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

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.