Study on early rehabilitation nursing under the management of risk factors in patients with hypertensive cerebral hemorrhage after operation
危险因素管理下的早期康复护理在高血压脑出血术后患者中的研究

摘要

目的 分析在高血压脑出血（HICH）患者的术后护理中引入危险因素管理指导下的早期康复护理模式的实际价值；方法 选取2023年1月至2025年1月在我院接受治疗的90例HICH患者，随机分为两组，各45例。对照组为常规护理，观察组联合以危险因素管理为指导的早期康复护理，比较两组的预后恢复指标（NIHSS评分等）；结果 观察组术后下床活动时间较短（P<0.05），且干预后观察组的NIHSS评分及Barthel指数均显优（P<0.05）。观察组术后并发症发生率较低（P<0.05）；结论 通过在HICH患者的术后护理中纳入危险因素管理指导下的早期康复护理，能够一定程度缩短患者的下床活动时间，促进神经功能尽早恢复，提升自主活动能力并遏制并发症发生，显示出较为理想的应用价值。

Abstract

Objective To analyze the practical value of early rehabilitation nursing mode under the guidance of risk factor management in postoperative care of patients with hypertensive cerebral hemorrhage (HICH).
Methods 90 patients with HICH who were treated in our hospital from January 2023 to January 2025 were randomly divided into two groups, 45 cases in each group. The control group was given routine nursing, and the observation group was given early rehabilitation nursing guided by risk factor management. The prognosis recovery indexes (NIHSS score, etc.) of the two groups were compared.
Results The time of getting out of bed after operation in the observation group was shorter (P<0.05), and the NIHSS score and Barthel index in the observation group were significantly better after intervention (P<0.05). The incidence of postoperative complications in the observation group was lower (P < 0.05).
Conclusion   Early rehabilitation nursing under the guidance of risk factor management can shorten the time of getting out of bed, promote the recovery of neurological function as soon as possible, improve the ability of independent activity and curb complications in patients with HICH, which shows ideal application value.