Cerebral hemorrhage is the second leading cause of death and disability in the world [14, 15]. In recent decades, with the development of medical and health care, the mortality and complications of intracerebral hemorrhage have made some progress . However, nursing is still facing great pressure, pressure sores, sputum aspiration, dietary guidance and psychological counseling are still in great demand[17–19]. Therefore, it is particularly important to find a new nursing mode for patients with cerebral hemorrhage. The presence of nursing support workers can alleviate this pressure to some extent, and some studies have found that increasing nursing support personnel in ward staffing can increase patient contact (provide more nursing time), thus improving the quality of care compared to control wards with matched workload classification, but the results are inconclusive. Therefore, it is a positive attempt to add nursing support personnel into the nursing of patients with cerebral hemorrhage in neurosurgery.
In this study, we divided admission patients with intracerebral hemorrhage into control group and experimental group according to whether nursing support workers were required to participate in clinical care. When patients were admitted to hospital, we used SPBA, HAMA and HAMD scales to evaluate the negative emotions of patients admitted to hospital. We found that the score of negative emotions in the experimental group was higher (P < 0.05), indicating that patients with higher negative emotions were more willing to join nursing support workers in clinical nursing work.
One month after the patients were discharged from hospital, we followed up the patients who participated in the experiment, and evaluated the negative emotions of the patients using SPBA, HAMA and HAMD scales. The change values of the negative emotions scale of the two groups were compared, and we found that the negative emotions improved after the participation of nursing support workers. These results suggest that the participation of nursing workers can improve the negative emotions of patients with intracerebral hemorrhage. SF-36, SSS, Barthel and SWLS scales were used to evaluate the quality of life of patients. We found that the quality of life score of the experimental group was higher than that of the control group. These results suggest that the participation of nursing support workers can improve the quality of life of patients with cerebral hemorrhage.
This study preliminarily revealed that patients with high negative emotions in hospital prefer nursing support workers to participate in clinical nursing work, and the participation of nursing support workers can alleviate the negative emotions of ICH patients, enhance their self-management ability, promote their daily living activities, and improve their life satisfaction. At present, there is a general shortage of clinical nurses, so that the clinical requirements and needs of patients with cerebral hemorrhage unable be fully met, and the emergence of nursing support workers is conducive to improve this situation. Therefore, we believe that the participation of nursing support workers enables patients with cerebral hemorrhage to receive better clinical care, meet psychological and physical needs, and improve patients' negative emotions, quality of life, and life satisfaction. However, the study was subject to certain limitations. For example, nursing support workers' training level, proficiency level and other reasons make this study not comprehensive. We will include more types of care support workers in future studies to complement our results and make them more comprehensive.