Deans' stroke musings: Network analysis of rehabilitation needs and influencing factors in aged patients recovering from first-time stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, May 26, 2026

Network analysis of rehabilitation needs and influencing factors in aged patients recovering from first-time stroke

You INCOM PETENTLY DON'T KNOW THAT 100% RECOVERY IS THE ONLY GOAL IN STROKE? Your tyranny of low expectations should get all of you fired! Does no one in stroke have a functioning brain?

Network analysis of rehabilitation needs and influencing factors in aged patients recovering from first-time stroke

Yumeng Gong 1
Jiajia Chen 1
D
Dongyu Hu 1
X
Xiumu Yang 1
J
Juanjuan Wang 2
Y
Yongli Duan 2*

1. School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
2. Fuyang People's Hospital, Fuyang, Anhui, China

Abstract

Objective:

To explore the rehabilitation needs and influencing factors in aged patients recovering from cerebral infarction.

Methods:

A cross-sectional survey was conducted from July to December 2025, selecting 436 aged patients recovering from their first cerebral infarction in the neurology department of a top-tier hospital in Anhui Province. The survey included general information, and scales for the following: stroke rehabilitation needs, the Barthel Index (ADL scale), social support, and self-efficacy.

Results:

The average rehabilitation needs score was 140.60 ± 29.806. The key rehabilitation needs identified were assistance with putting on and taking off clothes and shoes (rs = 1.256), swallowing function training (rs = 1.221), support for feelings of inferiority (rs = 1.208), personal hygiene help (rs = 1.200), and understanding of the discharge follow-up plan (rs = 1.197). Network analysis showed that self-care ability, social support, and self-efficacy significantly impacted rehabilitation needs.

Discussion:

In older adults recovering from their first-ever ischemic stroke, rehabilitation needs are closely connected. The central need is assistance with dressing, including putting on and taking off clothes and shoes. These needs are shaped by multiple factors, such as lesion location on the right side, early participation in rehabilitation, self-care ability, self-efficacy, and social support, all of which play key roles. Therefore, rehabilitation interventions should consider both patients' specific needs and the factors that influence them. Tailored, precise care can better address their rehabilitation needs and enhance their quality of life.