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

Abstract

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.

Keywords: hypertensive cerebral hemorrhage; nursing intervention; postoperative recovery; rehabilitation therapy.

Figure 1.

Changes in systolic blood pressure at T1-T3 in the three groups of patients, there was no statistically significant difference in systolic blood pressure in the three groups (P>0.050). During the period of T2 and T3, the systolic blood pressure of in the rehabilitation training group and the nursing intervention group were lower than the control group, the difference was statistically significant (P<0.050). There was no significant difference in systolic blood pressure between the rehabilitation training group and the nursing intervention group (P>0.050). The systolic blood pressure at T3 in the three groups was significantly lower than both T2 and T1, and the systolic blood pressure at T2 was lower than T1, the difference was statistically significant (P<0.050). ^{^}P<0.050, the difference is statistically significant compared with the control group; *P<0.050, the difference is statistically significant compared to T1; #P<0.050, the difference is statistically significant compared to T2.

Figure 2.

Changes in diastolic blood pressure at T1-T3 in the three groups of patients, there was no statistically significant difference in diastolic blood pressure in the three groups (P>0.050). During the period of T2 and T3, the diastolic blood pressure in the rehabilitation training group and the nursing intervention group were lower than the control group, and the difference was statistically significant (P<0.050). There was no significant difference in diastolic blood pressure between the rehabilitation training group and the nursing intervention group (P>0.050). The diastolic blood pressure at T3 among the three groups was significantly lower than both T2 and T1. The diastolic blood pressure at T2 was lower than T1, and the difference was statistically significant (P<0.050). ^P<0.050, the difference is statistically significant compared with the control group; *P<0.050, the difference is statistically significant compared to T1; #P<0.050, the difference is statistically significant compared to T2.