Effects of the hospital-community collaborative management model on postoperative blood pressure control,neurological function and quality of life in moyamoya disease patients

XUE Rui; ZHAO Donghong; LI Na; GUI Jinmin; CHEN Hongyan; DONG Xinxin; LIU Xingju; HUANG Liangran

doi:10.3969/j.issn.1674-3806.2026.01.16

Abstract：Objective To analyze the effects of the hospital-community collaborative management model on postoperative blood pressure control,neurological function and quality of life in moyamoya disease patients.Methods A total of 247 patients with moyamoya disease who underwent cerebral revascularization in Beijing Tiantan Hospital,Capital Medical University from January 2022 to December 2023 were recruited.The patients enrolled from January 2022 to September 2022 were taken as control group(136 patients),and those enrolled from October 2022 to December 2023 were taken as observation group(111 patients).The control group received the standardized nursing care plan after neurosurgical operation,without intervention of the hospital-community collaborative management.The observation group received a unified management plan of"multi-disciplinary collaboration+community collaborative management".Both groups were intervened for 12 weeks.The systolic blood pressure,diastolic blood pressure,Karnofsky Performance Status(KPS)scores,modified Rankin Scale(mRS)scores,language function scores in Chinese Aphasia Battery(CAB)scale and World Health Organization Quality of Life-BREF Scale(WHOQOL-BREF)(Chinese version)scores were compared between the two groups before and after the intervention.Results Ultimately,183 patients were included in the analysis,with 94 cases in the control group and 89 cases in the observation group,and the exclusion rate was 25.91%.Before the intervention,there were no statistically significant differences in systolic blood pressure and diastolic blood pressure between the two groups(P＞0.05).After the intervention,the systolic blood pressure and diastolic blood pressure in both groups were significantly lower than those before the intervention(P＜0.05),and the systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those in the control group after the intervention(P＜0.05).The KPS scores in the observation group were significantly higher than those in the control group at 4 weeks after the intervention(T3)and 12 weeks after the intervention(T4)(P＜0.05).At the time points of T3 and T4,the language function scores in CAB scale and the mRS scores in the observation group were significantly lower than those in the control group(P＜0.05).After the intervention,the scores in physiological,psychological,environmental and social relationship dimensions of the WHOQOL-BREF(Chinese version)in both groups were significantly higher than those before the intervention(P＜0.05),and these scores in the observation group were significantly higher than those in the control group after the intervention(P＜0.05).Conclusion The hospital-community collaborative management model can significantly improve the blood pressure control,neurological function and quality of life in moyamoya disease patients after neurosurgical operation.