Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.839
Effects Of Different Nutrition Nursing Plans On Nutritional And Neurological Rehabilitation Of Patients With Severe Cerebral Hemorrhage After Craniotomy
Abstract
Objective: To compare the effects of different nutrition nursing plans on the nutritional and neurological rehabilitation of patients with severe cerebral hemorrhage after craniotomy.
Methods: A total of 80 severe cerebral hemorrhage patients undergoing craniotomy in our hospital from January 2017 to December 2019 were enrolled and evenly assigned into two groups (control group and observation group) using a random number table. The patients in control group were given delayed enteral nutrition intervention, while those in observation group underwent early enteral nutrition intervention. The indices of nutritional status, serum inflammatory factors, immune function indices, incidence rate of complications, duration of mechanical ventilation, length of hospital stay, neurologic impairment score and activities of daily living (ADL) score were compared between the two groups.
Results: After intervention, the levels of prealbumin, transferrin, albumin and hemoglobin were higher in observation group than those in control group (P<0.05). Besides, the serum interleukin-6 IL-6, C-reactive protein CRP and procalcitonin PCT levels were lower in observation group than those in control group (P<0.05). In addition, the cluster of differentiation 3 (CD3)+ and CD4/CD8 were higher in observation group than those in control group (P<0.05). The incidence rate of complications was 2.50% in observation group, which was lower than that (15.00%) in control group (P<0.05). Compared with those in control group, the duration of mechanical ventilation and length of hospital stay were shortened in observation group (P<0.05). Observation group displayed a lower National Institute of Health score and a higher ADL score in contrast with control group (P<0.05).
Conclusion: Early enteral nutrition intervention is more effective in improving nutritional status and immune function of patients with severe cerebral hemorrhage after craniotomy and promoting neurological rehabilitation compared with delayed enteral nutrition intervention.
Keywords
craniotomy; cerebral hemorrhage; nutrition nursing; rehabilitation