Objective To summarize the effect of surgical treatment and nursing strategies of patients with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome. Method Forty-three cases with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome underwent surgical treatment in our department , with their history retrospectively analyzed to compare the hormone levels and blood oxygen saturation between pre-and post-operation. Result After the operation, both levels of the hormone and blood oxygen saturation were improved than those before operation; the incidence of sleep apnea syndrome was also lower than that before operation (all P<0.05). Conclusions Surgical treatment is better for patients with growth hormone-secreting pituitary adenoma complicated by sleep apnea syndrome. Reasonable treatment and effective nursing are favorable for the recovery of patients.

Objective? To explore the pressed abdominal belt on promoting restore of brain organization structure among chronic subdural hematoma (CSDH) patients with trepanation and drainage. Methods? From January to November 2017, we selected 72 CSDH patients of neurosurgery in Beijing Tiantan Hospital, Capital Medical University. All of the patients were divided into experimental group and control group with the random number table, 36 cases in each group. Control group carried out routine treatment and nursing care. On the basis of that in control group, experimental group applied pressed abdominal belt until discharge. We compared the restore distance of brain organization structure of patients between two groups three days after surgery. Results? Three days after surgery, the restore distance of brain organization structure by imaging of CT was (17.19±7.18)mm in patients of experimental group and (12.83±8.42)mm in patients of control group with a statistical difference (t=2.26, P＜0.05). Conclusions? Pressed abdominal belt as a simple and effective adjunctive therapy can promote restore of brain organization structure among CSDH patients with trepanation and drainage.

Objective To summarize the clinical observation content and nursing intervention methods for the post-operative aphasia patients with glioblastoma involving human brain language areas. Methods A total of 74 patients with glioblastoma involving language functional area were included in this study. The primary nurses found the language dysfunction timely through closely observing patients′ illness state; the psychological support was provided at early nursing interventions and the communication was encouraged as well. The type of language dysfunction was evaluated by primary nurses who should master several communication skills for different types of language dysfunction and guided the patients for the fundamental language training. Results A total of 19 patients had aphasia after surgery. Among them, 9 cases had ataxic aphasia; 5 cases had anomic aphasia;5 cases had sensory aphasia. During the period of 9 to 30 days language nursing and training, patients′language expression function increased from (69. 74 ± 13. 40) at the 1st day to (73. 47 ± 12. 74) at the 10th day and (79. 74 ± 12. 06) at the 30th day. The differences were statistically significant (t=2. 720, 3. 974;P<0. 05). Conclusions For the aphasia patients with glioblastoma involving in brain language areas, early assessment of language function and the corresponding language functional rehabilitation training after surgery can improve patients′language dysfunction.

Objective To investigate the impacts of psychosocial interventions on the anxiety and depression among family members of patients with high-grade glioma. Methods Overall 156 patients with high-grade glioma were recruited and randomly distributed into intervention group and control group. The patients of control group received the conventional health education, while the patients of intervention group received the additional intensive psychological caring based on the participants′psychological status. The Self-rating Anxiety Scale ( SAS ) and the Self-rating Depression Scale ( SDS ) were used to assess their level of anxiety and depression. Results The level of anxiety and depression of participants in the intervention group was significantly lower than those in the control group according to SAS and SDS scores, the differences were statistically significant (P <0. 05). Conclusions The psychological interventions can decrease the level of anxiety and depression of the family members of patients with high-grade glioma, so as to provide patients with high quality of social and family support.

Objective To explore the effects of solution-focused approach on improving negative emotions among chronic subdural hematoma patients with trepanation and drainage.Methods From January to December 2017,a total of 100 chronic subdural hematoma inpatients in Beijing Tiantan Hospital of Capital Medical University were divided into control group and observation group by the random number table,50 cases in each group.Control group carried out routine nursing.On the basis of that in control group,observation group provided health education by five-step of solution focused approach.Patients of two groups were evaluated with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) on admission and at discharge.Results The scores of SAS and SDS of patients in observation group were (35.00±5.222) and (37.28±5.091) respectively at discharge lower than those [(38.40±6.550) and (41.26±7.001)]in control group with significant differences (P＜0.05).Conclusions Solution-focused approach can improve negative emotions among chronic subdural hematoma patients with trepanation and drainage.It is worth to be popularized and applied in clinic.

Objective? To explore the effects of early limb functional rehabilitation and exercise on postoperative patients with high cervical spinal cord tumors. Methods? From November 2014 to July 2016, a total of 60 patients with high cervical intraspinal tumor hospitalized in the Spinal Cord Ward of Beijing Tian Tan Hospital were selected as the study subjects by convenience sampling method. All the subjects were divided into 2 groups with 30 cases in each by random number table method. The control group was given routine nursing after surgery, while the observation group was given early limb function rehabilitation training on the basis of the control group. The changes of muscle strength and the incidence of complications were compared between the two groups 12 days after operation. Results? On the 12th day after operation, the muscle strength of the observation group improved in 16 cases, unchanged in 10 cases and aggravated in 4 cases, which was better than that of the control group in 4, 14 and 12 cases. The difference was statistically significant (χ2=11.870, P=0.003). The incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (χ2=4.455,P=0.035). Conclusions? Early limb function exercise can improve the level of muscle strength and reduce complications after operation,which is worthy of clinical application.

