Volume 30, Issue 3, 2021


DOI: 10.24205/03276716.2021.5019

Analysis of the effect of comprehensive physical and mental nursing for patients with acute cerebral infarction in intravenous thrombolytic therapy and its influence on quality of life and psychological state


Abstract
Background: To study the efficacy of comprehensive physical and mental nursing for patients with acute cerebral infarction (ACI) undergoing intravenous thrombolytic therapy and its impact on patients’ quality of life and psychological state. Methods: Two hundred patients with ACI enrolled in our hospital between December 2018 and December 2019 were included and equally assigned to the control group and the experimental group by random number table. The control group adopted routine care, and the experimental group received comprehensive physical and mental nursing. The nursing efficacy, nursing satisfaction, quality of life index (QLI) score, mental status scale in non-psychiatric settings (MSSNS) scale, self-rating anxiety scale (SAS), self-rating depression scale (SDS), National Institute of Health Stroke Scale (NIHSS), changes in hemodynamic indicators, and incidence of adverse events during intravenous thrombolysis were compared between the two groups. Results: The nursing satisfaction and efficacy were higher in the experimental group than the control group (P<0.05). The experimental group obtained higher QLI scores, and lower scores of MSSNS, SAS, SDS , and and NIHSS in contrast to the control group (P<0.05). The experimental group outperformed the control group with regard to incidence of adverse reactions (P<0.05). Conclusion: Comprehensive physical and mental nursing for patients with ACI undergoing intravenous thrombolysis contributes to improving the nursing efficacy and satisfaction, quality of life, and patients’ psychological state.

Keywords
Comprehensive physical and mental nursing; Acute cerebral infarction; Intravenous thrombolysis; Quality of life; Mental state; Application effect

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