Volume 20 Issue 7
Jul.  2022
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LI Xin-jun, LI Miao-miao, WEI Juan, SHI Bei-tian, YAO Guo-quan, HOU Shi-qiang, LIN Ning, ZHANG Lan-lan. Application of intensified psychological intervention in young and middle-aged patients with haemorrhagic stroke[J]. Chinese Journal of General Practice, 2022, 20(7): 1252-1254. doi: 10.16766/j.cnki.issn.1674-4152.002570
Citation: LI Xin-jun, LI Miao-miao, WEI Juan, SHI Bei-tian, YAO Guo-quan, HOU Shi-qiang, LIN Ning, ZHANG Lan-lan. Application of intensified psychological intervention in young and middle-aged patients with haemorrhagic stroke[J]. Chinese Journal of General Practice, 2022, 20(7): 1252-1254. doi: 10.16766/j.cnki.issn.1674-4152.002570

Application of intensified psychological intervention in young and middle-aged patients with haemorrhagic stroke

doi: 10.16766/j.cnki.issn.1674-4152.002570
Funds:

 201904a07020005

  • Received Date: 2021-10-23
    Available Online: 2022-09-23
  •   Objective  To explore the clinical application value of intensified psychological interventions in the conservative treatment of young and middle-aged patients with basal ganglia haemorrhage.  Methods  A total of 86 young and middle-aged patients with basal ganglia haemorrhage who underwent conservative treatment at the First People's Hospital of Chuzhou from December 2016 to April 2021 were selected as the research objects. The observation group and control group were divided via random number table. Forty patients in the observation group accepted intensified psychological intervention and 46 patients in the control group accepted normal neurosurgery nursing. The nursing satisfaction during hospitalisation and the scores of depression, anxiety and ability of daily living after 8 weeks between the two groups were compared and analysed.  Results  The nursing satisfaction of the observation group and the control group were 97.50% and 93.48%, respectively, during hospitalisation, with no significant difference (P=0.620). Eight weeks later, the observation group's depression score was (48.28±4.26) points, significantly lower than that of the control group [(51.00±6.71) points], and the difference was statistically significant (P=0.030). Meanwhile, the observation group's anxiety score was (40.73±4.87) points, significantly lower than that of the control group [(43.48±7.15) points], and the difference was statistically significant (P=0.043). The observation group's score for ability of daily living was (86.75±11.47) points, significantly higher than that of the control group [(79.35±12.18) points], and the difference was statistically significant (P=0.005).  Conclusion  Intensified psychological intervention could not only effectively improve the depression and anxiety of young and middle-aged patients with basal ganglia haemorrhage but also enhance the function recovery. It is conducive to comprehensive rehabilitation and has certain clinical popularisation value.

     

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  • [1]
    MIN Y S, JANG K E, PARK E, et al. Prediction of motor recovery in patients with basal ganglia hemorrhage using diffusion tensor imaging[J]. J Clin Med, 2020, 9(5): 1304. doi: 10.3390/jcm9051304
    [2]
    GUO W, LIU H X, TAN Z J, et al. Comparison of endoscopic evacuation, stereotactic aspiration, and craniotomy for treatment of basal ganglia hemorrhage[J]. J Neurointerv Surg, 2020, 12(1): 55-61. doi: 10.1136/neurintsurg-2019-014962
    [3]
    肖燕, 赵燕平, 赵世刚, 等. 青年出血性脑血管病危险因素分析[J]. 内蒙古医科大学学报, 2020, 42(4): 337-340, 353. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX202004001.htm

    XIAO Y, ZHAO Y P, ZHAO S G, et al. Analysis of risk factors for hemorrhagic cerebrovascular disease in youth[J]. Journal of Inner Mongolia Medical University, 2020, 42(4): 337-340, 353. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX202004001.htm
    [4]
    SHI S T, WANG G Q, ZHANG K W, et al. Expression of S100β protein in patients with vascular dementia after basal ganglia hemorrhage and its clinical significance[J]. Exp Ther Med, 2017, 13(5): 1917-1921. doi: 10.3892/etm.2017.4207
    [5]
    张雯雯, 冷敏, 魏丽丽, 等. 心理护理质量评价指标体系的构建[J]. 护理研究, 2021, 35(3): 402-406. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202103007.htm

