Effects of attention and interpretation therapy on hope levels and post-ICU syndrome in severe stroke patients and their families
Objective To explore the effects of attention and interpretation therapy on hope levels and post-intensive care unit syndrome (PICS) in severe stroke patients and their families,aiming to provide a reference for improving hope levels for pa-tients and their families and reducing PICS.Methods From September 2020 to June 2022,220 inpatients with severe stroke and their primary caregivers (one caregiver per patient) were selected from Beijing Shijitan Hospital,Capital Medical Uni-versity.Using a random number table,they were allocated to an observation group and a control group,with 110 patients and 110 caregivers in each group.After ICU discharge,the control group received standard stroke care and health education on family members,while the observation group additionally received attention and interpretation therapy.Hope levels of patients and their families and PICS occurrence were compared before and after intervention.Results Before intervention,there were no significant differences in the Herth Hope Index (HHI) scores,including the positive attitude,positive action,and close relationship dimensions,as well as the total scores between the two groups of patients and their families (P>0.05).After intervention,the HHI scores for the three dimensions and the total scores in both groups were higher than be-fore intervention,with the observation group scoring significantly higher than the control group (P<0.05).Before inter-vention,no significant differences were observed in the Post-Intensive Care Syndrome Questionnaire (PICSQ) scores be-tween the two groups (P>0.05).After intervention,the PICSQ scores in both groups were lower than before intervention,with the observation group scoring significantly lower than the control group (P<0.05).Before intervention,no significant differences were found in the Zarit Burden Interview (ZBI) and Sense of Competence Questionnaire (SCQ) scores among the families of the patients in both groups (P>0.05).After intervention,the ZBI and SCQ scores in the families of both groups were lower than before intervention,with the observation group scoring significantly lower than the control group (P<0.05).Con-clusion The application of attention and interpretation therapy for severe stroke patients and their families can significantly improve their levels of hope and prevent the occurrence of PICS.This approach is worth promoting in clinical practice.
Attention and interpretation therapyMindfulness therapySevere strokePatient familiesHope levelsPostintensive care syndrome