# Effect of IIFAR information nursing model and comprehensive rehabilitation training on negative emotions and rehabilitation outcomes in elderly hemiplegic stroke patients

**Authors:** Yinli Duo, Guiping Zhong, Zequn Shen

PMC · DOI: 10.4314/ahs.v25i1.23 · African Health Sciences · 2025-03-01

## TL;DR

This study shows that combining the IIFAR nursing model with rehabilitation training helps reduce anxiety and improve recovery in elderly stroke patients with hemiplegia.

## Contribution

The study introduces the IIFAR nursing model as a novel approach to enhance rehabilitation outcomes in elderly stroke patients.

## Key findings

- The IIFAR model significantly reduced disease uncertainty and negative emotions in patients.
- Patients in the IIFAR group showed greater improvements in mindfulness and balance compared to the control group.
- Comprehensive rehabilitation training combined with IIFAR led to better overall recovery outcomes.

## Abstract

We aimed to investigate the effects of the IIFAR (initial check, information exchange, final accuracy check, reaction) nursing model and comprehensive rehabilitation training on negative emotions and rehabilitation outcomes in elderly stroke patients with hemiplegia.

Forty elderly stroke patients with hemiplegia were divided into two groups: the control group received comprehensive rehabilitation training intervention, while the observation group received IIFAR information nursing model intervention. Both groups were assessed for disease uncertainty, negative emotions, mindfulness level, balance, and limb movement ability before and after the intervention.

After the intervention, both groups experienced a significant decrease in the complexity, ambiguity, lack of information, unpredictability, State Anxiety Inventory, Trait Anxiety Inventory, and total score of the State-Trait Anxiety Inventory scale. However, the observation group had lower scores than the control group. Furthermore, after the intervention, both groups saw a significant increase in scores, but the observation group had higher scores than the control group. Lastly, after the intervention, the observation group had significantly higher scores than the control group.

The use of the IIFAR information nursing model combined with comprehensive rehabilitation training can improve the disease uncertainty and negative emotions of elderly stroke patients with hemiplegia, and enhance their mindfulness level and balance movement ability.

## Linked entities

- **Diseases:** stroke (MONDO:0005098), hemiplegia (MONDO:0001170)

## Full-text entities

- **Diseases:** hemiplegia (MESH:D006429), hemiplegic stroke (MESH:D020233), Anxiety (MESH:D001007), stroke (MESH:D020521)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12865056/full.md

## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC12865056/full.md

---
Source: https://tomesphere.com/paper/PMC12865056