Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China

ObjectiveTo develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients’ awareness, self-management skills, and adherence to rehabilitation programs.MethodsThis guideline was developed based on the cultural and he...

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Main Authors: Dan Yang, Jingyuan Zhang, Meiqi Meng, Xuejing Li, Lijiao Yan, Jiaxin Fang, Ziyan Wang, Sihan Chen, Xiaoyan Zhang, Yufang Hao, Fang Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1482771/full
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author Dan Yang
Jingyuan Zhang
Meiqi Meng
Xuejing Li
Lijiao Yan
Jiaxin Fang
Ziyan Wang
Sihan Chen
Xiaoyan Zhang
Yufang Hao
Fang Wang
author_facet Dan Yang
Jingyuan Zhang
Meiqi Meng
Xuejing Li
Lijiao Yan
Jiaxin Fang
Ziyan Wang
Sihan Chen
Xiaoyan Zhang
Yufang Hao
Fang Wang
author_sort Dan Yang
collection DOAJ
description ObjectiveTo develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients’ awareness, self-management skills, and adherence to rehabilitation programs.MethodsThis guideline was developed based on the cultural and healthcare context of China, and was guided on the Minimum standards for the Development Process, Content and Governance of Patient-Directed Knowledge Tools and the PVG tool book of the Guidelines International Network. The guideline was constructed through a normative process involving clarifying priority questions, assessing and integrating evidence, detailing and contextualizing recommendations, and evaluating the prototype of PVG.ResultsFifteen priority RN issues were identified, and eight articles (four guidelines and four evidence summaries) were included, all demonstrating robust methodological quality. The final guideline encompassed five themes: disease knowledge, functional assessment, symptom prevention and nursing, rehabilitation training, and traditional Chinese medicine nursing - a specialized approach integrating traditional Chinese medicine principles with modern nursing practices, including 26 recommendations.ConclusionThis patient-centered guideline, grounded in a robust scientific framework and tailored to patient needs, serves as a valuable reference for the RN of stroke patients with limb dysfunction. The development of context-specific patient guidelines that integrate best available evidence remains an area requiring continued effort and refinement. Further research is warranted to evaluate the implementation and effectiveness of this guideline within diverse Chinese healthcare context.
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spelling doaj-art-ff982afc41ee48159a6572664eb319e02025-01-07T06:49:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14827711482771Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in ChinaDan Yang0Jingyuan Zhang1Meiqi Meng2Xuejing Li3Lijiao Yan4Jiaxin Fang5Ziyan Wang6Sihan Chen7Xiaoyan Zhang8Yufang Hao9Fang Wang10School of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaInstitute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaSchool of Nursing, Beijing University of Chinese Medicine, Beijing, ChinaInstitute of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, ChinaObjectiveTo develop a patient version of guidelines (PVG) for rehabilitation nursing (RN) in stroke patients with limb dysfunction, aiming to enhance patients’ awareness, self-management skills, and adherence to rehabilitation programs.MethodsThis guideline was developed based on the cultural and healthcare context of China, and was guided on the Minimum standards for the Development Process, Content and Governance of Patient-Directed Knowledge Tools and the PVG tool book of the Guidelines International Network. The guideline was constructed through a normative process involving clarifying priority questions, assessing and integrating evidence, detailing and contextualizing recommendations, and evaluating the prototype of PVG.ResultsFifteen priority RN issues were identified, and eight articles (four guidelines and four evidence summaries) were included, all demonstrating robust methodological quality. The final guideline encompassed five themes: disease knowledge, functional assessment, symptom prevention and nursing, rehabilitation training, and traditional Chinese medicine nursing - a specialized approach integrating traditional Chinese medicine principles with modern nursing practices, including 26 recommendations.ConclusionThis patient-centered guideline, grounded in a robust scientific framework and tailored to patient needs, serves as a valuable reference for the RN of stroke patients with limb dysfunction. The development of context-specific patient guidelines that integrate best available evidence remains an area requiring continued effort and refinement. Further research is warranted to evaluate the implementation and effectiveness of this guideline within diverse Chinese healthcare context.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1482771/fullpatient version of guidelinesrehabilitation carestrokeevidence based nursinglimb dysfunction
spellingShingle Dan Yang
Jingyuan Zhang
Meiqi Meng
Xuejing Li
Lijiao Yan
Jiaxin Fang
Ziyan Wang
Sihan Chen
Xiaoyan Zhang
Yufang Hao
Fang Wang
Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
Frontiers in Public Health
patient version of guidelines
rehabilitation care
stroke
evidence based nursing
limb dysfunction
title Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
title_full Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
title_fullStr Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
title_full_unstemmed Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
title_short Empowering Stroke Survivors: developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in China
title_sort empowering stroke survivors developing a patient version of guidelines to facilitate patient rehabilitation nursing of stroke patients with limb dysfunction in china
topic patient version of guidelines
rehabilitation care
stroke
evidence based nursing
limb dysfunction
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1482771/full
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