Effect of ultra-early nursing intervention on postoperative cognitive impairment in patients with cerebral hemorrhage
10.3760/cma.j.cn115682-20210928-04412
- VernacularTitle:超早期护理干预对脑出血患者术后认知障碍的影响
- Author:
Junfang MA
1
;
Yanyan MENG
;
Haihong LIU
;
Hua DENG
;
Xiaohong CHEN
;
Yixuan ZHAI
Author Information
1. 郑州大学第一附属医院神经外科，郑州 450000
- Keywords:
Cerebral hemorrhage;
Neurological function;
Cognitive function;
Activity of daily living;
Ultra-early nursing
- From:
Chinese Journal of Modern Nursing
2022;28(21):2921-2925
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of ultra-early nursing intervention on postoperative cognitive behavior and prognosis of patients with cerebral hemorrhage.Methods:Using the convenient sampling method, a total of 82 patients with cerebral hemorrhage who were admitted to the First Affiliated Hospital of Zhengzhou University from March 2019 to January 2021 were selected as the research objects. According to the random number table method, they were divided into the control group and the observation group, with 41 cases in each group. Both groups received surgical treatment. The control group received routine nursing, while the observation group received ultra-early nursing intervention on the basis of routine nursing when vital signs were stable 48 hours after operation. The differences in neurological function (National Institutes of Health Stroke Scale, NIHSS) , cognitive function (Loewenstein Occupational Therapy Cognitive Assessment, LOTCA) and activity of daily living scores were compared between the two groups at 48 hours and 1 month after operation.Results:The NIHSS score at 1 month after surgery in both groups was lower than that at 48 hours after surgery and the NIHSS score at 1 month after surgery in observation group was lower than that in control group ( P<0.05) . The LOTCA dimension scores of the two groups at 1 month after operation were higher than those at 48 hours after operation and the LOTCA dimension scores of the observation group at 1 month after operation were higher than those of the control group ( P<0.05) . The activity of daily living scores of the two groups at 1 month after operation were higher than those at 48 hours after operation and the activity of daily living score of the observation group at 1 month after operation was higher than that of the control group , the differences were statistically significant ( P<0.05) . Conclusions:Ultra-early nursing intervention can effectively promote the recovery of postoperative neurological function and cognitive function in patients with cerebral hemorrhage and improve the activity of daily living of patients.
