A study of modified ankle pump exercise in stroke patients

doi:10.3761/j.issn.0254-1769.2025.09.007

Abstract

Abstract:

Objective To investigate the effect of ankle pump exercises，based on hemodynamic mechanisms，on the prevention of venous thrombosis in stroke patients. Methods A total of 110 stroke patients，admitted to a tertiary A hospital in Jiangsu Province between June 2023 and June 2024，were selected using a convenience sampling method. The patients were divided into an experimental group and a control group，with 55 patients in each group. The experimental group received ankle pump exercise nursing interventions based on hemodynamic mechanisms，while the control group received routine nursing interventions. The incidence of lower extremity deep vein thrombosis，Pittsburgh Rehabilitation Participation Scale scores，subjective perceived fatigue，and exercise self-efficacy scores were compared between 2 groups on the 7th day of hospitalization. Results No dropouts occurred in either group. The incidence of deep vein thrombosis was significantly lower in the experimental group than it in the control group（P=0.004）. The Pittsburgh Rehabilitation Participation scores on day 1，3，5，and 7 were higher in the experimental group compared to them in the control group（P<0.001）. A significant time-dependent trend was observed in Pittsburgh Rehabilitation Participation scores（P=0.034）. Subjective fatigue was significantly lower in the experimental group at various time points（P<0.001）. Both groups showed an increase in exercise self-efficacy over time（P=0.016），with the experimental group demonstrating higher exercise self-efficacy than the control group on the day before discharge（P=0.003）. Conclusion Ankle pump exercises，based on hemodynamic mechanisms，can effectively reduce the incidence of deep vein thrombosis in stroke patients，enhance rehabilitation participation and exercise self-efficacy，without increasing subjective fatigue.

Key words: Ankle Pump Exercise, Ultrasonography, Doppler, Stroke, Venous Thrombosis Prevention, Nursing Care

摘要：

目的探讨基于血流动力学机制的改良式踝泵运动对脑卒中患者静脉血栓预防的影响。方法采用便利抽样法，选取2023年6月—2024年6月江苏省南京市某三级甲等医院的110例脑卒中患者作为研究对象，试验组与对照组各纳入55例患者。试验组采用基于血流动力学机制的改良式踝泵运动护理干预，对照组采用常规护理干预，两组均干预至出院。比较两组住院第7天下肢深静脉血栓发生率和不同时间点匹兹堡康复参与量表、主观感觉劳累程度、运动自我效能得分的差异。结果两组研究对象未出现脱落。试验组下肢深静脉血栓发生率低于对照组（P=0.004）。试验组第1、3、5、7天匹兹堡康复参与量表得分均高于对照组（P<0.001），两组匹兹堡康复参与量表得分随时间变化趋势明显（P=0.034）。两组不同时间点的主观感觉劳累程度比较，差异有统计学意义（P<0.001）。两组运动自我效能随时间变化均有升高趋势（P=0.016），出院前1天试验组运动自我效能高于对照组（P=0.003）。结论实施基于血流动力学机制的改良式踝泵运动能有效降低脑卒中患者深静脉血栓发生率、提高患者匹兹堡康复参与度和运动自我效能，且不会增加主观感觉劳累程度。

关键词: 踝泵运动, 超声检查, 多普勒, 脑卒中, 静脉血栓预防, 护理

CAO Yun, SUN Guozhen, CHEN Feng, JI Xueli, YAN Mengwan, JING Lei, QIAN Kun. A study of modified ankle pump exercise in stroke patients[J]. Chinese Journal of Nursing, 2025, 60(9): 1068-1074.

曹云, 孙国珍, 陈凤, 季学丽, 闫梦婉, 敬雷, 钱堃. 改良式踝泵运动在脑卒中患者中的应用研究[J]. 中华护理杂志, 2025, 60(9): 1068-1074.

Figures/Tables 4

Table 1 General information of pediatric patients in 2 groups

Table 2 Site of thrombosis in both groups（cases）

Table 3 Comparison of the Pittsburgh Rehabilitation Participation Scale，the degree of subjective perceived exertion at each time point between the 2 groups of patients（scores，$\bar{x} \pm s$）

Table 4 Comparison of exercise self-efficacy scores at each time point between the 2 groups of patients（scores，$\bar{x} \pm s$）

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