Intracranial aneurysm is a common disease in neurosurgery whose greatest risk is causing death and cripple due to aneurysm breakage and hemorrhage. The complications caused by surgery similarly lead to assignable consequence. Therefore, the treatments for unruptured intracranial aneurysm are still being debated. Being with unruptured intracranial aneurysm makes patients feel anxiety and depression so as to affect their psychological state. This paper reviewed the current situation, influencing factors and common evaluation tools of anxiety and depression in patients with unruptured intracranial aneurysm to provide a basis for identifying unruptured intracranial aneurysm high-risk groups with anxiety and depression and making appropriate mental nursing intervention so as to improve patients' life quality.

The nursing experience of a pregnant woman with ruptured cerebellar arteriovenous malformation and hemorrhage with consciousness disorder at 20+weeks of pregnancy was summarized.The key points of nursing include:postoperative management of pregnancy combined with brain arteriovenous malformation composite surgery,nursing management of hypothermia treatment in the second pregnancy,the safety of patients and fetus and the whole prevention of complications;early rehabilitation training in stages,and postpartum management based on the recovery of neurological function.Through careful and professional treatment and nursing,the patient had a good prognosis,and was transferred to the rehabilitation department to continue rehabilitation treatment.

Objective:To deeply understand the illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment, and to provide reference for formulating targeted nursing intervention programs.Methods:The semi-structured interview method of qualitative research was used to conduct in-depth interviews in 17 patients with unruptured intracranial aneurysm undergoing interventional treatment. Data were analyzed by content analysis method.Results:Five themes and ten sub-themes were extracted, including limited disease cognition (ignoring disease symptoms, wrong medical treatment behavior), uncertainty of disease (fear of aneurysm rupture, fear of disease recurrence), trusting in medical resources (trusting diagnosis and treatment technology, satisfactory medical service), desire for social support (hope for family members′companionship, expecting the concern of doctors and nurses), positive self-management (maintaining emotional stability, building health behaviors).Conclusions:Medical staff should pay attention to the physical and mental feelings of patients with unruptured intracranial aneurysm during the disease process, assess their needs, support and coping ability, and provide scientific and effective help to promote their physical and mental comfort.

Intracranial aneurysm is a common disease in neurosurgery, and its greatest risk lies in the death and disability caused by hemorrhage after aneurysm ruptured. In view of the quality of life of patients with unruptured intracranial aneurysms (UIA), this paper reviews the evaluation tools, influencing factors, nursing interventions and other aspects combined with domestic and foreign literatures to provide references for further study on the quality of life of UIA patients.

Objective? To investigate the therapeutic hypothermia related knowledge and training demands of neurosurgery nurses at a hospital. Methods? From January to April 2018, we selected 139 neurosurgery nurses at a ClassⅢ Grade A hospital by cluster sampling. All of the nurses were investigated with the self-designed therapeutic hypothermia knowledge questionnaire and therapeutic hypothermia knowledge demands questionnaire of nurses. Results? A total of 59.7% of nurses mastered therapeutic hypothermia related knowledge and 11.5% of them mastered the knowledge well. Three terms of therapeutic hypothermia related knowledge were with the highest accuracy rate including the necessity of calm assessment, need of sedation and analgesia as well as mechanical ventilation support at low temperature. Three terms of them were with the lowest accuracy rate including the duration of the cooling, duration of holding phase and recommended temperature of therapeutic hypothermia monitoring. Neurosurgery nurses were willing to learn therapeutic hypothermia related knowledge by various ways. Conclusions? Neurosurgery nurses' mastery of therapeutic hypothermia knowledge needs to be improved. Mastery of knowledge and demands should be taken into account in contents and ways of inservice training.

Objective? To explore the effects of ICU head nurse's leadership style on nurse's professional identity. Methods Totally 112 nurses from 9 ICUs of a ClassⅢ Grade A hospital in Beijing were selected using convenient sampling in September 2018 and investigated with Multifactor Leadership Questionnaire (MLQ) and Professional Identity Scale (PIS). Multivariate multilayer regression analysis was used to analyze the effects of ICU head nurse's leadership style on nurse's professional identity. Results? Head nurse's transformational leadership perceived by the nurses scored (2.69±0.37); the transactional leadership scored (0.62±0.61); and the nurses' professional identity scored (116.63±22.76). Head nurse's transformational leadership was positively correlated with the nurses' professional identity (r=0.376,P＜0.01), but there was no correlation between the transactional leadership and the nurses' professional identity (P＞0.05). Multilayer regression analysis revealed that the transformational leadership is an influencing factor to the nurses' professional identity. Conclusions? Head nurse's leadership style has significant impacts on nurse's professional identity, and the transformational leadership has positive effects on nurse's professional identity. Hospital managers should pay attention to cultivating the transformational leadership of clinical nursing managers, thus improving nurse's professional identity.

