Effect Of CITF-based Nursing Intervention On Anxiety,Depression And Self-care Ability Of Patients With HICH

Objectives To explore the effect of CITF-based nursing intervention on anxiety,depression and self-care ability of patients with hypertensive cerebral hemorrhage,so as to provide theoretical evidence to help them reduce negative emotions,improve self-care ability and enhance chronic disease management.Methods A total of 120 patients with hypertensive cerebral hemorrhage who were hospitalized in the neurosurgery department of affiliated hospital of north China university of science and technology in tangshan from October 2018 to August 2019 were selected for the study.Using the method of random allocation,patients with hypertensive intracerebral hemorrhage in accordance with the study were selected with closed envelopes.The odd number of envelopes were selected as the intervention group,and the even number of envelopes were selected as the control group.Finally,60 patients in each group were selected.The control group received routine neurosurgical care.The intervention group received CITF prescription intervention on the basis of routine care for eight weeks.Anxiety,depression,chronic disease self-care ability,daily living ability scale,nursing satisfaction scale were used to evaluate patients with hypertensive cerebral hemorrhage before,four weeks after and eight weeks after intervention.Results 1 comparison of anxiety and depression in the two groups: there was no difference in the scores of anxiety and depression in the two groups before intervention(P>0.05),which was comparable.Four weeks after the intervention,the levels of anxiety and depression in the intervention group were lower than those in the control group,with statistically significant differences(P<0.05).After eight weeks of intervention,the scores of anxiety and depression in the intervention group were significantly lower than those in the control group,with statistically significant differences(P<0.05).Repeated measurements showed that the anxiety and depression scores of the two groups were statistically significant in the main effect of intervention,the main effect of time,and the interaction between intervention and time(P<0.05).2 comparison of daily living ability between the two groups: there was no statistical difference in daily living ability between the two groups before intervention(P>0.05),which was comparable.Four weeks after the intervention,the daily living ability level of the patients in the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).After eight weeks of intervention,the scores of daily living ability of the patients in the intervention group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Repeated measurements showed that the daily living ability of the two groups was statistically significant in the main effect of intervention,the main effect of time,and the interaction effect between intervention and time(P<0.05).3 comparison of patients’ self-care ability for chronic diseases in the two groups: the total score of patients’ self-care ability and the scores of self-care skills,self-responsibility,self-concept and health knowledge before intervention in the two groups showed no statistical difference(P>0.05),which was comparable.After four weeks of intervention,the total score of chronic disease self-care ability,self-care skills,self-responsibility,self-concept and health knowledge of the patients in the intervention group were higher than those in the control group,with statistically significant differences(P<0.05).After eight weeks of intervention,the total score of patients’ chronic disease self-care ability,self-care skills,self-responsibility,self-concept and health knowledge level in the intervention group were more significantly improved than those in the control group,with statistically significant differences(P<0.05).The results of repeated measurements showed that the total score of patients with chronic disease self-care ability,self-care skills,self-responsibility,self-concept and health knowledge scores of the two groups were statistically significant in the main effect of intervention,the main effect of time,and the interaction between intervention and time(P<0.05).4 comparison of nursing service satisfaction scores between the two groups: there was no statistical difference in the scores of nursing service satisfaction between the two groups before the intervention(P>0.05),which was comparable.After four weeks of intervention,the score of nursing service satisfaction of patients in the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).After eight weeks of intervention,the score of nursing service satisfaction of patients in the intervention group increased more significantly than that in the control group,with statistically significant difference(P<0.05).Repeated measurement results showed that the scores of patients’ satisfaction with nursing service in the two groups were statistically significant in the main effect of intervention,the main effect of time,and the interaction between intervention and time(P<0.05).Conclusions 1 Nursing intervention based on CITF can improve anxiety and depression in patients with hypertensive intracerebral hemorrhage and improve the ability of daily life.2 Nursing intervention based on CITF can enhance the self-care ability of patients with hypertensive intracerebral hemorrhage and improve the nursing service satisfaction.Figure 10;Table 17;Reference 173...