Effects of self-designed facial muscle exercise in facial paralysis nursing among patients after acoustic neurinoma surgery
10.3760/cma.j.issn.1674-2907.2019.30.008
- VernacularTitle:自创面肌操在听神经鞘瘤术后患者面瘫护理中的应用
- Author:
Xueling LI
1
;
Jinglian LI
;
Xiaoxue FU
;
Fei YAO
Author Information
1. 首都医科大学附属北京天坛医院神经外科 100070
- Keywords:
Rehabilitation nursing;
Acoustic neurinoma;
Postoperative period;
Facial paralysis;
Self-designed facial muscle exercise;
Anxiety
- From:
Chinese Journal of Modern Nursing
2019;25(30):3873-3876
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of self-designed facial muscle exercise in facial paralysis nursing among patients after acoustic neurinoma surgery. Methods? From May 2018 to February 2019, we selected 90 cerebellopontine angle (CPA) patients after acoustic neurinoma surgery of the Cancer Ward of Neurosurgery Department at a Class Ⅲ Grade A hospital in Beijing. All of the patients were randomly divided into experimental group (n=50) and control group (n=40). Control group carried out routine facial paralysis management. On the basis of routine nursing, experimental group implemented the self-designed facial muscle exercise directed by researchers from 10:00 to 11:00 in the morning and from 16:00 to 17:00 in the afternoon. The grades of facial paralysis after facial paralysis were assessed with the House-Brackmann facial nerve grading system, and statistical analysis was used to the recovery effects of facial paralysis and anxiety of patients between two groups. Results? A total of 30 days after surgery, the total effective rate of experimental group was higher than that of control group with a statistical difference (P＜ 0.01). A total of 90 days after surgery, the total effective rate of experimental group was 96.0% higher than that (55.0%) of control group with a statistical difference (P＜ 0.01). There was no statistical difference in the scores of Self-Anxiety Scale (SAS) of patients between two groups before intervention (P＞ 0.05). The scores of SAS of experimental group were lower than those of control group 7, 30 and 90 days after surgery with statistical differences (P＜0.01). Conclusions? The self-designed facial muscle exercise can promote the recovery of facial paralysis after acoustic neurinoma surgery and improve anxiety of patients.
