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

被引:43
作者
Liu, Xiuhua [1 ]
Zhang, Ping [2 ]
Guo, Caihong [2 ]
Xu, Jing [2 ]
Hu, Ming [1 ]
机构
[1] Xuzhou Med Univ, Xuzhou Municipal Hosp, Xuzhou Peoples Hosp 1, Dept Nursing, 19 Zhongshan North Rd, Xuzhou 221002, Jiangsu, Peoples R China
[2] Xuzhou Med Univ, Xuzhou Municipal Hosp, Xuzhou Peoples Hosp 1, Dept Crit Care Med, Xuzhou 221002, Jiangsu, Peoples R China
关键词
rehabilitation therapy; nursing intervention; hypertensive cerebral hemorrhage; postoperative recovery; BLOOD-PRESSURE; CEREBROVASCULAR-DISEASE; RISK-FACTORS; MANAGEMENT; GUIDELINES; STROKE;
D O I
10.3892/etm.2019.7486
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Rehabilitation therapy combined with nursing intervention in postoperative recovery of patients with hypertensive intracerebral hemorrhage was investigated. Retrospective analysis was carried out in 78 patients with severe HICH hematoma evacuation after treatment in Xuzhou No. 1 People's Hospital, Xuzhou Municipal Hospital Affiliated to Xuzhou Medical University from March 2014 to July 2017. 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. 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 (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 (P<0.050). 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 (P<0.050). The number of people with depression in the rehabilitation training group was significantly higher than the nursing intervention group (P<0.050). 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.
引用
收藏
页码:4598 / 4604
页数:7
相关论文
共 26 条
[1]   A prospective, randomized, single-blinded trial on the effect of early rehabilitation on daily activities and motor function of patients with hemorrhagic stroke [J].
Bai, YuLong ;
Hu, YongShan ;
Wu, Yi ;
Zhu, YuLian ;
He, Qiang ;
Jiang, CongYu ;
Sun, LiMin ;
Fan, WenKe .
JOURNAL OF CLINICAL NEUROSCIENCE, 2012, 19 (10) :1376-1379
[2]   Association Between Blood Pressure Control and Risk of Recurrent Intracerebral Hemorrhage [J].
Biffi, Alessandro ;
Anderson, Christopher D. ;
Battey, Thomas W. K. ;
Ayres, Alison M. ;
Greenberg, Steven M. ;
Viswanathan, Anand ;
Rosand, Jonathan .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (09) :904-912
[3]   Ottawa Panel Evidence-Based Clinical Practice Guidelines for Structured Physical Activity in the Management of Juvenile Idiopathic Arthritis [J].
Cavallo, Sabrina ;
Brosseau, Lucie ;
Toupin-April, Karine ;
Wells, George A. ;
Smith, Christine A. ;
Pugh, Arlanna G. ;
Stinson, Jennifer ;
Thomas, Roanne ;
Ahmed, Sara ;
Duffy, Ciaran M. ;
Rahman, Prinon ;
Alvarez-Gallardo, Inmaculada C. ;
Loew, Laurianne ;
De Angelis, Gino ;
Feldman, Debbie Ehrmann ;
Majnemer, Annette ;
Gagnon, Isabelle J. ;
Maltais, Desiree ;
Mathieu, Marie-Eve ;
Kenny, Glen P. ;
Tupper, Susan ;
Whitney-Mahoney, Kristi ;
Bigford, Sarah .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2017, 98 (05) :1018-1041
[4]  
Gavito-Higuera J, 2017, WORLD J RADIOL, V9, P448, DOI 10.4329/wjr.v9.i12.448
[5]   Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Hemphill, J. Claude, III ;
Greenberg, Steven M. ;
Anderson, Craig S. ;
Becker, Kyra ;
Bendok, Bernard R. ;
Cushman, Mary ;
Fung, Gordon L. ;
Goldstein, Joshua N. ;
Macdonald, R. Loch ;
Mitchell, Pamela H. ;
Scott, Phillip A. ;
Selim, Magdy H. ;
Woo, Daniel .
STROKE, 2015, 46 (07) :2032-2060
[6]   Resistant Hypertension after Hypertensive Intracerebral Hemorrhage Is Associated with More Medical Interventions and Longer Hospital Stays without Affecting Outcome [J].
Hong, Daojun ;
Stradling, Dana ;
Dastur, Cyrus K. ;
Akbari, Yama ;
Groysman, Leonid ;
Al-Khoury, Lama ;
Chen, Jefferson ;
Small, Steven L. ;
Yu, Wengui .
FRONTIERS IN NEUROLOGY, 2017, 8
[7]   Angiotensin II receptor blockers following intravenous nicardipine administration to lower blood pressure in patients with hypertensive intracerebral hemorrhage: a prospective randomized study [J].
Inamasu, Joji ;
Nakae, Shunsuke ;
Adachi, Kazuhide ;
Hirose, Yuichi .
BLOOD PRESSURE MONITORING, 2017, 22 (01) :34-39
[8]   Cerebrovascular Disease and Mechanisms of Cognitive Impairment Evidence From Clinicopathological Studies in Humans [J].
Kalaria, Raj N. .
STROKE, 2012, 43 (09) :2526-2534
[9]   Old benefit as much as young patients with stroke from high-intensity neurorehabilitation: cohort analysis [J].
Knecht, Stefan ;
Rossmueller, Jens ;
Unrath, Michael ;
Stephan, Klaus-Martin ;
Berger, Klaus ;
Studer, Bettina .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2016, 87 (05) :526-530
[10]   Matrix metalloproteinases and blood-brain barrier disruption in acute ischemic stroke [J].
Lakhan, Shaheen E. ;
Kirchgessner, Annette ;
Tepper, Deborah ;
Leonard, Aidan .
FRONTIERS IN NEUROLOGY, 2013, 4