The timeline-based progressive rehabilitation nursing management of a patient with acute intracerebral hemorrhage

This article summarizes the progressive rehabilitation nursing management of a patient with acute intracerebral hemorrhage based on the timeline. Acute cerebral hemorrhage is characterized by sudden onset, rapid progression, high mortality, and high disability rates. Adhering to the principle of "Assessment First, advance gradually and safety, " the patient underwent systematic, phased, and timeline-based progressive rehabilitation interventions. Through measures such as vital signs monitoring, airway management, arousal care, swallowing and dietary management, excretion management, exercise management, and psychological support, the patient was successfully resuscitated and achieved significant rehabilitation outcomes. The patient progressed from an initial comatose state to being able to ambulate with the aid of a walker, eat independently, and control bowel movements. For high-risk severe patients with cerebral hemorrhage, early standardized and phased rehabilitation nursing interventions can effectively promote the recovery of functional abilities and improve prognosis. (本文总结1例急性脑出血重症患者实施时间轴导向的渐进式康复护理体会。急性脑出血具有起病急骤, 进展迅速, 高致死率和致残率的特点。遵循“评估先行、安全渐进”原则, 对患者通过系统化、分阶段的渐进式康复干预。经过监测生命体征、气道管理、促醒护理、吞咽与饮食管理、排泄管理、运动管理、心理护理等措施, 患者成功复苏, 康复效果显著。患者由最初的昏迷状态恢复至可在助行器辅助下步行、自主进食及控制排便。本例提示对于脑出血高危重症患者, 早期规范、分阶段的康复护理介入能有效促进患者生活能力的恢复, 改善预后。)