OBJECTIVE: This study was designed to explore the feasibility and effectiveness of patient-centered care (PCC) on basis of guidelines of Joint Commission on Accreditation of Healthcare Organizations (JCI) in patients with acute subarachnoid hemorrhage (SAH).
METHODS: A total of 180 SAH patients who received treatment in our hospital were selected as prospective research objects, and were divided into a study group (n=90) and a control group (n=90) by convenience sampling. Patients in the control group received conventional SAH-targeted care, and patients in the study group were additionally nursed with PCC on the basis of conventional SAH-targeted care. The general indicators, including Mini-Mental State Exam (MMSE) scores before and after intervention, activities of daily living (ADL), mental state, general self-efficacy scale (GSES), health knowledge, and incidence of complications were compared between the two groups.
RESULTS: The length of hospital stay, the time in bed, and the expenses of hospitalization in the study group were lower than those of the control group (P<0.05). The scores of MMSE, ADL, GSES, and health knowledge in the study group were higher than those in the control group (P<0.05), and the scores of each dimension of Symptom Checklist-90 (SCL-90) and the incidence of complications in the study group were lower than those in the control group (P<0.05).
CONCLUSIONS: PCC for SAH patients based on the guidelines of JCI can not only improve the outcomes, cognitive function, self-efficacy, negative emotions and ADL of patients, but also help enhance their awareness of the disease and reduce the incidence of complications.