| Peer-Reviewed

Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report

Received: 11 September 2021     Accepted: 27 September 2021     Published: 29 September 2021
Views:       Downloads:
Abstract

Background: Cerebral infarction is a chronic and rare complication for children who regularly take warfarin after valve surgery of congenital heart disease, which affects their health and quality of life. There are few reports on the rehabilitation nursing experience of children with cerebral infarction after congenital heart valve surgery. Objective: We reported on an 11-year-old child who was diagnosed with cerebral infarction and had undergone rehabilitation care for congenital heart disease and valve replacement. Method: During the period of hospitalization and discharge, rehabilitation care of the children such as functional exercises, language, cognition, daily living ability training and psychological counseling were carried out. Result: In this case, through rehabilitation nursing, the patient's vital signs were stable. His blood pressure fluctuates between 101-124/68-91 mmHg. The weakness of the right limb was relieved compared with the previous one, and the aphasia was improved compared with the previous one. The skin was intact and no bleeding occurred. After 28 days in hospital, the patient was discharged. Conclusion: We summarized the experience of rehabilitation nursing, to provide effective guidance and suggestions for the rehabilitation nursing of children with cerebral infarction after valve replacement.

Published in Rehabilitation Science (Volume 6, Issue 3)
DOI 10.11648/j.rs.20210603.12
Page(s) 49-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cerebral Infarction, Rehabilitation Nursing, Child, Heart Valve Surgery, Case Report

References
[1] Feigin V L, Krishnamurthi R V, Parmar P, et al. Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The GBD 2013 Study [J]. Neuroepidemiology, 2015, 45 (3): 161-176.
[2] Wu S, Wu B, Liu M, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management [J]. The Lancet Neurology, 2019, 18 (4): 394-405.
[3] Nys G M S, Van Zandvoort M J E, De Kort P L M, et al. Cognitive disorders in acute stroke: prevalence and clinical determinants [J]. Cerebrovascular diseases (Basel, Switzerland), 2007, 23 (5-6): 408-416.
[4] Wist S, Clivaz J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke: A meta-analysis [J]. Annals of physical and rehabilitation medicine, 2016, 59 (2): 114-124.
[5] Elsner B, Kugler J, Pohl M, et al. Transcranial direct current stimulation (tDCS) for improving activities of daily living, and physical and cognitive functioning, in people after stroke [J]. The Cochrane database of systematic reviews, 2020, 11 (CD009645).
[6] Wang J, Chen Y, Zhang Y, et al. Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial [J]. BMJ open, 2020, 10 (9): e037391.
[7] Chen J, Li S. Clinical Study of Neurology Nursing on Cerebral Apoplexy Rehabilitation [J]. Transl Neurosci, 2019, 10 (164-167).
[8] He C, Xiong C-H, Chen Z-J, et al. Preliminary Assessment of a Postural Synergy-Based Exoskeleton for Post-Stroke Upper Limb Rehabilitation [J]. IEEE transactions on neural systems and rehabilitation engineering: a publication of the IEEE Engineering in Medicine and Biology Society, 2021, 29 (1795-1805).
[9] Yu M, Wang L, Wang H, et al. The effect of early systematic rehabilitation nursing on the quality of life and limb function in elderly patients with stroke sequelae [J]. Am J Transl Res, 2021, 13 (8): 9639-9646.
[10] Tipping C J, Harrold M, Holland A, et al. The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review [J]. Intensive care medicine, 2017, 43 (2): 171-183.
[11] Ye M, Zhao B, Liu Z, et al. Effectiveness of computer-based training on post-stroke cognitive rehabilitation: A systematic review and meta-analysis [J]. Neuropsychol Rehabil, 2020.
[12] Godecke E, Armstrong E A, Rai T, et al. A randomized controlled trial of very early rehabilitation in speech after stroke [J]. International journal of stroke: official journal of the International Stroke Society, 2016, 11 (5): 586-592.
[13] Liao B, Liang M, Ouyang Q, et al. Psychological Nursing of Patients With Stroke in China: A Systematic Review and Meta-Analysis [J]. Frontiers in psychiatry, 2020, 11 (569426).
[14] Farner L, Wagle J, Flekkøy K, et al. Factor analysis of the Montgomery Aasberg Depression Rating Scale in an elderly stroke population [J]. International journal of geriatric psychiatry, 2009, 24 (11): 1209-1216.
[15] Teasell R, Salbach N M, Foley N, et al. Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. 6th Edition Update 2019 [J]. International journal of stroke: official journal of the International Stroke Society, 2020, 15 (7): 763-788.
[16] Chen L, Han Z, Gu J. Early Path Nursing on Neurological Function Recovery of Cerebral Infarction [J]. Transl Neurosci, 2019, 10 (160-163).
[17] Araki Y, Furuichi M, Nokura H, et al. [Influence of Pre-existing Cognitive Impairment on Rehabilitation Outcomes in Patients with Cerebral Infarction] [J]. Brain Nerve, 2018, 70 (6): 651-660.
Cite This Article
  • APA Style

