Effect of individualized nutritional support combined with psychological counseling for patients with stroke in ICU
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摘要: 目的 探讨个体化营养支持结合心理疏导对重症监护病房(ICU)脑卒中患者的影响。 方法 选取ICU脑卒中患者102例,随机分为观察组与对照组各51例。对照组予以常规护理干预,观察组在此基础上实施个体化营养支持结合心理疏导。比较2组患者干预前及干预3周后的营养状态、心理韧性及希望水平,并记录2组干预过程中的相关不良事件发生率。 结果 干预后, 2组患者营养状态评分较干预前均有显著上升,且观察组显著高于对照组(P<0.05)。干预后, 2组患者心理韧性各维度(坚韧、乐观、自强)评分及总分与希望水平各维度(积极态度、积极行动、亲密关系)评分及总分均较干预前显著提升(P<0.05), 且观察组高于对照组(P<0.05); 观察组患者不良事件总发生率为21.6%, 显著低于对照组的62.7%(P<0.05)。 结论 个体化营养支持结合心理疏导可改善ICU脑卒中患者心理韧性及营养状态,降低相关不良事件发生率。Abstract: Objective To explore the effect of individualized nutritional support combined with psychological counseling for patients with stroke in Intensive Care Unit(ICU). Methods A total of 102 patients with stroke in ICU were selected and randomly divided into observation group and control group, with 51 cases in each group. Control group was given routine nursing intervention, while observation group was given individualized nutrition support combined with psychological counseling on the basis of control group. The nutritional status, psychological resilience and hope level before treatment and 3 weeks after the intervention were compared between two groups, and the incidence of intervention-related adverse events was recorded. Results After intervention, the score of nutritional status in both groups was significantly higher than that before intervention, and the observation group was significantly higher than the control group(P<0.05). After intervention, the scores of dimensions of psychological resilience(such as tenacity, optimism and self-improvement)and the total score, the scores of dimensions of hope level(such as positive attitude, positive action and intimate relationship)and the total score in both groups were significantly higher than those before intervention(P<0.05), and those scores in the observation group were significantly higher than the control group(P<0.05). The total incidence of adverse events in the observation group was 21.6%, which was significantly lower than 62.7% in the control group(P<0.05). Conclusion Individualized nutritional support combined with psychological counseling can improve the psychological resilience and nutritional status of patients with stroke in ICU, and reduce the incidence of related adverse events.
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