This paper reviews the contents, mechanism of action, operating principles and application effects of sensory stimulation program in the rehabilitation of critically ill neurologic patients with disorders of consciousness. It points out that the operating standards of sensory stimulation program need to be unified. In the future, more large-sample, multi-center randomized controlled studies of sensory stimulation program in the rehabilitation of critically ill neurologic patients with disorders of consciousness need to be carried out to provide a reference for clinical implementation of sensory stimulation program.

Objective:To understand the status quo of job burnout and sleep quality among neurosurgery nurses in a ClassⅢ Grade A hospital in Beijing and analyze their correlations to provide basis for formulating relevant intervention measures.Methods:Using the convenient sampling method, a total of 150 nurses from Department of Neurosurgery of Xuanwu Hospital of Capital Medical University from March to April 2020 were selected as the research objects. The survey was carried out using the general information questionnaire, the Chinese version of Maslach Burnout Inventory (MBI) and Pittsburgh Sleep Quality Index (PQSI) scale. Pearson correlation analysis method was used to analyze the effect of job burnout of nurses in department of neurosurgery on sleep quality. A total of 150 questionnaires were distributed in this study and 149 valid questionnaires were recovered, with an effective recovery rate of 99.3%.Results:The emotional exhaustion dimension score of the job burnout scale for neurosurgical nurses was (22.79±7.08) , indicating moderate burnout. The score of depersonalization dimension was (8.17±3.63) , indicating moderate burnout. The score of low personal achievement was (19.09±6.04) , indicating high burnout. The total PSQI score of neurosurgical nurses was 8.0 (4.5, 12.0) and 83 nurses (55.7%, 83/149) had poor sleep quality. Emotional exhaustion in job burnout of neurosurgery nurses was positively correlated with PSQI total score ( r=0.356, P<0.01) , and depersonalization dimension was positively correlated with PSQI total score ( r=0.180, P<0.05) , while low personal achievement dimension was negatively correlated with PSQI total score ( r=-0.120, P<0.05) . The results of multiple linear regression analysis showed that PSQI total score and working years were the influencing factors of emotional exhaustion dimension ( P<0.05) , while PSQI total score and weekly overtime time were the influencing factors of depersonalization dimension ( P<0.05) . Conclusions:The degree of job burnout of neurosurgical nurses is in the middle and high level and different degrees of sleep problems are common. The higher the degree of burnout, the worse the quality of sleep.

Objective:To understand the current status of health-promoting lifestyle of neurosurgery nurses and to explore the effect of sleep quality on their health-promoting lifestyle.Methods:Using the convenient sampling method, a total of 150 nurses from Department of Neurosurgery of Xuanwu Hospital of Capital Medical University were selected as the research objects from March to April 2020. The general information questionnaire, Pittsburgh Sleep Quality Index (PQSI) and Health Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ) were used to investigate. A total of 150 questionnaires were sent out in this study and 149 were effectively received, with the effective recovery of 99.3%.Results:The total score of HPLP-Ⅱ of neurosurgical nurses was (128.07±20.63) , and the health promotion lifestyle was at the general level. The total score of PSQI was 8.0 (4.5, 12.0) , and 55.7% (83/149) nurses had poor sleep quality. There was a negative correlation between HPLP-Ⅱ total score of neurosurgical nurses and PSQI total score ( r=-0.393, P<0.01) . The results of multiple linear regression analysis showed that PSQI total score and working years were the influencing factors of health promotion lifestyle ( P<0.05) . Conclusions:The health-promoting lifestyle of neurosurgery nurses is at an average level and there are widespread sleep quality problems. The health-promoting lifestyle is positively correlated with sleep quality. The better the health-promoting lifestyle, the better the sleep quality. Corresponding interventions are recommended to improve the sleep quality of neurosurgery nurses, thereby promoting their maintenance of a healthy lifestyle.