significantly lower than that in the control group (P<0.05); and the SDS score in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Ward-based extended training combined with narrative nursing can significantly improve rehabilitation compliance, enhance limb function, and alleviate negative emotions in stroke patients, making it worthy of clinical promotion.

Stroke; Narrative nursing; Ward-based extended training; Compliance