    ZHANG W W, LENG M, WEI L L, et al. Construction of the quality evaluation index system for psychological nursing[J]. Chinese Nursing Research, 2021, 35(3): 402-406. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202103007.htm
    [6]
    齐素艳, 李洁, 刘玉恩, 等. 心理护理对冠脉介入诊疗的影响[J]. 河北医药, 2020, 42(21): 3358-3360. doi: 10.3969/j.issn.1002-7386.2020.21.041

    QI S Y, LI J, LIU Y E, et al. Effects of psychological nursing on coronary intervention diagnosis and treatment[J]. Hebei Medical Journal, 2020, 42(21): 3358-3360. doi: 10.3969/j.issn.1002-7386.2020.21.041
    [7]
    刘小明, 张秋坤, 于靖, 等. 基于互联网下远程护理模式对脑卒中患者运动功能及心理状态的影响[J]. 河北医药, 2020, 42(13): 2066-2070. doi: 10.3969/j.issn.1002-7386.2020.13.036

    LIU X M, ZHANG Q K, YU J, et al. Effects of telenursing mode based on internet on the motor function and mental state of patients with cerebral stroke[J]. Hebei Medical Journal, 2020, 42(13): 2066-2070. doi: 10.3969/j.issn.1002-7386.2020.13.036
    [8]
    王晓华, 孟伟康, 梁晓慧, 等. 微信平台的延续护理对老年脑卒中主要照顾者心理及照顾能力的影响[J]. 河北医药, 2019, 41(13): 2059-2062. doi: 10.3969/j.issn.1002-7386.2019.13.034

    WANG X H, MENG W K, LIANG X H, et al. Effects of continuing care based on WeChat platform on the mental health status and care ability of main caregivers for the patients with senile cerebral stroke[J]. Hebei Medical Journal2019, 41(13): 2059-2062. doi: 10.3969/j.issn.1002-7386.2019.13.034
    [9]
    程浩, 陈晟, 徐昌林, 等. 神经内镜微创手术对基底节脑出血患者脑氧代谢及预后的影响[J]. 中国临床研究, 2021, 34(11): 1454-1457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202111002.htm

    CHENG H, CHEN S, XU C L, et al. Effect of neuroendoscopic surgery on cerebral oxygen metabolism and prognosis in patients with basal ganglia hemorrhage[J]. Chinese Journal of Clinical Research, 2021, 34(11): 1454-1457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202111002.htm
    [10]
    姚国权, 侯仕强, 林宁. 显微镜下手术治疗高血压基底节脑出血的疗效观察[J]. 中华全科医学, 2020, 18(7): 1131-1133. doi: 10.16766/j.cnki.issn.1674-4152.001447

    YAO G Q, HOU S Q, LIN N. Curative effect observation of microsurgery for hypertensive basal ganglia cerebral hemorrhage[J]. Chinese Journal of General Practice, 2020, 18(7): 1131-1133. doi: 10.16766/j.cnki.issn.1674-4152.001447
    [11]
    陈霞, 杨贝贝, 管文娟, 等. 中青年脑卒中病人心理弹性现状及其影响因素[J]. 护理研究, 2020, 34(11): 1882-1887. doi: 10.12102/j.issn.1009-6493.2020.11.003

    CHEN X, YANG B B, GUAN W J, et al. Status quo of resilience of young and middle-aged stroke patients and its influencing factors[J]. Chinese Nursing Research, 2020, 34(11): 1882-1887. doi: 10.12102/j.issn.1009-6493.2020.11.003
    [12]
    谭琳, 李倩, 罗珊, 等. 应对方式在脑卒中患者心理一致感与健康行为间的中介效应[J]. 护理管理杂志, 2019, 19(10): 687-692. doi: 10.3969/j.issn.1671-315x.2019.10.001

    TAM L, LI Q, LUO S, et al. Mediating effect of coping style on the relationship between sense of coherence and health behaviors among stroke patients[J]. Journal of Nursing Administration, 2019, 19(10): 687-692. doi: 10.3969/j.issn.1671-315x.2019.10.001
    [13]
    崔红硕, 赵春燕, 杨宇. 介于个体精神情感为导向的干预方案对高血压性脑出血术后意识清晰重症患者的影响[J]. 河北医药, 2021, 43(4): 624-627. doi: 10.3969/j.issn.1002-7386.2021.04.034

