Aim: To analyse the application status of nursing assessment terminology for neurological conditions and determine whether the International Classification of Functioning, Disability, and Health (ICF) covers nursing assessment.Design: A multi‐centre cross‐sectional study.Methods: Four researchers extracted all nursing problems from the patients of three different hospitals and formed a pool of nursing terminology from the electronic nursing records, self‐reports, family reports, medical examinations, and clinical records for all patients. The ICF Linking Rules were then used to map the nursing assessment terminology of neurological conditions with the ICF.Results: Though 37.5% of nursing assessment terms were closely related to neurological diseases, this does not appear in the existing electronic nursing assessment records. The unrecorded rate of 9 (16.1%) terms ranged from 40%–50%, while the unrecorded rate of 8 (14.3%) terms was more than 80%. Overall, 96.4% of nursing assessment terms could be described by the corresponding categories of the ICF, with 37 (66.1%) of the “same” concepts, 9 (16.1%) “similar” concepts, 6 (10.7%) “narrower” concepts (the nursing assessment terms were more specific than the ICF categories), and 2 (3.6%) “broader” concepts (the nursing assessment were less specific than the ICF categories).

Background: Intermittent pneumatic compression (IPC) and neuromuscular electrical stimulation can improve deep vein hemodynamics in the lower limbs. We developed a new, small and convenient, and easy to wear common peroneal nerve electrical stimulator (CPNES) and to investigate the effectiveness and safety of CPNES intervention on deep venous hemodynamics. Methods: Thirty healthy volunteers were recruited and randomly divided into group A and B. In group A, the hemodynamics of the left superficial femoral artery and the superficial femoral vein were measured after IPC compression, and then the CPNES was activated and the hemodynamics was measured again. In group B, the order of intervention was reversed. Results: In group A, the peak velocity, time average blood flow velocity (TAMV), and flow velocity of femoral vein after IPC and CPNES intervention were higher than these of the baseline (P < .05, respectively). No significant differences of these blood flow parameters were found between IPC and CPNES intervention (P > .05, respectively). In group B, these blood flow parameters of femoral vein after IPC and CPNES intervention were higher than these of the baseline (P < .05, respectively). No significant difference of these blood flow parameters (P > .05, respectively) were noted between IPC and CPNES intervention as well. No differential change of these flow velocity of femoral artery after IPC and CPNES intervention in group A or group B. The hemodynamics of superficial femoral arteries and veins after intervention in group A and B were similar (P > .05, respectively). Conclusion: The effectiveness of CPNES intervention on the hemodynamics of the lower extremity is similar with that of IPC, increasing blood flow and may prevent venous thrombosis without adverse reaction.

In this study, we aimed to develop an assessment tool for the intermittent catheterization nursing ability of family caregivers of patients with neurogenic bladders and verify its psychometric characteristics. Using the Farran Comprehensive Care Skills Model as the theoretical framework and by integrating multiple methods, such as literature reviews, semi-structured interviews, group discussions, expert consultations, and pretests, an initial scale was developed. This study was a single-center, cross-sectional survey. A convenience sampling method was used to recruit 255 family caregivers of patients undergoing intermittent catheterization, and data were collected using a questionnaire. Item analysis, reliability tests, and validity tests were conducted to form a formal scale. The formal scale covered 4 dimensions: disease-related professional knowledge, intermittent catheterization care skills, symptom management ability, and psychosocial management ability, with a total of 21 items. Exploratory factor analysis revealed that the cumulative variance contribution rate of the 4 common factors of the scale was 65.879%. The confirmatory factor analysis showed that the structural validity of the scale was reasonable; the content validity index at the item level was 0.833 to 1.000, and the average content validity index at the scale level was 0.952; the Cronbach α coefficient of the total scale was 0.889, and the split-half reliability was 0.754. The assessment tool for intermittent catheterization nursing ability of family caregivers of patients with neurogenic bladders developed in this study is commendable. Based on exploratory factor analysis and confirmatory factor analysis, together with multidimensional testing, the scale has demonstrated good reliability and validity and is suitable for the clinical assessment of the catheterization nursing competency of family caregivers.

The purpose of this study is to investigate the efficacy of bilateral upper-limb training (BULT) in helping people with upper-limb impairments due to stroke or brain illness regain their previous level of function. Patients recuperating from a stroke or cerebral disease were given the option of undergoing BULT or conventional training to enhance their upper-limb function. Participants were randomly allocated to one of the several different fitness programs. Results from the action research arm test, Box and block test, Wolf motor function test, Fugal–Meyer evaluation, and any other tests administered were taken into account. Some researchers have found that exercising with BULT for just 30 min per day for 6 weeks yields significant results. There were a total of 1,411 individuals from 10 randomized controlled trials included in this meta-analysis. Meta-analysis findings revealed that biofeedback treatment outperformed conventional rehabilitation therapy in reducing lower leg muscular strain, complete spasm scale score, electromyography score, and inactive ankle joint range of motion. An analysis of the literature found that BULT improved limb use in people who had suffered a stroke and hemiplegia but it did not provide any additional benefit over unilateral training.