    Yuena Zeng, Fengxia Yan. (2021). Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report. Rehabilitation Science, 6(3), 49-52. https://doi.org/10.11648/j.rs.20210603.12

    Copy | Download

    ACS Style

    Yuena Zeng; Fengxia Yan. Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report. Rehabil. Sci. 2021, 6(3), 49-52. doi: 10.11648/j.rs.20210603.12

    Copy | Download

    AMA Style

    Yuena Zeng, Fengxia Yan. Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report. Rehabil Sci. 2021;6(3):49-52. doi: 10.11648/j.rs.20210603.12

    Copy | Download

  • @article{10.11648/j.rs.20210603.12,
      author = {Yuena Zeng and Fengxia Yan},
      title = {Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report},
      journal = {Rehabilitation Science},
      volume = {6},
      number = {3},
      pages = {49-52},
      doi = {10.11648/j.rs.20210603.12},
      url = {https://doi.org/10.11648/j.rs.20210603.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210603.12},
      abstract = {Background: Cerebral infarction is a chronic and rare complication for children who regularly take warfarin after valve surgery of congenital heart disease, which affects their health and quality of life. There are few reports on the rehabilitation nursing experience of children with cerebral infarction after congenital heart valve surgery. Objective: We reported on an 11-year-old child who was diagnosed with cerebral infarction and had undergone rehabilitation care for congenital heart disease and valve replacement. Method: During the period of hospitalization and discharge, rehabilitation care of the children such as functional exercises, language, cognition, daily living ability training and psychological counseling were carried out. Result: In this case, through rehabilitation nursing, the patient's vital signs were stable. His blood pressure fluctuates between 101-124/68-91 mmHg. The weakness of the right limb was relieved compared with the previous one, and the aphasia was improved compared with the previous one. The skin was intact and no bleeding occurred. After 28 days in hospital, the patient was discharged. Conclusion: We summarized the experience of rehabilitation nursing, to provide effective guidance and suggestions for the rehabilitation nursing of children with cerebral infarction after valve replacement.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Rehabilitation Nursing Care of a Child with Congenital Heart Disease with Cerebral Infarction After Valve Replacement: A Case Report
    AU  - Yuena Zeng
    AU  - Fengxia Yan
    Y1  - 2021/09/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.rs.20210603.12
    DO  - 10.11648/j.rs.20210603.12
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 49
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2637-594X
    UR  - https://doi.org/10.11648/j.rs.20210603.12
    AB  - Background: Cerebral infarction is a chronic and rare complication for children who regularly take warfarin after valve surgery of congenital heart disease, which affects their health and quality of life. There are few reports on the rehabilitation nursing experience of children with cerebral infarction after congenital heart valve surgery. Objective: We reported on an 11-year-old child who was diagnosed with cerebral infarction and had undergone rehabilitation care for congenital heart disease and valve replacement. Method: During the period of hospitalization and discharge, rehabilitation care of the children such as functional exercises, language, cognition, daily living ability training and psychological counseling were carried out. Result: In this case, through rehabilitation nursing, the patient's vital signs were stable. His blood pressure fluctuates between 101-124/68-91 mmHg. The weakness of the right limb was relieved compared with the previous one, and the aphasia was improved compared with the previous one. The skin was intact and no bleeding occurred. After 28 days in hospital, the patient was discharged. Conclusion: We summarized the experience of rehabilitation nursing, to provide effective guidance and suggestions for the rehabilitation nursing of children with cerebral infarction after valve replacement.
    VL  - 6
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • School of Nursing, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

  • Sections