Objective To explore the effect of detailed care model on activities of daily living（ADL） and neurological functions in patients with severe hypertensive cerebral hemorrhage. Methods Ninety-six patients with severe hypertensive cerebral hemorrhage who were treated in a hospital in Xinyang City from August 2017 to December 2020 were selected as study subjects and divided into a control group and an observation group according to the treatment time

with 51 cases in the control group and 45 cases in the observation group. The patients in the control group were given conventional nursing interventions and the patients in the observation group were given detailed nursing interventions on the basis of the patients in the control group

and the patients in both groups were nursed for 10 d. The length of stay

complications and nursing satisfaction of the patients in the two groups were compared

and the ADL

simple Fugl-Meyer assessment（FMA）

and the National Institutes of Health Stroke Scale（NIHSS） scores of the patients in the two groups were compared before and 5 d and 10 d after nursing. Results The patients in the observation group had a shorter hospital stay than the control group

and the incidence of nosocomial infections and pressure sores were also lower than those in the control group（2.22% vs. 13.73%and 2.22% vs. 15.69%）

with statistically significant differences（P<0.05）. Before nursing care

the differences in ADL and FMA scores between the two groups were not statistically significant（P>0.05）; at 5 d of nursing care

the ADL and FMA scores of patients in both groups were higher than before nursing care and higher in the observation group than in the control group

with statistically significant differences（P<0.05）; at 10 d of nursing care

the ADL and FMA scores of patients in both groups were higher than before nursing care and higher in the observation group than in the control group

with statistically significant differences（P<0.05）. In addition

the ADL and FMA scores of patients in the observation group were higher than those at 5 d of care

and the FMA scores of patients in the control group were higher than those at 5 d of care

and the differences were statistically significant（P<0.05）. Before nursing care

the differences were not statistically significant（P>0.05） when comparing the NIHSS scores between the two groups; at 5 d of nursing care

the NIHSS scores of patients in both groups were lower than before nursing care and lower in the observation group than in the control group

with statistically significant differences（P<0.05）; at 10 d of nursing care

the NIHSS scores of patients in both groups were lower than before nursing care and lower in the observation group than in the control group

with statistically significant differences（P <0.05）. In addition

the NIHSS scores of patients in both groups were lower than those at 5 d of care

and the differences were statistically significant（P<0.05）. The total satisfaction rate of patients in the observation group was 95.56%

which was higher than that of patients in the control group（82.35%）

and the difference was statistically significant（P<0.05）. Conclusion The detailed nursing intervention can improve the prognostic quality

activities of daily living and neurological functions of patients with hypertensive cerebral hemorrhage

and the patient satisfaction is also higher

which is worth promotion in clinical use.