International Journal of Nursing Research

Objective To investigate the application effects of comprehensive rehabilitation nursing based on motor relearning theory in hemiplegic patients with cerebral hemorrhage. Methods A total of 120 hemiplegic patients with cerebral hemorrhage admitted to our department from January 2024 to August 2025 were selected as research subjects. The patients were randomly divided into a control group (n=60) and an observation group (n=60) using a random number table method. The control group received routine rehabilitation nursing, while the observation group received comprehensive rehabilitation nursing based on motor relearning theory in addition to routine care. The intervention period lasted 4 weeks. Differences in National Institutes of Health Stroke Scale (NIHSS) scores, Fugl-Meyer Motor Function Assessment (FMA) scores, Barthel Index scores, rehabilitation training compliance, and complication incidence rates were compared between the two groups before and after intervention. Results No statistically significant differences were observed in the scores of both groups before intervention (all P>0.05). After intervention, the observation group demonstrated statistically significant improvements in NIHSS scores (6.54±1.37 vs. 9.75±1.42), with higher upper limb FMA scores (46.71±4.54 vs. 37.84±4.49), lower limb FMA scores (25.32±3.31 vs. 19.09±3.07), and Barthel Index scores (75.09±5.26 vs. 58.74±5.30) (P<0.05). The observation group also showed higher rehabilitation training adherence (93.33% vs. 71.67%) and lower complication rates (3.33% vs. 15.00%) (P<0.05). Conclusion Comprehensive rehabilitation nursing based on motor relearning theory effectively enhances rehabilitation adherence in cerebral hemorrhage hemiplegia patients, reduces neurological deficits, promotes motor function and daily living ability recovery, and lowers complication rates, demonstrating clinical applicability.

Cerebral hemorrhage; Hemiplegia; Motor relearning theory; Comprehensive rehabilitation nursing; Neurological function; Motor function