Objective To discuss the effects of different postoperative position care on the recurrence of chronic subdural hematoma (CSH).Methods By convenience sampling method,102 patients with CSH were recruited in this study. These patients were admitted to the department of neurosurgery of Beijing Tiantan Hospital from November 2013 to October 2015,and they were divided into two groups by using random digits table method. In one group,52 patients were in the horizontal position without pillow,while in the other group, 50 patients lay in beds with their heads elevated. All patients received burr hole drainage,and were asked to keep the position that required for three days. Afterwards,specific adjustments were made according to the situations of drainage tubes. CT scans of brains were taken 12 hours,one week and three months respectively after operation. The degree of comfort,pulmonary complications,and recurrence rate were investigated during the period of hospitalization and the three-month′s follow-up.Results The recurrence rates were 7.7% and 20.0% respectively (χ2=2.304,P>0.05) for patients in horizontal position without pillow and patients lay in bed with elevation;the score of comfort were (51.6±3.7) and (62.7±3.3) respectively (t=1.919,P>0.05);and the incidences of pulmonary complications in two groups were 7.7% and 4.0%,the rates of venous thrombosis were 1.9% and 2.0% (χ2=0.138,0.471;P>0.05).Conclusions Compared with patients lying in beds with elevation,horizontal position without pillow can help to decrease the risk of recurrence for patients with CSH, but it may lead to more discomfort. Hence,specific postures should be considered for patients with horizontal position.

Objective To provide the clinical evidences for intervening the depression and anxiety in patients with chronic subdural hematoma, we investigated the incidence and the influencing factors of anxiety and depression in these patients.Methods Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to investigate 100 patients with chronic subdural hematoma in Department of Neurosurgery, Beijing Tian Tan Hospital of Capital Medical University from October 2015 to May 2016 at admission and discharged. Results The score of SAS was (45.16±8.423) and the detection rate of anxiety was 25% on admission; the score of SDS was (38.86±7.906) and the detection rate of anxiety was 29%; the scores of SAS and SDS both were higher than the national norm (t=17.227, 4.891;P<0.05). The detection rate of anxiety was 10% and the detection rate of depression was 12% at discharged; the scores of SAS (38.86±7.906) and SDS (44.15±6.772) both were also higher than the national norm (t=10.756,3.047;P<0.05).Conclusions Patients with chronic subdural hematoma have high detection rates of anxiety and depression, so we should pay sufficient attention. The doctors and nurses should regard the psychological problems when implement diagnosis and treatment of the physical diseases in patients with chronic subdural hematoma, and promptly provide clinical intervention to against anxiety, depression and other psychological problems for promoting the physical and mental health of patients.

Objective To explore the effect of Microsoft PowerPoint health education mode on network platform on releasing the preoperative anxiety of selective the neurosurgical surgery patients. Methods A total of 180 neurosurgery patients who were undergoing elective neurological surgery from September 2015 to August 2016 were enrolled in this study, and randomly divided into experimental and control group with 90 cases in each. The control group received traditional health education before surgery. While on the basis of the control group, the experimental group received Microsoft PowerPoint health education on network platform. The state anxiety inventory(S-AI) in state anxiety inventory(STAI) was used to compare the anxiety status of the two groups one day before surgery. The satisfaction level was investigated and compared by the satisfaction questionnaire survey. Results The S-AI score of the control group was (53.54±7.58), significantly higher than the observation group (41.16±3.58), with statistical difference (t=-20.911, P< 0.01). Satisfaction of the experimental group (95.6%) was higher than the control group (86.7%),and the difference was statistically significant (χ2=4.390, P<0.05). Conclusions The Microsoft Power Point health education mode on network platform can reduce the degree of anxiety in patients who are undergoing selective surgery and improve the patients' satisfaction with health education.

Objective To study the effectiveness of nursing intervention on advanced cognitive function and mood disorder in patients with cerebellum tumor and provide basis for clinical care.Methods A total of 144 patients with cerebellar tumor were selected from February 2014 to April 2016 in Neurosurgery Department,Beijing Tian Tan Hospital. Patients were divided to observation group (n=72) and control group (n=72) according to admission order. Patients of the observation received nursing intervention that could improve advanced cognitive function and mood disorder while patients of the control group underwent usual care. Mini-mental State Examination(MMSE), Memory Quotient (MQ), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were applied to evaluate patients' advanced cognitive function and mood disorder before and after intervention in both groups.Results For the observation group, score of MMSE was (19.8±1.6) points and MQ was (107.0±14.6) points which were both higher than those of the control group (t=12.834, 4.234;P< 0.01) at 90 days after operation. At 180 days after operation, for the observation group, score of HAMA was (11.6±2.1) points and HAMD was (15.0±2.8) points which were both lower than those of the control group (t=8.116, 8.583;P<0.01).Conclusions Nursing intervention could improve the advanced cognitive function and mood disorder in patients with cerebellum tumor clearly which could improve cognitive function in language and memory, relieve mood disorder like depression and anxiety, and it is suitable for clinical promotion.