Clinical nursing pathway on side ventricular drainage treatment of spontaneous intracerebral hemorrhage in children with clinical efficacy and hydrocephalus

Abstract

Objective To explore the clinical efficacy and the influence for hydrocephalus of clinical nursing pathway on side ventricular drainage treatment of spontaneous intracerebral hemorrhage(ICH) in children. Methods A total of 72 ICH children admitted to the hospital from January 2013 to October 2017 and treated with lateral ventricular drainage were reviewed.Among them, 34 cases of children with ICH who received routine care from January 2013 to January 2015 were labeled as the control group, and 38 cases of children who received combined clinical care on the basis of routine care from January 2015 to October 2017 were labeled as the observation group.All the children were treated with lateral ventricular drainage, and the differences in perioperative indicators such as duration of drainage, removal time of drainage hematoma and so on were compared between the two nursing modes.Patients were followed up for 6 months after treatment, and the incidence of complications such as hydrocephalus, intracranial infection and re-hemorrhage after treatment were compared between the two groups and 3 months and 6 months after treatment, National Institute of Health Stroke Scale(NIHSS), the Barthel Index of ADL and Intracerebral Hemorrhage-Ⅱ (ICH-Ⅱ)score differences were compared.In addition, the nursing satisfaction of the patients' families was investigated to analyze the differences in the satisfaction of the patients' families under the two nursing modes. Results There was no significant difference in the duration of drainage, drainage volume, hematoma clearance rate, and drainage tube removal time between the two groups (P>0.05). The incidence of hydrocephalus in the observation group was significantly lower than that in the control group, and difference was statistically significant(P 0.05). The total incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P 0.05). At 3 months and 6 months after treatment, the NIHSS, ICH-Ⅱscore of the two groups was significantly lower than that before treatment, and the Barthel score was significantly higher than that before treatment.Moreover, the score for NIHSS, ICH-Ⅱof the observation group were significantly lower than those of the control group at 3 months and 6 months after treatment, the Barthel score was significantly higher than the control group, and the differences were statistically significant (P<0.05). The total nursing satisfaction of the observation group was significantly higher than that of the control group, and difference was statistically significant (P<0.05). Conclusion Clinical nursing pathway has a significant effect in the application of ICH in the treatment of children with lateral ventricular drainage, which can effectively reduce the incidence of hydrocephalus after treatment, improve neurological function, and reduce the risk of re-bleeding.The patients' family members are more satisfied with the treatment, which is worthy of clinical promotion and application. Key words: Spontaneous intracerebral hemorrhage; Lateral ventricular drainage; Clinical nursing path; Application value