Objective To investigate the impact of predictive nursing based on mind mapping on the treatment efficiency and postoperative recovery of patients with hypertensive intracerebral hemorrhage (HICH) in emergency treatment.
Methods A total of 76 patients who underwent conventional emergency treatment procedures from February to December 2023 were selected as control group, and 121 patients who received predictive nursing based on mind mapping from January to December 2024 were selected as observation group. The treatment efficiency, postoperative recovery, satisfaction of treatment team members, and HICH-related complications were compared between the two groups.
Results The emergency treatment duration and emergency department stay in the observation group were shorter than those in the control group 23 (18, 25) min, (9.26±1.13) min versus 28 (22, 34) min, (12.08±2.84) min(P < 0.05). There were no statistically significant differences in the time from admission to discharge and hematoma clearance rate between the two groups (P>0.05). There were no statistically significant differences in the transcranial color Doppler sonography (TCCS) parameters between the two groups at 1 day after surgery (P>0.05). Seven days after surgery, the middle cerebral artery resistance index (RI) and pulsatility index (PI) in the observation group were lower than those in the control group (0.59±0.09) cm/s, (0.86±0.12) cm/s versus (0.64±0.11) cm/s, (0.91±0.10) cm/s; P < 0.05. At discharge the scores of the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) in both groups decreased compared with those at admission, and the scores in the observation group were (8.06±2.34) and (2.37±0.95), which were lower than (9.32±2.27) and (3.06±1.07) in the control group (P < 0.05). The satisfaction rate of treatment team members in the observation group was higher than that in the control group (95.87% versus 84.21%, P < 0.05). The total incidence rate of HICH-related complications such as stress ulcer, respiratory failure, airway obstruction, and central hyperthermia in the observation group was lower than that in the control group (36.37% versus 51.32%, P < 0.05).
Conclusion Predictive nursing based on mind mapping can effectively shorten the treatment time of patients with HICH in emergency treatment, promote postoperative neurological function recovery, and improve the short-term prognosis of patients.
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