Objective:To implement an overview of systematic reviews on the effects of brain-computer interface training on upper limb functional rehabilitation in stroke patients.Methods:The systematic review/Meta-analysis of the effect of brain-computer interface training on upper limb functional rehabilitation in stroke patients was electronically retrieved in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, Embase, Joanna Briggs Institute Evidence-Based Health Care Center Database, China National Knowledge Infrastructure, Wanfang Data, VIP and China Biology Medicine disc. The search period was from database establishment to November 2024. Two researchers independently performed literature screening and data extraction and evaluated the quality of methodology, reporting, and evidence.Results:A total of 14 systematic reviews/Meta-analyses were included. The results showed that brain-computer interface training helped to improve upper limb motor function, muscle strength and activities of daily living in stroke patients, but the rehabilitative effect on muscle spasm needed to be further confirmed.Conclusions:Brain-computer interface training helps to improve upper limb motor function, muscle strength and activities of daily living in stroke patients. However, the methodological quality and reporting quality of the current studies are poor, and there is still a need for high-quality studies with rigorous design and standardized process to provide reference for clinical practice.

Objective:To implement an overview of systematic reviews on the effects of brain-computer interface training on upper limb functional rehabilitation in stroke patients.Methods:The systematic review/Meta-analysis of the effect of brain-computer interface training on upper limb functional rehabilitation in stroke patients was electronically retrieved in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, Embase, Joanna Briggs Institute Evidence-Based Health Care Center Database, China National Knowledge Infrastructure, Wanfang Data, VIP and China Biology Medicine disc. The search period was from database establishment to November 2024. Two researchers independently performed literature screening and data extraction and evaluated the quality of methodology, reporting, and evidence.Results:A total of 14 systematic reviews/Meta-analyses were included. The results showed that brain-computer interface training helped to improve upper limb motor function, muscle strength and activities of daily living in stroke patients, but the rehabilitative effect on muscle spasm needed to be further confirmed.Conclusions:Brain-computer interface training helps to improve upper limb motor function, muscle strength and activities of daily living in stroke patients. However, the methodological quality and reporting quality of the current studies are poor, and there is still a need for high-quality studies with rigorous design and standardized process to provide reference for clinical practice.

Objective To investigate the current status of unplanned readmission to the ICU in neurosurgical patients and to study its influencing factors,aiming to inform the construction of targeted nursing interventions for medical staff.Methods From January 2020 to September 2022,the relevant data of patients transferred out from the ICU of a tertiary-level hospital in Beijing were retrospectively analyzed.After using propensity score matching,a sample with balanced covariates between groups was obtained,and single-factor and Logistic regression analyses were used to study the influencing factors of unplanned readmission to the ICU in neurosurgical patients.Results The data of a total of 4 789 patients were included,and 159 patients(3.32％)had unplanned readmission to the ICU.Respiratory failure and pulmonary infection were the main respiratory complications causing unplanned readmission to the ICU in neurosurgical patients.Logistic regression analysis showed that the duration of mechanical ventilation,the length of the first stay in the ICU,tracheal intubations ≥2 times,presence of cerebrospinal fluid drainage tube or lumbar drainage tube,existence of mild to moderate consciousness disorder at discharge from ICU,low white blood cell count,and low hemoglobin count were independent influencing factors for unplanned readmission to ICUs in neurosurgical patients(P＜0.05).Conclusion Medical staff should pay attention to the high-risk group of unplanned return to the ICU,assess the risk of transfer in a timely manner,carry out targeted nursing measures and strengthen the quality of nursing care to reduce the incidence of unplanned retum to the ICU in neurosurgical patients.

Objective To investigate the current status of unplanned readmission to the ICU in neurosurgical patients and to study its influencing factors,aiming to inform the construction of targeted nursing interventions for medical staff.Methods From January 2020 to September 2022,the relevant data of patients transferred out from the ICU of a tertiary-level hospital in Beijing were retrospectively analyzed.After using propensity score matching,a sample with balanced covariates between groups was obtained,and single-factor and Logistic regression analyses were used to study the influencing factors of unplanned readmission to the ICU in neurosurgical patients.Results The data of a total of 4 789 patients were included,and 159 patients(3.32％)had unplanned readmission to the ICU.Respiratory failure and pulmonary infection were the main respiratory complications causing unplanned readmission to the ICU in neurosurgical patients.Logistic regression analysis showed that the duration of mechanical ventilation,the length of the first stay in the ICU,tracheal intubations ≥2 times,presence of cerebrospinal fluid drainage tube or lumbar drainage tube,existence of mild to moderate consciousness disorder at discharge from ICU,low white blood cell count,and low hemoglobin count were independent influencing factors for unplanned readmission to ICUs in neurosurgical patients(P＜0.05).Conclusion Medical staff should pay attention to the high-risk group of unplanned return to the ICU,assess the risk of transfer in a timely manner,carry out targeted nursing measures and strengthen the quality of nursing care to reduce the incidence of unplanned retum to the ICU in neurosurgical patients.

