Context: Brainstem hemorrhage is a disease with a high mortality rate and a poor prognosis. Its onset is urgent and critical, and patients need personalized, high-quality nursing. Also, albumin can have significant benefits in treating brainstem hemorrhage.
Objective: The study intended to explore the clinical efficacy of and improved prognoses from high-quality nursing combined with albumin in treating patients with brainstem hemorrhage.
Design: The research team conducted a prospective randomized controlled trial.
Setting: The study took place at Heibei Fengfeng General Hospital of the North China Medical and Health Group in Hebei, China.
Participants: Participants were 102 patients with brainstem hemorrhages who received treatment at the hospital between November 2020 and October 2022.
Interventions: The research team randomly divided participants into two groups, each with 51 participants: (1) the intervention group, who received high-quality nursing combined with 20% human albumin, and (2) the control group, who received conventional nursing combined with 20% human albumin.
Outcome Measures: The research team examined participants': (1) mortality rate; (2) scores on the Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS); (3) quality of life (QoL) scores, using the 36-Item Short Form Survey (SF-36); (4) scores on the Self-Rating Anxiety Scale (SAS); (5) health-behavior scores, using the Health-Behavior Scale, and (6) nursing satisfaction.
Results: Postintervention compared with the control group, the intervention group's: (1) total mortality rate was significantly lower (P = .017), (2) GCS and GOS scores were significantly higher (both P < .001), (3) QoL scores for all subdimensions were significantly higher (all P < .001), (4) SAS scores for all subdimensions were significantly lower (all P < .001), (5) health-behavior scores for all subdimensions were significantly higher (P < .001), and (6) nursing satisfaction was significantly higher (P = .015).
Conclusions: High-quality nursing interventions combined with albumin for brainstem-hemorrhage patients can effectively increase treatment efficacy, ensure patients' QoL, and facilitate recovery. Thus, high-quality nursing combined with albumin for brainstem-hemorrhage patients is of great significance in clinical practice.
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