Objective: to understand the psychological experience of rebleeding in elderly patients with hypertensive intracerebral hemorrhage. Methods: descriptive research methods were used, 8 elderly patients with hypertensive...Objective: to understand the psychological experience of rebleeding in elderly patients with hypertensive intracerebral hemorrhage. Methods: descriptive research methods were used, 8 elderly patients with hypertensive intracerebral hemorrhage in our hospital from September 2019 to May 2020 were selected by maximum difference sampling method for semi-structured interview, and the interview data were sorted and analyzed by content analysis method. Results: the experience of rebleeding fear in elderly patients with hypertensive intracerebral hemorrhage after operation can be summarized into three themes: 1. Perception of rebleeding fear (disturbed life, defect of self-care ability, obsession with negative emotions, worry about the future and internal strength). 2. Attitude and behavior towards rebleeding (fear attitude and avoidance behavior). 3. Demand for home-based rehabilitation nursing (knowledge demand for blood pressure control and prevention of intracerebral hemorrhage, demand for life care, demand for family and social support, and demand for continuous care services). Conclusion: in view of the common rebleeding fear and individualized experience of elderly patients with hypertensive intracerebral hemorrhage after operation, nurses should increase their understanding of patients' rebleeding fear and pay attention to their inner experience and the needs of home rehabilitation nursing. At the same time, continuous care should be actively developed to reduce the fear of rebleeding, promote postoperative rehabilitation and psychosocial adaptation, and reduce the risk of rebleeding and hypertension.展开更多
文摘Objective: to understand the psychological experience of rebleeding in elderly patients with hypertensive intracerebral hemorrhage. Methods: descriptive research methods were used, 8 elderly patients with hypertensive intracerebral hemorrhage in our hospital from September 2019 to May 2020 were selected by maximum difference sampling method for semi-structured interview, and the interview data were sorted and analyzed by content analysis method. Results: the experience of rebleeding fear in elderly patients with hypertensive intracerebral hemorrhage after operation can be summarized into three themes: 1. Perception of rebleeding fear (disturbed life, defect of self-care ability, obsession with negative emotions, worry about the future and internal strength). 2. Attitude and behavior towards rebleeding (fear attitude and avoidance behavior). 3. Demand for home-based rehabilitation nursing (knowledge demand for blood pressure control and prevention of intracerebral hemorrhage, demand for life care, demand for family and social support, and demand for continuous care services). Conclusion: in view of the common rebleeding fear and individualized experience of elderly patients with hypertensive intracerebral hemorrhage after operation, nurses should increase their understanding of patients' rebleeding fear and pay attention to their inner experience and the needs of home rehabilitation nursing. At the same time, continuous care should be actively developed to reduce the fear of rebleeding, promote postoperative rehabilitation and psychosocial adaptation, and reduce the risk of rebleeding and hypertension.