Objective:To deeply understand the illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment, and to provide reference for formulating targeted nursing intervention programs.Methods:The semi-structured interview method of qualitative research was used to conduct in-depth interviews in 17 patients with unruptured intracranial aneurysm undergoing interventional treatment. Data were analyzed by content analysis method.Results:Five themes and ten sub-themes were extracted, including limited disease cognition (ignoring disease symptoms, wrong medical treatment behavior), uncertainty of disease (fear of aneurysm rupture, fear of disease recurrence), trusting in medical resources (trusting diagnosis and treatment technology, satisfactory medical service), desire for social support (hope for family members′companionship, expecting the concern of doctors and nurses), positive self-management (maintaining emotional stability, building health behaviors).Conclusions:Medical staff should pay attention to the physical and mental feelings of patients with unruptured intracranial aneurysm during the disease process, assess their needs, support and coping ability, and provide scientific and effective help to promote their physical and mental comfort.

The nursing experience of a pregnant woman with ruptured cerebellar arteriovenous malformation and hemorrhage with consciousness disorder at 20+weeks of pregnancy was summarized.The key points of nursing include:postoperative management of pregnancy combined with brain arteriovenous malformation composite surgery,nursing management of hypothermia treatment in the second pregnancy,the safety of patients and fetus and the whole prevention of complications;early rehabilitation training in stages,and postpartum management based on the recovery of neurological function.Through careful and professional treatment and nursing,the patient had a good prognosis,and was transferred to the rehabilitation department to continue rehabilitation treatment.

Objective:To understand the status quo of job burnout and sleep quality among neurosurgery nurses in a ClassⅢ Grade A hospital in Beijing and analyze their correlations to provide basis for formulating relevant intervention measures.Methods:Using the convenient sampling method, a total of 150 nurses from Department of Neurosurgery of Xuanwu Hospital of Capital Medical University from March to April 2020 were selected as the research objects. The survey was carried out using the general information questionnaire, the Chinese version of Maslach Burnout Inventory (MBI) and Pittsburgh Sleep Quality Index (PQSI) scale. Pearson correlation analysis method was used to analyze the effect of job burnout of nurses in department of neurosurgery on sleep quality. A total of 150 questionnaires were distributed in this study and 149 valid questionnaires were recovered, with an effective recovery rate of 99.3%.Results:The emotional exhaustion dimension score of the job burnout scale for neurosurgical nurses was (22.79±7.08) , indicating moderate burnout. The score of depersonalization dimension was (8.17±3.63) , indicating moderate burnout. The score of low personal achievement was (19.09±6.04) , indicating high burnout. The total PSQI score of neurosurgical nurses was 8.0 (4.5, 12.0) and 83 nurses (55.7%, 83/149) had poor sleep quality. Emotional exhaustion in job burnout of neurosurgery nurses was positively correlated with PSQI total score ( r=0.356, P<0.01) , and depersonalization dimension was positively correlated with PSQI total score ( r=0.180, P<0.05) , while low personal achievement dimension was negatively correlated with PSQI total score ( r=-0.120, P<0.05) . The results of multiple linear regression analysis showed that PSQI total score and working years were the influencing factors of emotional exhaustion dimension ( P<0.05) , while PSQI total score and weekly overtime time were the influencing factors of depersonalization dimension ( P<0.05) . Conclusions:The degree of job burnout of neurosurgical nurses is in the middle and high level and different degrees of sleep problems are common. The higher the degree of burnout, the worse the quality of sleep.

Objective:To understand the current status of health-promoting lifestyle of neurosurgery nurses and to explore the effect of sleep quality on their health-promoting lifestyle.Methods:Using the convenient sampling method, a total of 150 nurses from Department of Neurosurgery of Xuanwu Hospital of Capital Medical University were selected as the research objects from March to April 2020. The general information questionnaire, Pittsburgh Sleep Quality Index (PQSI) and Health Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ) were used to investigate. A total of 150 questionnaires were sent out in this study and 149 were effectively received, with the effective recovery of 99.3%.Results:The total score of HPLP-Ⅱ of neurosurgical nurses was (128.07±20.63) , and the health promotion lifestyle was at the general level. The total score of PSQI was 8.0 (4.5, 12.0) , and 55.7% (83/149) nurses had poor sleep quality. There was a negative correlation between HPLP-Ⅱ total score of neurosurgical nurses and PSQI total score ( r=-0.393, P<0.01) . The results of multiple linear regression analysis showed that PSQI total score and working years were the influencing factors of health promotion lifestyle ( P<0.05) . Conclusions:The health-promoting lifestyle of neurosurgery nurses is at an average level and there are widespread sleep quality problems. The health-promoting lifestyle is positively correlated with sleep quality. The better the health-promoting lifestyle, the better the sleep quality. Corresponding interventions are recommended to improve the sleep quality of neurosurgery nurses, thereby promoting their maintenance of a healthy lifestyle.

The patients after transnasal pituitary adenoma resection often have obvious oral discomfort, which increases their physiological pain and reduces their quality of life. This article reviews the influencing factors, evaluation methods and intervention measures of oral comfort in patients with pituitary adenoma after surgery, with a view to providing a reference for further research.

This paper reviews the contents, mechanism of action, operating principles and application effects of sensory stimulation program in the rehabilitation of critically ill neurologic patients with disorders of consciousness. It points out that the operating standards of sensory stimulation program need to be unified. In the future, more large-sample, multi-center randomized controlled studies of sensory stimulation program in the rehabilitation of critically ill neurologic patients with disorders of consciousness need to be carried out to provide a reference for clinical implementation of sensory stimulation program.