Early interventional embolization in the treatment of cerebral aneurysm rupture

Effect of exercise-nutrition-psychology oriented nursing in patients undergoing interventional embolization for intracranial aneurysm

AIM

To investigate the effect of exercise-nutrition-psychology oriented nursing in patients underwent interventional embolization for intracranial aneurysm.

METHODS

In this retrospective study, 60 patients diagnosed with intracranial aneurysm who underwent interventional embolization between January 2021 and June 2023 at Yichun People's Hospital were included. Among them, 28 patients received routine nursing intervention (control group), and the other 32 patients received exercise-nutrition-psychology oriented nursing (observational group). Quality of life, psychological state, self-management capacity, postoperative complications, patient satisfaction and medication compliance were compared between the two groups.

RESULTS

The self-management ability scores in the observation group were higher than those of the control group after the intervention (P<0.05). The overall satisfaction rate in the observation group was higher than that of the control group (P<0.05). The SF-36 scores of patients (psychological function, physiological function, physical symptoms, and social function) in the observation group improved more significantly compared with those of the control group (P<0.05). Moreover, the total occurrence rate of postoperative complication in the observation group was lower than that in the control group (3.1% VS. 10.7%, P<0.05). The results of multivariate regression analysis showed that exercise-nutrition-psychology oriented nursing and postoperative complication were independent factors affecting the prognosis of patients who underwent interventional embolization for intracranial aneurysm.

CONCLUSIONS

Exercise-nutrition-psychology oriented nursing can improve patients' self-management ability and quality of life, reduce the risk of complications, and promote the recovery of the condition.

Therapeutic Effects of Microsurgical Clipping at Different Time Points on Intracranial Aneurysm and Prognostic Factors

Background

Microsurgical clipping is effective for treating early rupture hemorrhage in intracranial aneurysm (IA) patients. We aimed to evaluate the therapeutic effects of microsurgical clipping at different time points on IA and to explore prognostic factors.

Methods

A total of 102 eligible patients were divided into good prognosis group (n = 87) and poor prognosis group (n = 15) according to Glasgow Outcome Scale (GOS) scores at discharge. The effects of microsurgical clipping at different time points (within 24 h, 48 h and 72 h) were compared. The incidence rates of postoperative complications in patients with different Hunt–Hess grades were compared. Prognostic factors were determined by multivariate logistic regression analysis. The nomogram prediction model was established based on independent risk factors and validated.

Results

The good recovery and success rates of complete aneurysm clipping were significantly higher in patients undergoing surgery within 24 h after rupture. The incidence rate of complications was significantly higher in patients with Hunt–Hess grade IV. Good and poor prognosis groups had significantly different age, history of hypertension, preoperative intracranial hematoma volume, aneurysm size, preoperative Hunt–Hess grade, later surgery, postoperative complications and National Institute of Health Stroke Scale (NIHSS) score, as independent risk factors for prognosis. The nomogram model predicted that poor prognosis rate was 14.71%.

Conclusion

Timing (within 24 h after rupture) microsurgical clipping benefits the prognosis of IA patients. Age, history of hypertension, preoperative intracranial hematoma volume, aneurysm size, preoperative Hunt–Hess grade, later surgery, postoperative complications and NIHSS score are independent risk factors for poor prognosis.