Randomized Controlled Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Mar 19, 2024; 14(3): 434-444
Published online Mar 19, 2024. doi: 10.5498/wjp.v14.i3.434
Optimization of nursing interventions for postoperative mental status recovery in patients with cerebral hemorrhage
Jin-Li Tang, Wei-Wei Yang, Xiao-Yang Yang
Jin-Li Tang, Neurosurgery Ward 2, Affiliated hospital of Nantong University, Nantong 226100, Jiangsu Province, China
Wei-Wei Yang, Department of Anesthesiology and Surgery, The Affiliated Hospital of Nantong University, Nantong 226100, Jiangsu Province, China
Xiao-Yang Yang, Department of Neurosurgery, Suzhou Kowloon Hospital, School of Medicine, Shanghai Jiao Tong University, Suzhou 215000, Jiangsu Province, China
Co-corresponding authors: Wei-Wei Yang and Xiao-Yang Yang.
Author contributions: Tang JL and Yang WW contributed equally to this work; Tang JL, Yang WW and Yang XY designed the research study; Tang JL, Yang WW and Yang XY performed the research; Tang JL, Yang WW and Yang XY contributed new reagents and analytic tools; Yang WW and Yang XY analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript. Yang WW and Yang XY contributed equally to this work as Co-Corresponding Author. The decision to designate Yang WW and Yang XY as Co-Corresponding Author. is based in three primary reasons. First, the research was performed as a collaborative effort, and the designation of Co-Corresponding Author. accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant manuscript. Designating two Co-Corresponding Author will ensure effective communication and management of post-submission matters, which will enhance the paper's quality and reliability. Second, the research team Co-Corresponding Author with diverse expertise and skills from various fields, and the designation of two Co-Corresponding Author best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, both Yang WW and Yang XY Made substantial and equal contributions throughout the research process. Selecting these researchers as Co- Corresponding Author. acknowledges and respects their equal contribution and exemplifies the collaborative spirit and teamwork within this study. we believe that designating Yang WW and Yang XY as Co-Corresponding Author. is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Institutional review board statement: The study was reviewed and approved by the Affiliated Hospital of Nantong University Institutional Review Board.
Clinical trial registration statement: This study is registered at Clinical Trial Center (www.researchregistry.com). The registration identification number is researchregistry9637.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors have no conflicts of interest.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Wei Yang, MNurs, Nurse, Department of Anesthesiology and Surgery, The Affiliated Hospital of Nantong University, No. 1 Xinjian Road, Nantong 226100, Jiangsu Province, China. 13585229517@163.com
Received: November 21, 2023
Peer-review started: November 21, 2023
First decision: December 5, 2023
Revised: January 10, 2024
Accepted: January 22, 2024
Article in press: January 22, 2024
Published online: March 19, 2024
Processing time: 119 Days and 2.4 Hours
ARTICLE HIGHLIGHTS
Research background

Hypertensive cerebral hemorrhage (HCH), as the most common chronic disease, has become a topic of global public health discussion because it is a key causative factor of functional disability, cognitive impairment, and dementia in humans. Knowledge of the disease and prevention of HCH has gradually attracted the attention of the public.

Research motivation

This study provided information for clinical nursing and improve the prognosis of cerebral hemorrhage.

Research objectives

This study aimed 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 cerebral hemorrhage.

Research methods

This randomized controlled study included 120 patients with cerebral HCH between May 2021–May 2023. 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.

Research results

The results showed that the state of consciousness scores of the patients in both groups significantly increased after surgical treatment. From the 14th day onwards, differences in the state of consciousness scores between the two groups of patients began to appear. 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. Satisfaction with nursing care was higher in the observation group than in the control group.

Research conclusions

This study showed that quality nursing interventions have an optimizing effect on the psychological state of patients with cerebral hemorrhage, which can significantly improve the psychological state of patients, promote the recovery of their consciousness, and increase nursing satisfaction and improve the doctor-patient relationship.

Research perspectives

Further analysis and research are needed to provide more scientific evidence.