Application of empathy intervention based on 5-step empathetic model in patients with acute cerebral infarction
10.3969/j.issn.1008-9691.2023.06.019
- VernacularTitle:基于5步共情模型干预方案在急性脑梗死患者中的应用效果观察
- Author:
Xiu HUANG
1
;
Qinghe JIN
;
Jie WENG
;
Aixia WANG
Author Information
1. 温州医科大学附属第二医院急诊科,浙江温州 325088
- Keywords:
5 step empathetic model;
The empathy intervention;
Patients with acute cerebral infarction;
Anxiety and depression;
Stress response;
Sleep quality
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2023;30(6):735-738
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of an empathy intervention program based on 5-step empathetic model(5-SEM)on stress response,anxiety and depression,and sleep quality among patients with acute cerebral infarction.Methods The 100 participants were admitted to the Second Affiliated Hospital of Wenzhou Medical University from November 2022 to April 2023.According to the admission time,they were divided into two groups,with 50 cases in each group.The patients in the control group received normal care,while those in the observation group underwent an empathy intervention program based on 5-SEM.This program includes the establishment of an empathetic intervention team,comprised of physicians,psychologists,head nurses,and nurses with more than 5 years of work experience and a bachelor's degree or higher.The intervention team,based on searches and collation of relevant literature from databases such as CNKI,Wanfang Data,the National Library of Medicine's PubMed database,and the Dutch medical abstracts EMBase database,is responsible for assessing patient conditions.A final draft of the empathetic intervention plan based on the 5-SEM is then formed by the supervising nurse.nurses in the empathetic intervention team was responsible for implementing the 5-SEM intervention plan.The outcomes were evaluated by Athens insomnia scale(AIS),hospital anxiety and depression scale(HADS),and stress response questionnaire(SRQ).Results After intervention,the scores for sleep quality,anxiety and depression,and stress response in both groups showed a significant decrease compared to pre-intervention[sleep quality scores:control group was 6.74±1.77 vs.12.08±2.94,observation group was 4.84±2.04 vs.11.90±2.80;anxiety scores:control group was 7.14±2.20 vs.8.58±2.38,observation group was 6.06±2.47 vs.8.34±2.03;depression scores:control group was 7.28±2.12 vs.8.72±2.34,observation group was 6.26±2.03 vs.8.82±2.80;physical reaction scores:control group was 17.72±4.29 vs.22.94±3.73,observation group was 16.10±3.19 vs.22.62±3.25;emotional reaction scores:control group was 21.82±2.98 vs.26.80±3.21,observation group was 20.60±2.45 vs.26.32±4.32;behavioral reaction scores:control group was 12.68±1.75 vs.15.46±3.18,observation group was 11.16±1.98 vs.14.90±2.24;stress response scores:control group was 55.40±4.89 vs.69.46±6.28,observation group was 50.98±4.68 vs.68.08±6.18,all P<0.05],post-intervention,the scores in the observation group were significantly lower than those in the control group(all P<0.05).Conclusion The empathy intervention program based on the 5-SEM could alleviate anxiety,depression,and stress responses among patients with acute cerebral infarction,while also improving sleep quality.
