Cited by 4Stroke Rehabilitation and RecoveryNerve Injury and RehabilitationThyroid and Parathyroid Surgery

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Huashan perioperative nursing program for stroke patients undergoing contralateral seventh cervical nerve transfer

Open access
Su, Fan, Xu, Ye, Wang, Xiaoqian, Zhou, Yiqun, Xu, Wendong, Zhang, Yaojin, Liu, Ying·2022·Perioperative Medicine

Published version of a preprint

Abstract

Background: A previous investigation regarding contralateral seventh cervical nerve transfer (CC7) revealed a novel and effective approach to improve arm function in patients with chronic spastic paralysis. The patients who underwent both CC7 and standard rehabilitation showed greater functional improvements and spasticity reductions than patients in the control group, who underwent rehabilitation only. Additional efforts are needed to maximize the benefits in patients and establishing a supporting nursing program is a promising method for achieving this goal. Methods: The present Huashan nursing program was established in consideration of the following elements: providing routine perioperative care, ensuring surgical safety, and improving patient cooperation. Before surgery, psychiatric nursing, health education, and risk control were emphasized. After surgery, in addition to routine nursing and positioning, special attention was needed for targeted nursing in cases of postoperative adverse events. In addition, we performed descriptive statistical analysis of the clinical data of patients participating in the Huashan nursing program, focusing on postoperative adverse events. In total, 85 patients were included in the study, 10 of whom experienced adverse events, including severe pain (5, 5.88%), neck hematoma (2, 2.35%), dyspnea (2, 2.35%), and hoarseness (1, 1.18%). The above adverse events were alleviated through the targeted nursing care guided by the Huashan program. Discussion: This article introduces the Huashan nursing program, which is based on preoperative evaluations, educational sessions, postoperative monitoring, and targeted nursing, for patients undergoing CC7. This nursing program helped promote and provided the opportunity to maximize the benefits of CC7.

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Metadata

Authors
Su, F., Xu, Y., Wang, X., Zhou, Y., Xu, W., Zhang, Y., & Liu, Y.
Affiliations
Shanghai Medical College of Fudan University (CN)
Corresponding author
Liu, Ying
Venue
Perioperative Medicine
Published
2022-04-07
Volume
11
Issue
1
Pages
12-12
ISSN
2047-0525 (ISSN-L)
OpenAlex
W4226064742
Cited by
4
References
1
Citations by year
2025: 2 · 2024: 2
FWCI
0.43
Type
journal article
Language
en
Open access
Locations
  • Perioperative Medicine (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Fosun Nursing Research Fund Project of Fundan University (FNF201918)
  • Special Foundation for Nursing in Health Research Project in Jing 'an District, Shanghai (2019HL01)
  • First-class Nursing Discipline Construction Project of Fudan University (FNSYL202006)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Surgery › Nerve Injury and Rehabilitation
  • Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
Keywords
stroke, perioperative nursing, nursing programs, postoperative complications, neck hematoma, dyspnea, hoarseness, postoperative pain, upper limb function, spastic paralysis, preoperative patient education, postoperative monitoring

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