Neuropsychiatric Disease and Treatment (Oct 2022)
An Evidence-Based Nursing Intervention Decreases Anxiety, Depression, Sleep Quality and Somatic Symptoms of Patients with Acute Ischemic Stroke
Abstract
Wen-Juan Gao,1,* Wen-Juan Bao,2,* Su-Juan Sun3 1Neurology, Hebei General Hospital, Shijiazhuang City, Hebei 050051, People’s Republic of China; 2Department of Hepato-Biliary-Pancreatic Surgery, Hebei General Hospital, Shijiazhuang City, Hebei, 050051, People’s Republic of China; 3Nursing Department, Hebei General Hospital, Shijiazhuang City, Hebei, 050051, People’s Republic of China*These authors contributed equally to this workCorrespondence: Su-Juan Sun, Nursing Department, Hebei General Hospital, 348 Heping West Road, Xinhua District, Shijiazhuang City, Hebei Province, 050051, People’s Republic of China, Tel +86 0311-85988114, Fax +86 85988318, Email [email protected]: This study aimed to explore the effects of evidence-based nursing (EBN) intervention on anxiety, depression, sleep quality and somatic symptoms of patients with acute ischemic stroke (AIS).Methods: The eligible AIS patients were randomized into the intervention group and control group in a 1:1 ratio. Patients in both groups received routine nursing care. On the basis of routine nursing, patients in the intervention group also received EBN. Self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI), and the Patient Health Questionnaire-15 (PHQ-15) were used to assess patients’ anxiety, depression, sleep quality, and somatic symptoms at baseline (T0) and 6 months after intervention (T1), respectively.Results: There was no difference in SAS, SDS, PSQI, and PHQ-15 scores at T0 between the 2 groups (all P > 0.05). Comparing to the control group, the intervention group had significantly lower SAS and SDS scores at T1 (P = 0.002, P < 0.001, respectively). The SAS and SDS score changes (T1-T0) were more evident in the intervention group than in the control group (all P < 0.001). No difference of PSQI or PHQ-15 score between the 2 groups was observed at T1. However, the PSQI and PHQ-15 score changes were more evident in the intervention group than in the control group (P = 0.044 and P = 0.007, respectively).Conclusion: EBN invention significantly improved anxiety, depression, sleep quality and somatic symptoms of patients with AIS.Keywords: stroke, outcome, stroke aftercare, evidence-based nursing, post-stroke complications, somatic dysfunction, emotional distress
