Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2022; 10(15): 4827-4835
Published online May 26, 2022. doi: 10.12998/wjcc.v10.i15.4827
Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery
Yan-E Xie, Wei-Cheng Huang, Yu-Ping Li, Jia-Huan Deng, Jian-Ting Huang
Yan-E Xie, Wei-Cheng Huang, Yu-Ping Li, Jia-Huan Deng, Jian-Ting Huang, The First Neurological Department, Central People’s Hospital of Huizhou City, Huizhou 516001, Guangdong Province, China
Author contributions: Xie YE and Huang WC design the study; Li YP drafted the work; Deng JH and Huang JT collected the data; Xie YE and Huang WC analyzed and interpreted data; Li YP and Deng JH wrote and revised the manuscript.
Institutional review board statement: This study was approved by the Central People’s Hospital of Huizhou City Ethics Committee.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declared that there is no conflict of interest between them.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Cheng Huang, BM BCh, Chief Nurse, The First Neurological Department, Central People’s Hospital of Huizhou City, No. 41 Eling North Road, Huicheng District, Huizhou 516001, Guangdong Province, China. 623120180@qq.com
Received: January 10, 2022
Peer-review started: January 10, 2022
First decision: February 14, 2022
Revised: February 27, 2022
Accepted: March 27, 2022
Article in press: March 27, 2022
Published online: May 26, 2022
Abstract
BACKGROUND

Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices. However, whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.

AIM

To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.

METHODS

A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021, were selected and divided into the study group and the control group, with 43 patients in each group. The control group received routine nursing, and the research group received nursing intervention based on a dynamic interaction model. The daily living ability (activities of daily living, ADL), cognitive function (Simple Intelligent Mental State Scale, MMSE), quality of life (Generic Quality of Life Inventory-74, GQOL-74), self-care ability (Exercise of Self-Care Agency scale), incidence of complications, and nursing satisfaction were recorded before and after intervention.

RESULTS

Before intervention, ADL (52.09 ± 6.44), MMSE (18.03 ± 4.11), and GQOL-74 (53.68 ± 4.34) scores in the study group were not significantly different from those in the control group (ADL: 50.97 ± 7.32, MMSE: 17.59 ± 3.82, GQOL-74: 55.06 ± 3.98) (P > 0.05). After intervention, ADL (86.12 ± 5.07), MMSE (26.64 ± 2.66), and GQOL-74 (83.13 ± 5.67) scores in the study group were higher than those in the control group (ADL: 79.81 ± 6.35, MMSE: 24.51 ± 3.00, and GQOL-74: 77.96 ± 6.27) (P < 0.05). Before intervention, self-concept (17.46 ± 4.44), self-care skills (25.22 ± 4.20), self-care knowledge (22.35 ± 4.74), and self-care responsibility (15.06 ± 3.29) scores in the study group was similar to those in the control group (self-concept: 16.89 ± 5.53, self-care skills: 24.59 ± 4.46, self-care knowledge: 21.80 ± 3.61, and self-care responsibility: 14.83 ± 3.11) (P > 0.05). After the intervention, self-concept (26.01 ± 3.18), self-care skills (37.68 ± 6.05), self-care knowledge (45.56 ± 5.83), and self-care responsibility (22.01 ± 3.77) scores in the study group were higher than those in the control group (self-concept: 22.97 ± 3.46, self-care skills: 33.02 ± 5.65, self-care skills knowledge: 36.81 ± 5.54, and self-care responsibility: 17.97 ± 3.56 points) (P < 0.05). The incidence of complications in the study group (4.65%) was lower than that in the control group (18.60%) (P < 0.05). Nursing satisfaction in the study group (95.35%) was higher than that in the control group (81.40%) (P < 0.05).

CONCLUSION

Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function, daily living ability, self-care ability, quality of life, and patient satisfaction, while reducing the risk of complications.

Keywords: Aneurysm, Dynamic interaction model, Functional rehabilitation, Self-care ability

Core Tip: Through a set of retrospective studies, we confirmed this conclusion: Nursing intervention based on the dynamic interaction model can improve postoperative cognitive function, ability of daily living, self-care ability, quality of life and patient satisfaction, while reducing the risk of complications.