    CUI H S, ZHAO C Y, YANG Y. Effects of individual spirit and emotion-oriented intervention on patients with clear consciousness after operation for hypertensive intracerebral hemorrhage[J]. Hebei Medical Journal, 2021, 43(4): 624-627. doi: 10.3969/j.issn.1002-7386.2021.04.034
    [14]
    秦媛, 潘圆圆, 田林, 等. 基于奥马哈理念干预模式对脑出血老年患者神经功能及日常生活能力的影响[J]. 中国实用神经疾病杂志, 2021, 24(7): 614-618. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202107011.htm

    QIN Y, PAN Y Y, TIAN L, et al. Study on the influence of intervention mode based on Omaha concept on neurological function and ADL level of elderly patients with cerebral hemorrhage[J]. Chinese Journal of Practical Nervous Diseases, 2021, 24(7): 614-618. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202107011.htm
    [15]
    李润霞, 张峥, 刘艳清, 等. 百适可联合心理治疗对脑卒中患者心理健康和生活质量的影响[J]. 贵州医科大学学报, 2020, 45(12): 1479-1483. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB202012022.htm

    LI R X, ZHANG Z, LIU Y Q, et al. Effects of Baishike treatment combined with psychotherapy on psychological health and quality of life for patients with stroke[J]. Journal of Guizhou Medical University, 2020, 45(12): 1479-1483. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB202012022.htm
    [16]
    刘卿. 心理护理联合康复护理用于冠心病患者的效果分析[J]. 中国基层医药, 2019, 26(1): 120-122. doi: 10.3760/cma.j.issn.1008-6706.2019.01.032

    LIU Q. Analysis of the effect of psychological nursing combined with rehabilitation nursing for patients with coronary heart disease[J]. Chinese Journal of Primary Medicine and Pharmacy, 2019, 26(1): 120-122. doi: 10.3760/cma.j.issn.1008-6706.2019.01.032
    [17]
    宋媛媛. 奥马哈式延续护理对高血压性脑出血术后康复的影响[J]. 安徽医药, 2019, 23(5): 910-913. doi: 10.3969/j.issn.1009-6469.2019.05.018

    SONG Y Y. Effect of Omaha-type continuous nursing on postoperative rehabilitation of patients with hypertensive intracerebral hemorrhage[J]. Anhui Medical and Pharmaceutical Journal, 2019, 23(5): 910-913. doi: 10.3969/j.issn.1009-6469.2019.05.018
    [18]
    谢慧蓉, 吴远聪, 刘秀梅, 等. 五常法管理模式联合人性化护理措施应用于高血压性脑出血的效果分析[J]. 中华全科医学, 2018, 16(6): 1021-1024. doi: 10.16766/j.cnki.issn.1674-4152.000280

    XIE H R, WU Y C, LIU X M, et al. Effect of five regular methods management model combined with humanized nursing measures applied to hypertensive intracerebral hemorrhage[J]. Chinese Journal of General Practice, 2018, 16(6): 1021-1024. doi: 10.16766/j.cnki.issn.1674-4152.000280
    [19]
    吕会力, 张丽, 张苇, 等. 自我管理程序干预对首发脑卒中患者自我效能创伤后成长及心理韧性的影响[J]. 中国实用神经疾病杂志, 2021, 24(8): 720-725. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202108014.htm

    LV H L, ZHANG L, ZHANG W, et al. Effect of self-management program intervention on self-efficacy, posttraumatic growth and psychological resilience of patients with initial stroke[J]. Chinese Journal of Practical Nervous Diseases, 2021, 24(8): 720-725. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202108014.htm
    [20]
    卞鑫, 王越, 霍薇, 等. 脑血管病患者心理状态调查及评价[J]. 哈尔滨医科大学学报, 2019, 53(1): 98-100. https://www.cnki.com.cn/Article/CJFDTOTAL-HYDX201901025.htm

    BIAN X, WANG Y, HUO W, et al. Investigation and evaluation of mental state of patients with cerebrovascular disease[J]. Journal of Harbin Medical University, 2019, 53(1): 98-100. https://www.cnki.com.cn/Article/CJFDTOTAL-HYDX201901025.htm
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