优化护理干预，促进脑出血患者术后精神状态恢复

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-03-19 DOI:10.5498/wjp.v14.i3.434

Jin-Li Tang, Wei-Wei Yang, Xiao-Yang Yang

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引用次数: 0

摘要

背景高血压脑出血（HCH）是最常见的慢性疾病，已成为全球公共卫生讨论的话题。目的探讨康复护理干预在优化术后精神状态恢复阶段中的作用，并为 HCH 患者未来的康复治疗提供临床价值。方法该随机对照研究将 2021 年 5 月至 2023 年 5 月期间在我院神经外科住院的 120 例脑出血患者作为研究对象。研究人员随机抽样，分为观察组和对照组。观察组采用康复护理模式，对照组采用常规护理模式。分别于术后 7、14、21 和 30 d 对患者的意识状态进行评估。护理一个月后，比较两组患者的睡眠质量、焦虑和抑郁情况。使用护理模型对患者和家属的满意度进行评估。结果结果显示，手术治疗后，两组患者的意识状态评分均明显上升（P < 0.05）。从第 14 天起，两组患者的意识状态评分开始出现差异（P < 0.05）。护理一个月后，观察组患者的睡眠质量、焦虑状态和抑郁状态明显优于对照组（P < 0.05）。观察组患者对护理工作的满意度高于对照组（P<0.05）。结论康复护理模式与常规护理相比，具有更加完善的体系，能够有效改善脑出血患者术后生活质量，提高精神状态恢复效率，但还需要进一步分析研究，提供更加科学的依据。

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Optimization of nursing interventions for postoperative mental status recovery in patients with cerebral hemorrhage

BACKGROUND Hypertensive cerebral hemorrhage (HCH), the most common chronic diseases, has become a topic of global public health discussions. AIM To investigate the role of rehabilitative nursing interventions in optimizing the postoperative mental status recovery phase and to provide clinical value for future rehabilitation of patients with HCH. METHODS This randomized controlled study included 120 patients with cerebral HCH who were contained to our neurosurgery department between May 2021–May 2023 as the participants. The participants have randomly sampled and grouped into the observation and control groups. The observation group received the rehabilitation nursing model, whereas the control group have given conventional nursing. The conscious state of the patients was assessed at 7, 14, 21, and 30 d postoperatively. After one month of care, sleep quality, anxiety, and depression were compared between the two groups. Patient and family satisfaction were assessed using a nursing care model. RESULTS The results showed that the state of consciousness scores of the patients in both groups significantly increased (P < 0.05) after surgical treatment. From the 14th day onwards, differences in the state of consciousness scores between the two groups of patients began to appear (P < 0.05). After one month of care, the sleep quality, anxiety state, and depression state of patients were significantly better in the observation group than in the control group (P < 0.05). Satisfaction with nursing care was higher in the observation group than in the control group (P < 0.05). CONCLUSION The rehabilitation nursing model has a more complete system compared to conventional nursing, which can effectively improve the postoperative quality of life of patients with cerebral hemorrhage and improve the efficiency of mental state recovery; however, further analysis and research are needed to provide more scientific evidence.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.