Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 515-519
LIU Xue-ying. Effect of rehabilitation therapy and nursing intervention on postoperative recovery of patients with hypertensive intracerebral hemorrhage[J]. Chinese Journal of General Practice, 2021, 19(3): 515-519. doi: 10.16766/j.cnki.issn.1674-4152.001850
Citation: LIU Xue-ying. Effect of rehabilitation therapy and nursing intervention on postoperative recovery of patients with hypertensive intracerebral hemorrhage[J]. Chinese Journal of General Practice, 2021, 19(3): 515-519. doi: 10.16766/j.cnki.issn.1674-4152.001850
shu

Effect of rehabilitation therapy and nursing intervention on postoperative recovery of patients with hypertensive intracerebral hemorrhage

doi: 10.16766/j.cnki.issn.1674-4152.001850

  • Department of Neurosurgery, the Tenth Affiliated Hospital of Guangxi Medical University (the First People's Hospital of Qinzhou), Qinzhou, Guangxi 535099, China

Funds:

 Z20190570

  • Received Date: 2020-03-30
    Available Online: 2022-02-19
    Abstract
  •   Objective  To investigate rehabilitation therapy combined with nursing intervention in postoperative recovery of patients with hypertensive intracerebral hemorrhage (HICH).  Methods  Retrospective analysis was carried out in 78 patients with severe HICH hematoma evacuation after treatment in the Tenth Affiliated Hospital of Guangxi Medical University from March 2017 to November 2019. The 28 patients who received routine treatment and nursing care were regarded as the control group, the 27 patients who underwent rehabilitation training based with routine treatment and nursing care were the rehabilitation training group. Moreover, the 23 patients who underwent rehabilitation training and nursing intervention based on routine treatment were regarded as the nursing intervention group. Systolic blood pressure, diastolic blood pressure, and Fugl-Meyer scores were compared immediately after surgery (T1), 4 weeks after treatment (T2) and 12 weeks after treatment (T3). During the period of T3, the total effective rate and adverse reactions were compared among the three groups of patients.  Results  The systolic blood pressure and diastolic blood pressure at T3 among the three groups were significantly lower than both T2 and T1, and the systolic and diastolic blood pressure of T2 was lower than T1 (all P < 0.05). Among the three groups of patients, the Fugl-Meyer score at T3 was significantly higher than both the T2 and T1, and the Fugl-Meyer score at T2 was higher than T1 (all P < 0.05). The total effective rate in the rehabilitation training group and the nursing intervention group were significantly higher than the control group, and the difference was statistically significant (all P < 0.05). There was no significant difference in total effective rate between the rehabilitation training group and the nursing intervention group (P>0.05). In the control group, the number of patients with shoulder-hand syndrome, hemorrhoids, and depression was significantly higher than both the rehabilitation training group and the nursing intervention group (all P < 0.05). The number of people with depression in the rehabilitation training group was significantly higher than the nursing intervention group (P < 0.05).  Conclusion  Rehabilitation therapy and nursing intervention are better than routine treatment and nursing for postoperative recovery of HICH patients, and has a lower adverse reaction rates after surgery, it is worthy of promotion clinically.

     

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