Individualized nursing interventions for patients with hypertensive cerebral hemorrhage in rehabilitation period (高血压脑出血患者康复期的个性化护理)

Abstract

Objective To investigate the effect of individualized nursing intervention on relief of anxiety and depression of patients with hypertensive cerebral hemorrhage in rehabilitation period. Methods Totally 102 patients with hypertensive cerebral hemorrhage in rehabilitation period were divided into two groups: 51 patients in the control group received routine care and health education, and 51 patients in the observation group were given individualized nursing interventions based on the routine care. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the negative emotions of patients. Complications during rehabilitation were observed. Results Scores of SAS and SDS decreased in both group after nursing interventions, and scores of SAS and SDS in the observation group were lower than those in the control group (P＜0. 01). There was no significant difference in incidence of increased intracranial pressure, lower extremity deep venous thrombosis or infection between two groups (P＞0. 05). Conclusion The individualized nursing is potentially effective to relieve the anxiety and depression of patients with hypertensive cerebral hemorrhage in rehabilitation period, showing a positive effect in prevention of complications. (目的 探讨个性化护理干预高血压脑出血患者康复期焦虑、抑郁情绪的效果。方法 选取2021年7月—2022年6月在医院就诊的高血压脑出血患者102例为研究对象, 均处于康复期。根据入院顺序将患者分为两组: 对照组51例患者接受常规护理和健康宣教; 研究组51例患者在对照组基础上给予个性化护理干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者负性情绪, 对比两组康复期间并发症发生情况。结果 干预后, 两组SAS和SDS评分均较干预前下降, 且观察组SAS和SDS评分均低于对照组, 差异有统计学意义(P＜0. 01)。观察组颅内压增高、下肢深静脉血栓、感染发生率低于对照组, 但差异无统计学意义(P＞0. 05)。结论 对高血压脑出血康复期患者实施个性化护理干预, 能有效改善患者负性情绪, 对降低并发症发生风险具有积极意义。)

Keywords

• cerebral hemorrhage
• hypertension
• rehabilitation nursing
• anxiety
• depression
• 脑出血
• 高血压
• 康复护理
• 焦虑
• 抑郁