Volume 43 Issue 4
Apr.  2022
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Hong CHEN, Jian WU, Jinzhen ZHAN, Yunxia LONG, Yan CHEN, Zhen GU. Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization[J]. Journal of Kunming Medical University, 2022, 43(4): 163-169. doi: 10.12259/j.issn.2095-610X.S20220431
Citation: Hong CHEN, Jian WU, Jinzhen ZHAN, Yunxia LONG, Yan CHEN, Zhen GU. Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization[J]. Journal of Kunming Medical University, 2022, 43(4): 163-169. doi: 10.12259/j.issn.2095-610X.S20220431
shu

Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization

doi: 10.12259/j.issn.2095-610X.S20220431

  • Dept. of Neuro Surgery，Affiliated Hospital of Yunnan University， Kunming Yunnan 650021，China

  • Received Date: 2022-02-16
    Available Online: 2022-04-02
  • Publish Date: 2022-04-25
    Abstract
  •   Objective  To explore the application of integrated nursing care combined with Enhanced Recovery after Surgery （ERAS） in patients undergone interventional embolization for ruptured cerebral aneurysms and its effect on recovery quality and short-term prognosis.   Methods  A total of 158 patients with ruptured cerebral aneurysms admitted to The Affiliated Hospital of Yunnan University from January 2019 to January 2021 were selected as the research subjects. All the patients were treated with interventional embolization within 1～10 days after admission. The patients were divided into two groups according to the order of admission.The control group （79 patients） was given traditional perioperative nursing care. The observation （79 patients） group was given integrated medical care combined with ERAS intervention. The early recovery （catheter indwelling time, postoperative awake time, length of hospital stay）, functional recovery before intervention and at discharge, including cognitive function （MMSE）, neurological function （NIHSS）, daily living ability （ADL）, average activity time and complications, were observed and compared between the two groups.  Results  The time of postoperative awakening, indwelling catheter and hospitalization length in the observation group were significantly shorter than those in the control group （P < 0.05）. The scores of MMSE and ADL in the observation group were higher than those in the control group, while the NIHSS score in the observation group was lower than that in the control group, and the average activity time （including active or passive activity） in the observation group was significantly longer than that in the control group （P < 0.05）. The incidence of complications in the observation group was 6.33%, which was significantly lower than 16% in the control group （P < 0.05）.   Conclusion  The integrated nursing care combined with ERAS intervention effectively improved the prognosis of patients, reduced the physiological and psychological stress state of patients, accelerated the process of postoperative rehabilitation, improved cognitive, neurological and activities of daily life, and reduced the risk of complications, which has a positive effect on short-term postoperative recovery.
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