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

Area of Science:

• Neurosurgery
• Rehabilitation Medicine
• Nursing Science

Background:

• Contralateral seventh cervical nerve transfer (CC7) shows promise for improving arm function in chronic spastic paralysis.
• CC7 combined with rehabilitation yields superior results compared to rehabilitation alone.
• Optimizing patient outcomes requires enhanced support, such as a dedicated nursing program.

Purpose of the Study:

• To introduce the Huashan nursing program designed for patients undergoing CC7.
• To detail the program's components, including perioperative care, safety measures, and patient cooperation strategies.
• To evaluate the program's effectiveness in managing postoperative adverse events.

Main Methods:

• The Huashan nursing program incorporates routine perioperative care, surgical safety protocols, and patient education.
• Preoperative focus includes psychiatric nursing, health education, and risk management.
• Postoperative care involves routine nursing, positioning, and targeted interventions for adverse events.

Main Results:

• The study included 85 patients in the Huashan nursing program.
• 10 patients (11.76%) experienced adverse events: severe pain (5.88%), neck hematoma (2.35%), dyspnea (2.35%), and hoarseness (1.18%).
• Targeted nursing care effectively alleviated these adverse events.

Conclusions:

• The Huashan nursing program, encompassing preoperative evaluation, education, and postoperative monitoring, is introduced.
• This program supports patients undergoing CC7 surgery.
• The nursing program maximizes the benefits of CC7, enhancing functional recovery and reducing spasticity.