A study on the impact of tiered nursing management on sleep quality in patients with cerebral hemorrhage
分级护理管理对脑出血患者睡眠质量的影响研究

摘要

目的 探究分级护理管理用于脑出血患者的临床效果，分析其对患者睡眠质量、负面情绪、并发症发生率及护理满意度的影响，为优化护理方案、改善患者状态提供依据。方法 选取2025年1-12月我院神经内科100例30-80岁脑出血患者，随机分为对照组与实验组各50例。对照组行常规护理管理，实验组行系统化分级护理管理，连续干预4周。对比两组干预前后匹兹堡睡眠质量指数（PSQI）、焦虑自评量表（SAS）、抑郁自评量表（SDS）评分，统计并发症发生率与护理满意度，行t检验和χ2检验，P<0.05有统计学意义。结果 干预后，两组PSQI、SAS、SDS评分均降低，且实验组低于对照组；实验组并发症发生率6.00%低于对照组的20.00%，护理满意度96.00%高于对照组的80.00%，差异均有统计学意义（P<0.05）。结论 分级护理管理用于脑出血患者，可改善睡眠质量，缓解负面情绪，降低并发症风险，提升护理满意度，临床价值显著，值得推广。

Abstract

Objective To investigate the clinical efficacy of hierarchical nursing management in patients with intracerebral hemorrhage (ICH), analyze its effects on patients’ sleep quality, negative emotions, complication incidence, and nursing satisfaction, and provide evidence for optimizing nursing protocols and improving patient outcomes.
Methods A total of 100 ICH patients aged 30–80 years from the Department of Neurology of our hospital were randomly divided into a control group (n=50) and an experimental group (n=50) during January-December 2025. The control group received conventional nursing management, while the experimental group underwent systematic hierarchical nursing management for 4 consecutive weeks. The PSQI, SAS, and SDS scores before and after intervention were compared between the two groups, and the complication incidence and nursing satisfaction were statistically analyzed using t-tests and χ2 tests. P<0.05 was considered statistically significant.
Results After intervention, the Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) scores in both groups decreased, with the experimental group showing lower scores than the control group. The complication incidence in the experimental group (6.00%) was significantly lower than that in the control group (20.00%), and the nursing satisfaction rate in the experimental group (96.00%) was significantly higher than that in the control group (80.00%). Both differences were statistically significant (P<0.05).
Conclusion   Hierarchical nursing management for ICH patients can improve sleep quality, alleviate negative emotions, reduce the risk of complications, and enhance nursing satisfaction, demonstrating significant clinical value and warranting widespread adoption.