Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10106
Peer-review started: July 15, 2021
First decision: August 19, 2021
Revised: August 28, 2021
Accepted: September 10, 2021
Article in press: September 10, 2021
Published online: November 26, 2021
Processing time: 130 Days and 2.8 Hours
Hypertensive cerebral hemorrhage (HICH) is the rupture and bleeding of vessels of the cerebral parenchyma caused by continuously elevated or violently fluctuating blood pressure. The condition is characterized by high disability and high mortality. Hematoma formation and the resulting space-occupying effects following intracerebral hemorrhage are among the key causes of impaired neurological function and disability. Minimally invasive clearance of the hematoma effectively relieves intracranial hypertension. Therefore, special attention should be given to the quality of medical and nursing interventions during convalescence after minimally invasive hematoma clearance.
This study confirmed the value of intensive intervention including doctors, nurses, and patient families, for the prevention of rebleeding among elderly patients with HICH during the first hospitalization for rehabilitation after the ictal event.
This study aimed to determine the value of intensive intervention with tripartite care in preventing rebleeding in elderly HICH patients with HICH during their first hospitalization after the onset.
A total of 150 elderly HICH patients who underwent minimally invasive hematoma evacuation were selected and divided equally to two groups of 75 each according to their intervention plan. The control group was given conventional nursing intervention and the observation group was given intensive tripartite intervention. The length of hospital stay, cost, complication rate, satisfaction rate, and rebleeding rate during hospitalization were recorded; changes in cerebral blood flow indicators were recorded.
The hospital stay was shorter, the hospitalization cost was lower, and the rate of rebleeding during hospitalization was lower in the observation group than in the control group. There were no significant differences in the patient characteristics and health behavior scores between the two groups before treatment. The scores for healthy behaviors such as emotion control, medication adherence, dietary management, exercise management, and self-monitoring in both groups were higher after treatment than before treatment, and the of healthy-behavior scores in the intervention group were higher than those in the control group.
Intensive intervention by doctors, nurses, and families of elderly patients with HICH can reduce the rate of rebleeding during hospitalization, reduce the incidence of complications, promote rehabilitation, improve the quality of life, and enhance nerve function.
Intensive intervention can improve the quality of treatment and care for the elderly with HICH.