Research on the Impact of the Early Rehabilitation Management Model Based on Efficacy Linkage on Functional Recovery of Patients After Cerebral Hemorrhage Surgery

Abstract

Objective: To investigate the effects of performance-linked early rehabilitation management model on the recovery of neurological function, motor function and activities of daily living in patients after intracerebral hemorrhage surgery. Methods: A randomized controlled trial design was adopted. A total of 120 patients after cerebral hemorrhage surgery admitted to our hospital from June 2023 to June 2024 were selected as the research subjects and were randomly divided into the experimental group and the control group, with 60 cases in each group according to the random number table method. The control group received routine postoperative care and rehabilitation guidance in neurosurgery, while the experimental group implemented an efficacy linkage early rehabilitation management model on the basis of routine care. Before the intervention, 4 weeks after the intervention, and 12 weeks after the intervention, the National Institutes of Health Stroke Scale (NIHSS), the Fugl-Meyer Assessment of Motor Function (FMA), and the Barthel Index (BI) were used to assess the degree of neurological deficits, motor function, and activities of daily living in patients, respectively. Results: After 4 weeks and 12 weeks of intervention, the NIHSS scores of the experimental group [(8.5 ± 2.1) points, (5.2 ± 1.8) points] were significantly lower than those of the control group [(10.8 ± 2.4) points, (7.9 ± 2.2) points] (P < 0.01); FMA scores [(58.4 ± 10.2) points, (78.6 ± 12.4) points] and BI scores [(55.3 ± 11.5) points, (72.8 ± 13.2) points] were significantly higher than those of the control group [(45.2 ± 9.8) points, (62.3 ± 11.7) points; (42.1 ± 10.6) points, (58.4 ± 12.5) points] (P < 0.01). Conclusion: The performance-linked early rehabilitation management model can effectively promote the recovery of neurological and motor functions in patients after cerebral hemorrhage surgery and significantly improve their ability to take care of themselves in daily living. It is an efficient rehabilitation management strategy.