Application of nursing intervention based on Snyder's hope theory in individuals with spinal cord injury

Abstract

Objective: To study the effect of nursing intervention derived from Snyder's hope theory in individuals with spinal cord injury.

Methods: We retrospectively analyzed clinical data of 80 patients with spinal cord injury who were admitted to General Hospital of Pingxiang Mining Group Co., from August 2021 to October 2023. According to different nursing methods, they were assigned into a control group (n = 40, routine curative care) and an observation group (n = 40, routine curative care plus nursing intervention derived from Snyder's hope theory). The two groups were compared in terms of emotional state, level of hope, living standard, occurrence of complications, and nursing satisfaction. According to the occurrence of complications after nursing, the patients were divided into a good prognosis group and a poor prognosis group, and the influencing factors for prognosis were analyzed by univariate analysis and logistic multivariate analysis.

Results: After nursing, the anxiety and depression scores decreased in both groups when compared to their pre-nursing scores, with lower scores in the observation group than in the controls (P<0.05). Also, the observation group exhibited significantly higher score of hope, higher score of quality of life, and lower occurrence of complications when compared to the control group (P<0.05). The nursing satisfaction rate in the observation group was 95.00% (38/40), which was noticeably greater than 65.00% (26/40) in the control group (P<0.05). Multivariate analysis showed that nursing methods (P = 0.007, OR = 7.828, 95% CI: 1.766-34.688) and HB after intervention (P = 0.029, OR = 0.965, 95% CI: 0.935-0.996) were the influencing factors of complications after nursing intervention in patients with SCI.

Conclusion: The implementation of nursing intervention derived from Snyder's hope theory can decrease the anxiety and depression levels, lower the occurrence of complications, enhance the hope level, increase the satisfaction rate, and improve the overall quality of life in patients with spinal cord injury.

Keywords: Snyder’s hope theory; hope level; nursing; nursing satisfaction; quality of life; spinal cord injury.

Figure 1

Comparison of SAS and SDA scores between the two groups. Note: vs. the control group: ****P<0.0001; vs. before intervention: aP<0.05. A: SAS score; B: SDS score. SAS: self-rating anxiety scale; SDS: self-rating depression scale.

Figure 2

Comparison of hope level between two patient groups. Note: vs. the control group: ***P<0.001; vs. the same group before intervention: aP<0.05. A: Positive attitude towards reality and future; B: Positive action score; C: The score of maintaining intimate relationship with others.