International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 79-89 http://medscipublisher.com/index.php/ijccr 85 self-management skills of stroke survivors, as well as provide much-needed support to caregivers (Sit et al., 2004; Gayenell et al., 2020). Access to community resources such as social services, transportation, and financial assistance is also crucial for the effective management of stroke recovery at home. Studies have shown that the availability and utilization of these resources can alleviate some of the burdens faced by family caregivers, allowing them to focus more on providing care and less on logistical challenges (Sit et al., 2004). Additionally, professional advice and feedback on home care skills, as well as tangible support like medical supplies and equipment, are vital in ensuring that caregivers can adequately meet the needs of stroke survivors (Sit et al., 2004). By leveraging community care services and resources, families can create a more supportive and effective care environment for stroke patients. 6.3 Establishing and participating in psychosocial support systems Psychosocial support systems are critical in addressing the emotional and psychological challenges faced by stroke survivors and their caregivers. Participation in support groups, counseling sessions, and psychoeducational programs can help mitigate the risk of depression and anxiety, which are common among stroke patients and their families. Mou et al. (2021) has demonstrated that dyadic psychoeducational interventions, which involve both the patient and the caregiver, can improve functional independence and reduce caregiver burden, thereby enhancing the overall well-being of both parties. Furthermore, social support interventions have been shown to have a positive impact on mood and mental health outcomes for stroke survivors. Studies suggest that perceived social support can protect against the onset and duration of post-stroke depression, highlighting the importance of establishing robust support networks. By fostering connections with other families facing similar challenges and accessing professional mental health services, stroke survivors and their caregivers can better navigate the emotional complexities of stroke recovery and maintain a higher quality of life (Salter et al., 2010). 7 Nursing Quality Evaluation System 7.1 Dynamic monitoring mechanism for nursing efficacy Establishing a multi-dimensional nursing effect evaluation system is the key to optimizing stroke management. Dynamic controlled study design is widely used in clinical evaluation. For example, a cohort study of 186 cases showed that after implementing the stepwise nursing program, the recovery rate of neurological function in the experimental group increased by 37%, and the serum S100β protein level decreased by 42% (Regu, 2020). Double-blind assessment using the modified Rankin Scale and the Berg Balance Scale can objectively reflect the degree of functional improvement. The standardized assessment process needs to integrate quantitative indicators and qualitative evaluation, use the Neurological Deficit Scale (NIHSS) to monitor changes in neurological status every 24 hours; Evaluate the progress of life skills weekly through the modified Barthel index. Multicenter data showed that the functional independence rate (FIM≥85) at discharge in the standardized assessment group reached 68%, significantly higher than 49% in the conventional care group (Zhang et al., 2021). The introduction of the intelligent evaluation system has increased the data collection efficiency by three times and controlled the error rate within 5%. 7.2 Clinical practice difficulties and countermeasures Stroke care is confronted with the challenge of collaborative management brought about by multi-dimensional care demands. The survey shows that the implementation standards of nursing plans among different medical institutions vary by 32%, and the coverage rate of the regionalized quality control system is only 57% (Green et al., 2011). The solutions include building a structured quality control system (including 18 core indicators) and implementing a cloud-based nursing pathway management system, which has increased the standardization rate of intervention measures to 89%. There are significant shortcomings in the quality monitoring of continuous nursing, and the loss to follow-up within 3 months after discharge is as high as 41% (Zhao et al., 2019). The coping strategies include: establishing a
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