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| Effects of cognitive behavioral nursing on neurological function and quality of life in patients with cerebral hemorrhage |
| ZHOU Jingjing GU Yudan |
| Ward One, Department of Neurosurgery, Affiliated Hospital of Nantong University, Jiangsu Province, Nantong 226001, China |
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Abstract Objective To explore the effects of medical expulsive treatment combined with cognitive behavioral nursing on neurological function and the quality of life in patients with cerebral hemorrhage. Methods From July 2015 to July 2017, in Affiliated Hospital of Nantong University, 110 cerebral hemorrhage patients were selected, according to random number table method, they were divided into control group and test group, with 55 cases in each group. The control group was given routine nursing intervention, and the test group was given cognitive behavior intervention on the basis of routine nursing intervention. The movement function, life activity, nervous function and quality of life changes of two groups before and after nursing intervention were compared. Results After nursing intervention, Fugl-Meyer assessment (FMA) score and life activity Barthel index of the patiens in two groups improved significantly (P < 0.05), and FMA score and modified Barthel index of the patients in test group were significantly higher than control group (P < 0.05). After nursing intervention, the score of national institute of health stroke scale (NIHSS) of the patients in two groups reduced significantly (P < 0.05), Glasgow outcome score (GOS) incerased significantly (P < 0.05), and the NIHSS score in the test group was significantly lower than the control group (P < 0.05), the GOS score level was significantly higher than the control group (P < 0.05). After nursing intervention, the life scores of QLQ-30 rating scale of the patients in the two groups after intervention increased significantly (P < 0.05), and the physical function, role function, emotional function, cognitive function, social function and overall health of QLQ-30 rating scale of the patients in the test group were significantly higher than the control group (P < 0.05). Conclusion Medical expulsive treatment with cognitive behavioral nursing therapy can effectively improve the level of cognition, the patients' medication adherence and neurologic status, promote the recovery of motor function and activities of life skills, provide guarantee for recovery of the patients' life.
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