Effectiveness of a Bobath Concept-Based Nursing Model on Neurological Function and Independence in Daily Living After...

Arteriovenous malformation (AVM) resection may result in postoperative neurological deficits and reduced capacity to perform daily activities. This study aims to investigate the impact of a Bobath concept-based nursing model on neurological function and independence in daily living following AVM resection.

We retrospectively included 91 brain AVM patients who underwent AVM resection at The Fourth Hospital of Hebei Medical University between April 2024 and April 2025. Based on the nursing model provided, patients were divided into a Bobath care group (n = 45) and a routine care group (n = 46). Neurological function, motor performance, health-related quality of life, hospital stay duration, postoperative complications, and nursing satisfaction were assessed preoperatively and postoperatively.

Compared with the routine care group, the Bobath care group exhibited significantly lower National Institutes of Health Stroke Scale (NIHSS) scores and improved modified Rankin Scale (mRS) scores postoperatively (p < 0.05). Fugl-Meyer Assessment (FMA) scores for upper and lower limb motor function, as well as total motor mobility, were higher in the Bobath care group (p < 0.05). Length of hospital stay and recovery milestones were reduced (p < 0.05). 36-Item Short Form Health Survey (SF-36) physical and mental health domain scores improved more markedly in the Bobath care group (p < 0.05). Complication rates were lower (p < 0.05), and patient satisfaction was higher (p < 0.05).

The Bobath concept-based nursing model improves neurological function, motor ability, and quality of life in patients undergoing AVM resection. It also reduces complications, shortens hospitalization, and improves rehabilitation outcomes, indicating significant clinical value for postoperative AVM care. Further multicenter and prospective studies are needed to validate its long-term efficacy.