Risk factors of posterior circulation ischemic dizziness/vertigo and nursing effects of emotional releasing therapy combined with positive psychological suggestion in patients / 中国实用护理杂志

ABSTRACT

Objective:To explore the risk factors of posterior circulation ischemic dizziness/vertigo and nursing effects of emotional releasing therapy combined with positive psychological suggestion in patients.Methods:A total of 368 patients with dizziness/vertigo treated in Qinhuangdao First Hospital were selected by Convenience sampling method from January 2018 to August 2020, including 153 cases confirmed with posterior circulation ischemic dizziness/vertigo in posterior circulation group and 215 cases with non-posterior circulation ischemic dizziness/vertigo in non-posterior circulation group. The risk factors were analyzed by Logistic regression analysis. According to random number table method, 153 patients in posterior circulation group were divided into control group (76 cases received routine nursing) and observation group (77 cases received emotional releasing therapy combined with positive psychological suggestion on basis of routine nursing). All patients were intervened until discharge. The onset frequency and duration of dizziness/vertigo before and after intervention, effects of vertigo on patients, anxiety, depression, treatment compliance, and nursing satisfaction after intervention were compared between the two groups.Results:Multivariate analysis showed that male gender ( OR=2.675, 95% CI 1.179-6.070), age not younger than 60 years old ( OR=2.255, 95% CI 1.105-4.602), hypertension ( OR=3.330, 95% CI 1.651-6.717), diabetes ( OR=2.044, 95% CI 1.270-3.291), smoking ( OR=2.333, 95% CI 1.266-4.300), previous history of stroke or transient ischemic attack (TIA) ( OR=2.601, 95% CI 1.333-5.075), and previous history of cardiovascular diseases ( OR=2.143, 95% CI 1.085-4.230) were independent risk factors of posterior circulation ischemic dizziness/vertigo (all P<0.05). After intervention, onset frequency and duration of dizziness/vertigo in observation group were (1.26 ± 0.34) times/month and (4.16 ± 1.02) min, significantly shorter than (3.18 ± 0.95) times/month, (6.43 ± 1.18) min in control group ( t=16.69, 12.74, both P<0.05). The scores of Dizziness Handicap Inventory, Self-rating Depression Scale and Self-rating Anxiety Scale in observation group were (12.27 ± 3.34), (37.35 ± 3.62), (38.13 ± 3.22) points, significantly lower than (18.35 ± 4.61), (44.19 ± 3.14), (43.25 ± 3.08) points in control group ( t=9.35, 12.48, 10.05, all P<0.05). After intervention, Morisky Medic Ationadherence Scale and Newcastle Satisfaction with Nursing Scales scores in observation group were (6.77 ± 0.52), (87.06 ± 3.12) points, significantly higher than (5.34 ± 0.37), (79.14 ± 4.28) points in control group ( t=19.58, 13.09, both P<0.05). Conclusions:Male gender, age not younger than 60 years old, hypertension, diabetes, smoking, previous history of stroke or TIA, and previous history of cardiovascular diseases are independent risk factors of posterior circulation ischemic dizziness/vertigo. The emotional releasing therapy combined with positive psychological suggestion can effectively improve onset of dizziness/vertigo, anxiety, depression and treatment compliance in patients with posterior circulation ischemia, with high nursing satisfaction.