关键词:

高血压脑出血, 神经功能缺损, 生活质量, 相关性

Abstract:

Objective　To analyze the relationship between the degree of early neurological deficit and quality of life in patients with hypertensive cerebral hemorrhage after surgery, which is convenient to carry out clinical nursing measures. Methods　A cross-sectional study was conducted to select 295 patients with hypertensive intracerebral hemorrhage admitted to Shangluo Central Hospital from April 2021 to September 2022 as the study objects. The modified Edinburgh Scandinavia Stroke Scale (MESSS) and Stroke Impact Scale (SIS) were used to evaluate the neurological deficit and quality of life 72 h after surgery. The obtained data were entered into the SPSS 26.0 software for χ² test, ANOVA, and Pearson correlation analysis. Results　A total of 289 valid questionnaires (97.97%) were collected, including 154 males and 135 females, aged (50.37±6.43) years. The MESSS evaluation results showed that there were 131 cases of mild neurological deficit (45.33%), 103 moderate cases (35.64%), and 55 severe cases (19.03%), respectively. Except for the mild group being at a moderate level of the total SIS score, the total SIS score in both moderate and severe groups were at a low level, and there were statistically significant differences in the SIS score among the mild, moderate, and severe groups (all P<0.05). Correlation analysis results showed that the scores of memory and thinking, body, emotion, communication, life ability, behavioral ability, hand function, and social function and total SIS score were negatively correlated with the degree of neurological deficit in 289 patients with hypertensive cerebral hemorrhage (all P<0.05). Conclusions　In patients with hypertensive cerebral hemorrhage after surgery, the more severe the recent neurological deficit, the lower the quality of life. In order to improve the quality of life in patients with hypertensive cerebral hemorrhage after surgery, we can achieve the long-term quality of life from the perspective of various nursing points for promoting neurological recovery.

Key words: Hypertensive cerebral hemorrhage,  , Neurological deficit,  , Quality of life,  , Correlation