Table 1.

Description of the intervention

Stage	Limb functional stage	Program	Delivery of intervention
Stage 1	Motor function was assessed by Brunnstrom: at stage I–II Manual muscle strength assessment: grade 1–2 Body position: mainly in bed, unable to sit and stand balance	Educating patients on appropriate antispasmodic positioning Guiding the caregivers how to correctly assist the patient to turn over to meet the basic position change of the patient at home Educating the caregivers to implement standard passive range of motion exercises for the shoulder, elbow, wrist, finger, hip, knee, and ankle joints	Members of the rehabilitation nursing team educate patients face to face Distribute education manuals to patients (illustrated) Provide patients with specific rehabilitation training videos (for patients/caregivers to review when needed)
Stage 2	Motor function was assessed by Brunnstrom: at stage III Manual muscle strength assessment: grade 3 Body position: patient can sit up with assistance but was unable to maintain sitting and standing balance	Teaching patients to turn actively to the left and right and carry out repeated training Guiding patients in the skills of moving in bed Teaching patients to carry out passive-active movement step by step, gradually transition to active exercise Ensuring that patients master torso training (gradually transition from the hip lifting activity of both legs to the hip lifting activity of the affected side)	Members of the rehabilitation nursing team educate patients face to face Distribute education manuals to patients (illustrated) Provide patients with specific rehabilitation training videos (for patients/caregivers to review when needed) Establish contact with patients/caregivers through WeChat App (members of the rehabilitation nursing team can timely answer patients’ questions and obstacles in home implementation during the intervention)
Stage 3	Motor function was assessed by Brunnstrom: at stage IV Manual muscle strength assessment: grade 4 Body position: patient can maintain a balanced sitting position	Instructing caregivers to carry out resistance training for patients with various repetitive tasks to increase muscle strength Carrying out appropriate rehabilitation training related to the control of muscle spasm based on the evaluation content Members of rehabilitation nursing team should guide patients to carry out clothing training to help patients adapt to the needs of daily life	Members of the rehabilitation nursing team educate patients face to face Distribute education manuals to patients (illustrated) Provide patients with specific rehabilitation training videos (for patients/caregivers to review when needed) Establish contact with patients/caregivers through WeChat App (members of the rehabilitation nursing team can timely answer patients’ questions and obstacles in home implementation during the intervention)
Stage 4	Motor function was assessed by Brunnstrom: at stage V–VI Manual muscle strength assessment: grade 5, close to the standard muscle strength level Body position: mainly in bed, unable to sit and stand balance	Considering the patients’ ability of daily life, instruct the patients to carry out some fine motor training to adapt to daily activities, such as grasping, grasping, buttoning, and so on Guiding patients to carry out walking training in accordance with the current activity function	Members of the rehabilitation nursing team educate patients face to face Distribute education manuals to patients (illustrated) Provide patients with specific rehabilitation training videos (for patients/caregivers to review when needed) Establish contact with patients/caregivers through WeChat App (members of the rehabilitation nursing team can timely answer patients’ questions and obstacles in home implementation during the intervention) Part of the daily living ability training and repetitive task walking training programs are designed as game projects to enhance the interest of the patient training process