Application of predictive nursing in cerebral hemorrhage burr-hole irrigation and drainage and its influence on SF and SP

Abstract

Objective To explore the application of predictive nursing in the burr-hole irrigation and drainage for patients with cerebral hemorrhage and its effects on serum ferritin and serum substance P. Methods 120 patients with cerebral hemorrhage who underwent minimally invasive burr-hole irrigation and drainage in our hospital from January 2015 to December 2017 were selected, and were divided into 66 cases in the control group and 54 cases in the observation group according to the nursing methods. All patients were given symptomatic treatment after admission, oxygen inhalation, ECG monitoring, prevention of vasospasm, and fluid replacement, and preparation for minimally invasive burr-hole irrigation and drainage surgery. Both groups of patients were given routine nursing care for cerebral hemorrhage, and the patients of the observation group were given predictive nursing on the basis. The incidence of postoperative complications was observed in the two groups and the quality of life was evaluated by SF-36 scale. The serum hs-CRP, IL-6, TNF-α, and SF, SP contents were measured. Results The incidence of postoperative pulmonary infection, pressure sore, urinary tract infection, and constipation in the observation group were lower than those in the control group (P<0.05), the overall complication rate of the observation group was 20.37%, which was lower than that of the control group (37.88%) (P<0.05). After symptomatic care, the score of physical components (PSC) and the score of psychological composite components (MSC) increased in both groups (P<0.05); the scores of GH, PF, RP, BP, MH, Sf, and VT of the observation group were higher than those of the control group (P<0.05). After symptomatic care, the levels of hs-CRP, IL-6, TNF-α, and SF decreased in the two groups (P<0.05), and the above indicators were significantly lower in the observation group (P<0.05); the level of SP increased in the two groups (P<0.05), and the above indicator was significantly higher than that in the observation group (P<0.05). Conclusion Predictive nursing can reduce the postoperative complications, improve the quality of life, reduce the inflammatory response, and regulate the serum ferritin and substance P levels to promote the recovery of injury in the treatment of cerebral hemorrhage. Key words: Cerebral hemorrhage; Burr-hole irrigation and drainage; Predictive nursing; Ferritin; Substance P