Contemporary Nursing

Objective To explore the influence of the nursing model centered on functional rehabilitation on the recovery of neurological function, activities of daily living and complications of patients after thrombectomy for acute ischemic stroke. Methods Forty patients who underwent thrombectomy for acute ischemic stroke in our hospital from January 2023 to January 2025 were selected and randomly divided into a control group and an experimental group, with 20 cases in each group. The control group received routine care, while the experimental group adopted a nursing model centered on functional rehabilitation. The National Institutes of Health Stroke Scale (NIHSS) scores, Barthel Index (BI), Fugl-Meyer Assessment (FMA) scores and complications of the two groups before and after nursing were compared. Results Before the nursing care, there was no statistically significant difference in NIHSS, BI and FMA scores between the two groups (P>0.05); After the nursing care, the NIHSS score of the experimental group (4.21±1.33 points) was lower than that of the control group (7.84±1.52 points), and the BI score (78.32±6.45 points) and FMA score (72.45±5.36 points) were higher than those of the control group (61.23±5.87 points, 56.78±4.92 points). The differences were all statistically significant (P<0.05). The total incidence of complications in the experimental group (5.00%) was lower than that in the control group (30.00%), and the difference was statistically significant (P<0.05). Conclusion The nursing model centered on functional rehabilitation can promote the recovery of patients' neurological and motor functions, improve their ability of daily living, and reduce the incidence of complications. It is worthy of clinical promotion.

Functional rehabilitation; Nursing model; Acute ischemic stroke; Thrombectomy; Neural function