Effects of self-designed facial muscle exercise in facial paralysis nursing among patients after acoustic neurinoma surgery

Abstract

Objective To explore the effects of self-designed facial muscle exercise in facial paralysis nursing among patients after acoustic neurinoma surgery. Methods From May 2018 to February 2019, we selected 90 cerebellopontine angle (CPA) patients after acoustic neurinoma surgery of the Cancer Ward of Neurosurgery Department at a Class Ⅲ Grade A hospital in Beijing. All of the patients were randomly divided into experimental group (n=50) and control group (n=40) . Control group carried out routine facial paralysis management. On the basis of routine nursing, experimental group implemented the self-designed facial muscle exercise directed by researchers from 10: 00 to 11: 00 in the morning and from 16: 00 to 17: 00 in the afternoon. The grades of facial paralysis after facial paralysis were assessed with the House-Brackmann facial nerve grading system, and statistical analysis was used to the recovery effects of facial paralysis and anxiety of patients between two groups. Results A total of 30 days after surgery, the total effective rate of experimental group was higher than that of control group with a statistical difference (P 0.05) . The scores of SAS of experimental group were lower than those of control group 7, 30 and 90 days after surgery with statistical differences (P<0.01) . Conclusions The self-designed facial muscle exercise can promote the recovery of facial paralysis after acoustic neurinoma surgery and improve anxiety of patients. Key words: Rehabilitation nursing; Acoustic neurinoma; Postoperative period; Facial paralysis; Self-designed facial muscle exercise; Anxiety