Kontakt X:X | DOI: 10.32725/kont.2025.032

Application of ICF grading nursing management in functional exercise and rehabilitation of patients with spinal cord injuryOšetřovatelství - původní práce

Shi Xiaohui, Peng Ruqi, Chen Yueying *
Medical School of Nanjing University, Affiliated Jinling Hospital, Department of Orthopedics, Nanjing, China

Purpose: Develop an International Classification of Functioning, Disability and Health (ICF)-based tiered nursing protocol for spinal cord injury (SCI) rehabilitation and evaluate its clinical impact.

Methods: In a randomized trial, 122 SCI patients were divided into control (standard care) vs observation groups. The observation group received ICF rehabilitation set (ICF-RS) assessments and tiered nursing interventions. Outcomes (therapeutic efficacy, pain progression, quality of life) were longitudinally evaluated at postoperative intervals for comparative effectiveness analysis.

Results: The observation group showed significantly higher rates of "excellent" or "good" clinical efficacy (81.89% vs 62.30%, P < 0.05) and lower rates of "ineffective" outcomes (11.47% vs 29.50%). Pain scores at three and five days postoperative were 2.57 ± 1.43 and 2.96 ± 1.34 respectively, both significantly lower than controls (P < 0.01; P < 0.05). Quality-of-life scores at 3/6 months postoperative were notably higher in the observation group (P < 0.05).

Conclusion: ICF-RS-based tiered nursing enhances functional recovery and long-term outcomes in postoperative SCI patients.

Klíčová slova: Disability and Health (ICF); International Classification of Functioning; Nursing; Rehabilitation Exercise; Spinal Cord Injury (SCI)
Granty a financováni:

> This work was supported by 2023 Science and Technology Innovation Research Plan Project of Affiliated Jinling Hospital of Medical School of Nanjing University (grant number 2023YYHLZX177).

Střet zájmů:

The authors have no conflict of interest to declare.

Vloženo: 15. duben 2025; Revidováno: 1. červenec 2025; Přijato: 30. červenec 2025; Zveřejněno online: 31. červenec 2025 

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