A Study on the Efficacy of the 5E Rehabilitation Nursing Method Based on Mind Mapping for Patients with Ischemic Stroke After Carotid Stent Implantation: A Retrospective Study.

OBJECTIVE: The effects of mind map-guided 5E rehabilitation nursing on patients with ischemic stroke after carotid artery stenting (CAS) are to be evaluated. METHODS: This retrospective study included 71 patients receiving conventional care (January-December 2023, Control group) and 73 patients receiving the new nursing model (January-December 2024, Observation group). Baseline data were compared at admission, and outcome measures were assessed at one month postoperatively. This included the following: the National Institutes of Health Stroke Scale (NIHSS), the Fugl-Meyer Assessment (FMA), the Montreal Cognitive Assessment (MoCA), the Chinese Mini Mental Status (CMMS), the Barthel Index, the Hospital Anxiety and Depression Scale (HADS), the relative mean transit time (rMTT), the relative cerebral blood volume (rCBV), and the relative cerebral blood flow (rCBF). Hospital stay, compliance, and complications were also considered. RESULTS: At one month postoperatively, the NIHSS, HADS, and rMTT of the observation group were lower than those of the control group (all P<0.05). The observation group's FMA, MoCA, CMMS, Barthel Index, rCBF, and rCBV were higher than the control group's (all P<0.05). The observation group had shorter hospitalization times, higher overall treatment compliance, and lower overall complication rates than the control group (all P<0.05). CONCLUSION: Mind map-guided 5E rehabilitation nursing shows promise in improving short-term recovery outcomes in post-CAS stroke patients. Further prospective validation is needed.