The impact of family-based collaborative care humanistic intervention on negative emotions in patients with hypertensive intracerebral hemorrhage and hemiplegia
基于家庭协同照护的人文干预对高血压脑出血偏瘫患者负性情绪的影响

摘要

目的 观察在高血压脑出血偏瘫患者中实施基于家庭协同照护的人文干预，分析其对患者负性情绪的影响。方法 本研究开始于2025年6月，结束于2026年3月，选取此期间在我院接受治疗的高血压脑出血偏瘫患者为研究对象，共计90例，采用随机数字表法对其进行分组，对照组45例，实施常规护理，观察组45例，实施基于家庭协同照护的人文干预护理，最后将两组患者干预前后的心理弹性评分、负性情绪评分以及护理满意度进行对比。结果 干预之前，两组患者心理弹性评分、焦虑自评量表（SAS）、抑郁自评量表（SDS）评分差异并不显著，P>0.05，差异无意义；护理之后，两组患者均有所改善，其中观察组心理弹性评分（73.94±6.89）分与对照组（59.19±6.14）分相比显著较高，且观察组SAS评分（41.55±4.31）分和SDS评分（40.16±3.74）分显著低于对照组，差异较大，P<0.05，对比有意义。并且对护理满意度进行对比观察组患者（97.78%）明显比对照组（77.78%）高，差异显著，P<0.05。结论 在高血压脑出血偏瘫患者中实施基于家庭协同照护的人文干预护理可以有效改善患者心理弹性，提高其抗压能力，与此同时让患者焦虑、抑郁等负性情绪得到改善，获得患者较高满意度。所以可以在临床中推广。

Abstract

Objective To investigate the effect of family-based collaborative care humanistic intervention on negative emotions in patients with hypertensive intracerebral hemorrhage and hemiplegia.
Methods This study was conducted from June 2025 to March 2026, involving 90 patients with hypertensive intracerebral hemorrhage and hemiplegia treated at our hospital. Participants were randomly assigned using a random number table: 45 to the control group receiving conventional care and 45 to the observation group receiving family-based collaborative care humanistic intervention. Psychological resilience scores, negative emotion scores, and nursing satisfaction were compared between the two groups before and after intervention.
Results Before intervention, there were no significant differences in psychological resilience scores or Self‑Rating Anxiety Scale (SAS), Self‑Rating Depression Scale (SDS) scores between the groups (P> 0.05). After intervention, both groups showed improvement: the observation group exhibited significantly higher psychological resilience scores (73.94 ± 6.89 vs. 59.19 ± 6.14) and significantly lower SAS (41.55 ± 4.31 vs. 40.16 ± 3.74) and SDS scores (P <0.05). Nursing satisfaction was also significantly higher in the observation group (97.78%) than in the control group (77.78%) (P <0.05).
Conclusion   Implementation of humanistic intervention nursing based on family collaborative care in patients with hemiplegia due to hypertensive intracerebral hemorrhage (HICH) effectively improved patients’ psychological resilience and stress resistance, while alleviating negative emotions such as anxiety and depression, resulting in high patient satisfaction. Therefore, this approach can be promoted in clinical practice.