ObjectiveTo explore the application value of predictive nursing based on Maslow's basic needs hierarchy theory in preventing acute depression in patients with basal ganglia cerebral infarction.
MethodsOne hundred and fifty-eight patients with new basal ganglia infarction were randomly divided into the observation group(n=78) and control group(n=80).The predictive nursing guided by needs hierarchy theory and high quality routine nursing were applied in observation group and control group, respectively.The general clinical data, occurrence of depression and score of activity of daily living(ADL) were compared between two groups, and the logistic regression was used to identify the risk factors for depression.
ResultsCompared with the control group, the incidence rate of depression significantly decreased(P < 0.05), and the ADL score significantly increased in observation group(P < 0.01).Compared with the control group, the score of the Hamilton Depression Scale(HAMD) of mild depressed patients decreased(P < 0.01), and the ADL score of mild depressed patients significantly increased in observation group(P < 0.01).There was no statistical significance in moderate and severe HAMD scores and length of stay between two groups(P>0.05).The results of multivariate logistic analysis found that the predictive care was still an independent protective factor of depression occurrence after adjusting the scores of gender, age, solitary and social support(OR=0.142, P < 0.01).
ConclusionsAmong nursing patients with new basal ganglia infarction, the predictive nursing based on Maslow's basic needs hierarchy theory can significantly reduce the incidence of depression in acute phase patients, and it may have potential value in improving the self-care ability of the patients.
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