Effect of Comprehensive Nursing Intervention on Postpartum Psychological and Neurological Rehabilitation of Pregnant Patients with Encephalopathy

Abstract

To explore the effect of comprehensive nursing intervention on postpartum psychological and neurological rehabilitation of pregnant patients with encephalopathy. 102 patients who were diagnosed as preeclampsia or eclampsia and confirmed as reversible posterior leukoencephalopathy syndrome (RPLS) by brain MRI from January 2015 to September 2019 in our hospital were collected. In research group (RG), patients (n=57) were treated with comprehensive nursing intervention mode, while patients (n=45) were treated with traditional nursing intervention mode in control group (CG). In the two groups, the psychological and neurological rehabilitation were observed before and after intervention. By examining the biochemical indexes in the two groups before and after the treatment, it was found that the biochemical indexes were significantly reduced after the intervention, but there was no significant difference in the indexes of lactate dehydrogenase (LDH) and uric acid (UA) between the two groups before and after the treatment. In the two groups, the psychological mood was compared by the rating scale. After the intervention, the anxiety and depression were relieved in the two groups, and the scores of the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of RG were lower than those of CG (P<0.05). After treatment and nursing, the neurological damage of RPLS in both groups was improved, but the residual rate of headache in RG was lower than that in CG (P<0.05). The incidence of maternal and infant adverse outcomes in RG was lower than that in CG (P<0.05). According to statistics, the patients' nursing compliance and nursing satisfaction in RG were higher than those in CG (P<0.05). Comprehensive nursing intervention can significantly improve the adverse emotions of pregnant patients with encephalopathy and promote the rehabilitation of neurological function, so it has a high degree of nursing satisfaction.