Synergistic effects of hyperbaric oxygen therapy combined with MPNFS nursing model on neurological recovery and recurrence prevention after chronic subdural hematoma surgery

BackgroundChronic subdural hematoma (CSDH) has high postoperative recurrence rates. This study investigates the effects of hyperbaric oxygen therapy (HBOT) combined with Medical-Psychosocial-Nursing Functional Support (MPNFS) on functional recovery and recurrence prevention in CSDH patients, and establishes a recurrence prediction model.MethodsA total of 184 CSDH patients undergoing burr hole drainage were randomized into a control group and an observation group (HBOT + MPNFS). Neurological (NIHSS), motor (Fugl-Meyer Assessment), and quality-of-life (SF-36) outcomes were assessed preoperatively and at 1-month postoperatively. Complications and 6-month recurrence rates were recorded. Univariate/multivariate logistic regression identified recurrence risk factors, with ROC analysis evaluating predictive accuracy.ResultsThe observation group showed superior 1-month outcomes: lower NIHSS scores (t = 4.94, p < 0.001), higher FMA and SF-36 scores (p < 0.01). Complication and recurrence rates were significantly reduced (p < 0.05). Independent recurrence predictors included brain atrophy (OR = 2.877), poor brain reexpansion (OR = 3.165), preoperative hematoma width ≥ 20 mm (OR = 2.782), and absence of combined intervention (OR = 2.842). The multifactorial model achieved an AUC of 0.7862, indicating robust predictive efficacy.ConclusionHyperbaric oxygen therapy combined with MPNFS enhances neurological/motor recovery, improves quality of life, and reduces complications/recurrence in postoperative CSDH patients.