Observational studyMedicine2025
Effectiveness of evidence-based nursing on functional outcomes in patients with ischemic stroke: A retrospective cohort study.
Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to assess the real-world effectiveness of evidence-based nursing (EBN) on functional recovery in patients with acute ischemic stroke. A retrospective cohort study included 100 patients with first-ever acute ischemic stroke admitted from January 2022 to December 2024. Patients were divided into the EBN group (n = 52) and the usual care (UC) group (n = 48). The primary outcome was the rate of functional independence (modified Rankin Scale ≤ 2) at 90 days. Secondary outcomes included mean modified Rankin Scale scores, National Institutes of Health Stroke Scale improvement, Fugl-Meyer Assessment for upper and lower extremities, stroke-specific quality of life, Barthel Index, functional independence measure, anxiety and depression scores (self-rating anxiety scale, self-rating depression scale), patient satisfaction, length of hospital stay, and in-hospital complications. At 90 days, patients in the EBN group showed a significantly higher rate of functional independence compared to the UC group (67.31% vs 41.67%, P = .001). Beyond functional outcomes, the EBN group demonstrated greater National Institutes of Health Stroke Scale improvement, higher Fugl-Meyer assessment for upper and lower extremities, stroke-specific quality of life, Barthel Index, and functional independence measure scores (all P < .001). Emotional well-being also improved, with lower anxiety (self-rating anxiety scale) and depression (self-rating depression scale) scores, alongside higher patient satisfaction (P < .001). Importantly, the incidence of hospital-acquired pneumonia was significantly reduced (9.62% vs 25.00%, P = .041), while deep vein thrombosis and pressure ulcers showed downward trends. Under comparable baseline conditions, a systematic EBN approach significantly improved 90-day functional independence, neurological and motor recovery, quality of life, and emotional status, while also reducing hospital-acquired complications such as pneumonia. These findings support the routine implementation of EBN in stroke centers and warrant further validation in multicenter prospective studies.
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