Advance Search
CHEN Changle, LIANG Yuanhong, TANG Xuehua. Effect of individualized nutritional support combined with psychological counseling for patients with stroke in ICU[J]. Journal of Clinical Medicine in Practice, 2020, 24(8): 107-110. DOI: 10.7619/jcmp.202008029
Citation: CHEN Changle, LIANG Yuanhong, TANG Xuehua. Effect of individualized nutritional support combined with psychological counseling for patients with stroke in ICU[J]. Journal of Clinical Medicine in Practice, 2020, 24(8): 107-110. DOI: 10.7619/jcmp.202008029
shu

Effect of individualized nutritional support combined with psychological counseling for patients with stroke in ICU

  • 1. Department of Critical Care Medicine;

  • 2. Severe Stroke Center, Ankang Central Hospital, Ankang, Shaanxi, 725000

More Information
  • Received Date: December 25, 2019
    Graphical Abstract
    • 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.
    • FullText(HTML)
    • References (12)
  • 张薇, 耿圆圆, 周鼒, 等. 社会及心理因素与脑卒中发病关系的流行病学研究进展[J]. 中华流行病学杂志, 2019, 40(9): 1168-1172.
    孙四美, 夏丽. 心理护理对ICU重症患者护理质量的影响[J]. 国际护理学杂志, 2016, 35(7): 961-964.
    陈鑫, 严晓铭, 柯开富. APACHE Ⅱ与GCS评分预测神经重症监护患者病死率的价值[J]. 江苏医药, 2014, 40(4): 444-446.
    中国老年医学学会急诊医学分会, 中华医学会急诊医学分会卒中学组, 中国卒中学会急救医学分会. 急性缺血性脑卒中急诊急救中国专家共识2018版(下)[J]. 心脑血管病防治, 2019, 19(4): 287-291.
    国锋, 郝迎翠. 洼田氏饮水试验在脑卒中患者中的应用[J]. 齐鲁护理杂志, 2016, 22(17): 65-67.
    何凤怡, 陈超刚. 三种主观评价量表对中老年脑卒中住院病人营养评估效果的比较[J]. 肠外与肠内营养, 2014, 21(6): 358-360.
    白薇薇, 刘艳梅, 闵静亚, 等. 心理韧性在脑卒中后抑郁与社会支持间的中介效应[J]. 齐鲁护理杂志, 2019, 25(17): 13-16.
    景颖颖, 万婕. 脑卒中患者希望水平状况及其影响因素[J]. 现代临床护理, 2017, 16(8): 49-54.
    裔雅萍, 杭琤, 陈芳, 等. 缺血性脑卒中患者急诊快速时效管理体系构建及应用效果[J]. 实用临床医药杂志, 2019, 23(20): 105-108.
    纪娟, 陈雪梅. 护理个案管理对急性脑卒中患者溶栓治疗早期临床效果的影响[J]. 实用临床医药杂志, 2019, 23(15): 31-33

    , 37.
    杨江胜, 朱祖福, 沈丽萍, 等. 急性脑卒中伴吞咽障碍患者不同时期肠内营养支持的疗效比较[J]. 实用医学杂志, 2019, 35(19): 3053-3056.
    韩晓丽, 薛梅, 高云, 等. 不同类型肠内营养制剂对重症脑卒中病人营养状况的影响[J]. 肠外与肠内营养, 2015, 22(6): 329-331.
    • Related Articles

