Impact of perioperative care and cognitive training on neurological recovery and life ability in hypertensive intracerebral hemorrhage patients undergoing minimally invasive hematoma evacuation.

Abstract

To evaluate the effects of perioperative care combined with cognitive training on neurological recovery and life ability in patients with hypertensive intracerebral hemorrhage undergoing minimally invasive hematoma evacuation. A retrospective analysis was conducted using electronic records and data from patients treated at the Central South Hospital of Wuhan University from March 2022 to March 2023. The control group consisted of 44 patients receiving routine care, while the research group included 56 patients who received perioperative care combined with cognitive training. Baseline characteristics were analyzed, and neurological function, cognitive function, motor function, life ability, emotional status, and quality of life were assessed before and after intervention. Additionally, recovery time of gastrointestinal function, hospital stay, complications, and nursing satisfaction were compared between the groups. Post-intervention, both groups showed significant decreases in NIHSS (National Institutes of Health Stroke Scale), SAS (Self-Rating Anxiety Scale), and SDS (Self-Rating Depression Scale) scores (P<0.05), with the research group showing significantly lower scores than the control group (all P<0.05). Significant improvements in MMSE (Mini-Mental State Examination), ADL (Activities of Daily Living), SS-QOL (Stroke Specific Quality of Life Scale), and motor function scores were observed in both groups, with the research group achieving significantly higher scores (all P<0.05). The research group had shorter recovery time for gastrointestinal function, reduced hospital stays, and lower complication rates compared to the control group (all P<0.05). Nursing satisfaction was significantly higher in the research group (P<0.05). Logistic multivariate analysis identified hemorrhage volume and nursing methods as independent risk factors affecting prognosis (P<0.05). Perioperative care combined with cognitive training significantly enhances neurological recovery, cognitive function, motor ability, and overall life quality in patients with hypertensive intracerebral hemorrhage undergoing minimally invasive hematoma evacuation.