Application of Stress and Stress Theory in Patients Undergoing Hypertensive Intracerebral Hemorrhage
Objective:To explore the application effect of stress and stress theory in patients undergoing hypertensive intracerebral hem-orrhage.Method:A prospective study was conducted on 96 patients with hypertensive intracerebral hemorrhage admitted from March 1,2021 to March 31,2023.They were randomly divided into a study group and a control group,with 48 cases in each group,using a random number table method.The control group received routine intervention,while the study group received stress and stress theory intervention,analysis discharge readiness,positivity and the sense of discase uncertainty.The readiness for discharge,before and after intervention posi-tivity using the patient activation measure(PAM),disease uncertainty using the the Chinese version of the Mishel uncertainty in illness scale(MUIS),degree of neurological deficits using the National Institutes of Health Stroke Scale(NIHSS),quality of life using the Stroke Impact Scale(SIS),and incidence of complications were compared between two groups.Results:The study group had higher disease knowl-edge,expected social support,out of hospital coping ability,self-condition scores,and total scores on the discharge readiness scale than the control group(P<0.01).After 1 and 2 months of intervention,the PAM and MUIS scores of both groups were better than those before in-tervention(P<0.05),and the scores after 2 months of intervention were better than those after 1 month of intervention(P<0.05).After 1 and 2 months of intervention,the PAM and MUIS scores in the study group were better than those in the control group(P<0.01).Spearman correlation analysis showed a positive correlation between before and after intervention positivity and discharge readiness(P<0.05),a negative correlation between disease uncertainty and discharge readiness(P<0.05),and a negative correlation between before and after intervention positivity and disease uncertainty(P<0.05).After 2 months of intervention,the NIHSS and SIS scores of both groups were lower than those before intervention(P<0.05),and the study group were lower scores than those of the control group(P<0.01).The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:The application of stress and stress theory to patients undergoing hypertensive intracerebral hemorrhage can effectively improve their discharge readiness,increase their enthusiasm and relieve the sense of disease uncertainty,and then promote neurological recovery,reduce the incidence of complica-tions,and improve the quality of life.
Hypertensive intracerebral hemorrhageSurgeryStress and stress theoryQuality of life
NETL
NSTL
万方数据
维普