  • Related Articles

    [1]LI Jinpei, WANG Yonghuai, LI Guangyuan, MA Chunyan, YANG Jun. Research progress on risk factors of coronary slow flow[J]. Journal of Clinical Medicine in Practice, 2022, 26(12): 115-118. DOI: 10.7619/jcmp.20220353
    [2]CHEN Haiyan, FU Xiaodan, ZHANG Qiuju. Relationships of indicators such as level of plasma lipoprotein-associated phospholipase A2 with effect of extracorporeal counterpulsation therapy in high-risk patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(3): 63-67. DOI: 10.7619/jcmp.20214222
    [3]GONG Xiaoyong, HU Xiaowei, HE Fei, HU Jianping. Correlations between serum levels of brain natriuretic peptide, hypersensitive C-reactive protein as well as creatine kinase isoenzyme and prognosis of patients after percutaneous coronary intervention[J]. Journal of Clinical Medicine in Practice, 2021, 25(11): 72-76. DOI: 10.7619/jcmp.20211053
    [4]LI Jiancheng, XU Gangzheng. Value of hypersensitivity C-reactive protein in predicting the prognosis of coronary heart disease patients with interventional therapy[J]. Journal of Clinical Medicine in Practice, 2020, 24(18): 34-36. DOI: 10.7619/jcmp.202018009
    [5]WANG Dong. Effect of maixuekang capsule combined with percutaneous coronary intervention on platelet aggregation rate and high sensitivity C-reactive protein in patients with acute coronarysyndrome[J]. Journal of Clinical Medicine in Practice, 2018, (5): 42-44. DOI: 10.7619/jcmp.201805013
    [6]WANG Yanhua. Clinical significance of changes in levels of high sensitive C-reactive protein and cardiac troponin-T in patients with coronary heart disease after percutaneous coronary intervention[J]. Journal of Clinical Medicine in Practice, 2015, (7): 29-31. DOI: 10.7619/jcmp.201507007
    [7]WANG Junjun, YU Chunjuan, DING Qilong, XING Ting. Correlation between serum high sensitivity C-reactive protein and atherosclerosis in patients with type 2 diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2015, (5): 5-7. DOI: 10.7619/jcmp.201505002
    [8]CAI Guodong, GU Yang, LIU Shengshan, ZHU Hairong. Change and significance of plasma lipoprotein-associated phospholipase A2 and Lipoprotein(a)levels in atherosclerotic cerebral infraction[J]. Journal of Clinical Medicine in Practice, 2014, (16): 18-21. DOI: 10.7619/jcmp.201416005
    [9]Application of high sensitivity C-reactive protein and pressure wire in dealing with critical lesion during coronary artery intervention[J]. Journal of Clinical Medicine in Practice, 2013, (21): 12-15. DOI: 10.7619/jcmp.201321004
    [10]ZHANG Ying, QIN Shu, ZHANG Dongyin, WANG Kechun. Relationship between high-sensitivity C-reactive protein and the severity and prognosis of coronary atherosclerosis of coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2012, (23): 45-48.

  • Cited by

    Periodical cited type(11)

    1. 刘亚男，房志琴，郭健宏，王亚玲. 冠状动脉慢血流患者血清Lp-PLA_2、NLR水平变化及临床意义. 广东医学. 2024(06): 717-722 .
    2. 朱雅男，张志强，徐继方，朱云霞，安梦秋. 冠状动脉慢血流的相关血清学分析. 心肺血管病杂志. 2023(01): 23-26 .
    3. 孙晓慧，贺静，王瑶，白蓉，薛晓珍，杨莉，乌宇亮. 血清脂蛋白相关磷脂酶A2水平与冠状动脉病变程度及慢血流的相关性分析. 临床医学研究与实践. 2023(26): 9-12 .
    4. 师志芳，贾营，张秀敬，谭化，王爱民，赵洁. 血清血小板活化因子和脂蛋白相关磷脂酶AA2对冠状动脉慢血流现象的预测价值分析. 中国心血管病研究. 2023(12): 1080-1085 .
    5. 梁万添，唐良秋，陈锦峰，庞军刚，周婉明，陈伟强，陈姣. 小檗碱对急性心肌梗死经皮冠状动脉介入术后冠状动脉不稳定斑块的治疗作用. 中国医药. 2021(01): 28-32 .
    6. 刘玲玲，韩磊. 冠状动脉慢血流与超敏CRP及左室舒张功能的相关性研究. 中国医药指南. 2021(22): 11-13 .
    7. 朱宝华，孙岩. 冠状动脉疾病差异基因富集和加权基因共表达网络分析. 实用临床医药杂志. 2021(17): 15-21 . 本站查看
    8. 陶金松，李健，徐霞，陆翊超，李伟章. 冠心病患者介入术中并发冠状动脉慢血流的影响因素. 现代医学与健康研究电子杂志. 2021(19): 93-95 .
    9. 陆爱民，童有福，赵艳. 利伐沙班对冠状动脉慢血流患者凝血功能及C反应蛋白的影响. 医学综述. 2021(21): 4354-4359 .
    10. 孙涛，张艳丽，侯梅凤，姚成俊，潘闽. 血清脂蛋白(a)[Lp(a)]、血清超敏C反应蛋白（hs-CRP）与冠状动脉慢血流之间的相关性. 系统医学. 2021(22): 32-36 .
    11. 陈艳俏，程伟，张成英，陈少军，马友合，孙久林. 保元汤合桂枝茯苓丸治疗冠状动脉慢血流临床观察. 中国中医药现代远程教育. 2020(19): 70-73 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (314) PDF downloads (11) Cited by(11)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return