Effect of predictive intervention in preventing constipation and upper digestive tract hemorrhage after decompressive craniectomy and drainage hematoma operation in patients with hypertensive cerebral hemorrhage
Ma Xiaohong
Zhang Aihua
Peng Yujie
Chen Xianglin
Abstract：Objective To explore the effect of predictive nursing intervention in preventing constipation and upper digestive tract hemorrhage after decompressive craniectomy and drainage hematoma operation in patients with hypertensive cerebral hemorrhage.Methods Fifty patients with hypertensive cerebral hemorrhage from June 2014 to June 2015 were enrolled as observation group,and were given predictive nursing;50 patients with hypertensive cerebral hemorrhage from May 2013 to May 2014 were enrolled as control group,and were given conventional nursing.The volume and position of hemorrhage,incidences of postoperative constipation and upper gastrointestinal bleeding were observed and recorded.Results The volume and position of hemorrhage were not significantly different between groups (P ＞ 0.05).The incidences of difficult defecation,scleroma defecation,abdominal pain,abdominal distension,anorexia,anxiety and upper digestive tract hemorrhage in observation group were significantly lower than those in control group [16.0％ (8/50) vs 42.0％ (21/50),4.0％ (2/50) vs26.0％ (13/50),10.0％ (5/50) vs 32.0％ (16/50),24.0％ (12/50) vs 46.0％ (23/50),30.0％(15/50) vs54.0％ (27/50),14.0％ (7/50) vs 36.0％ (18/50),2.0％ (1/50) vs 20.0％ (10/50)](P ＜0.05).Conclusion Predictive nursing intervention can effectively reduce the incidence of upper gastrointestinal hemorrhage and improve the constipation in patients with hypertensive cerebral hemorrhage after operation.
Keywords：Hypertensive cerebral hemorrhageConstipationUpper digestive tract bleedingPredictive interventionDecompressive craniectomy and drainage hematoma
Publication Date：2016-08-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1157-1161 )