Abstract
BACKGROUND: Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied by mental disorders. AIM: To explore the impact of combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing in patients with hypertensive intracerebral hemorrhage (ICH) complicated by mental disorders and to provide a reference for the nursing intervention in patients with hypertensive ICH. METHODS: Overall, 128 patients with hypertensive ICH complicated by mental disorders who were admitted to the Affiliated Hospital of Nantong University between January 2022 and December 2024 were divided into groups using a random number table. The control group (n = 64) received multifaceted psychological nursing, and the observation group (n = 64) received the Cox Health Behavior Interaction Model intervention based on multifaceted psychological nursing. The mental state, psychological resilience, self-efficacy, and quality of life of the two groups were compared. RESULTS: Post-intervention, the mental states of anxiety and depression in the observation group (38.82 ± 3.67 points and 35.14 ± 2.75 points, respectively) were lower than those in the control group (46.96 ± 5.12 points and 41.36 ± 3.71 points, respectively), and the psychological resilience levels (tenacity, self-improvement, and optimism) were higher than those in the control group (P < 0.05). Post-intervention, the General Self-Efficacy Scale score in the observation group (31.75 ± 2.75 points) was higher than that in the control group (26.76 ± 2.93 points), and the physical health- and social and mental health-related quality of life were both higher than those in the control group (P < 0.05). CONCLUSION: Combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing for patients with hypertensive ICH and mental disorders relieves anxiety and depression and improves resilience, self-efficacy, and quality of life.