Objective: To explore potential categories of characteristics of family caregivers′ perceived benefit for young and middle-aged stroke patients, and to analyze differences in caregiver characteristics across categories and the factors that influence them. Methods: A convenience sampling method was used to select family caregivers of young and middle-aged stroke patients hospitalized at a grade Ⅲ and first-class neurological hospital in Tianjin from October 2023 to April 2024. The Stroke Caregiver Benefit Scale(CBS) was used for data collection. The potential categories of family caregivers were analyzed, and unordered multinomial logistic regression was used to analyze the relevant influencing factors. Results: The perceived benefit characteristics of family caregivers were categorized into 3 categories, including the "Low benefit-Lack of personal and family growth" (39.4%), "Moderate benefit-High self-transcendence" (32.9%), and "High benefit-Moderate self-transcendence" (27.7%). The results of unordered multinomial logistic regression analyses showed that coping style, social support levels, presence of a co-caregiver, caregiver burden levels, frequency of stroke events, and employment status were the factors influencing the perception of benefit for family caregivers of young and middle aged stroke patients. Conclusion: There are obvious categorical characteristics of family caregivers in young and middle aged stroke patients. It is recommended that medical staff take targeted interventions according to different types of perceived benefit characteristics to enhance the caregivers′ sense of benefit.

Objective: To investigate the clinical effects of aromatherapy and auricular plaster therapy on inpatients with post-stroke insomnia(PSI). Methods: Using a convenience sampling method, 120 inpatients with post-stroke insomnia from a Class A tertiary neurological hospital in Tianjin were selected as study subjects. The research subjects were randomly divided into control group, aromatherapy group, auricular plaster group, and combination group, with 30 cases in each group. The changes in sleep quality(Pittsburgh Sleep Quality Index,PSQI) and depressive symptoms(Hamilton Depression Scale, HAMD) were compared among the four groups at admission, after 7 days of intervention, and after 1 month of intervention. Additionally, differences in hospital stay duration and overall satisfaction with nursing services among the groups were compared. Results: After 7 days of intervention, the PSQI scores in the aromatherapy group and the combined group were lower than those in the control group( P<0.05), while there was no significant difference in PSQI scores between the auricular plaster group and the other three groups( P>0.05). There was no statistically significant difference in HAMD scores among the four groups ( F=2.462, P>0.05). After 1 month of intervention, the PSQI scores in the aromatherapy group, auricular plaster group, and combined group were all lower than those in the control group( P<0.05). And the HAMD scores in the aromatherapy group and combined group were lower than those in the control group( P<0.05), but there was no significant difference between the auricular plaster group and the control group( P>0.05). In terms of hospital stay duration, the combined group had a shorter hospital stay than the other three groups ( F=3.213, P<0.05). There was no statistically significant difference in inpatient satisfaction among the groups( H=6.629, P>0.05). Conclusion: Aromatherapy can improve sleep quality in PSI patients with short-term use (7 days) and can also alleviate depressive symptoms with continued use. Auricular plaster requires long-term treatment(over 1 month) to improve sleep in PSI patients. The combination of aromatherapy and auricular plaster therapy helps shorten hospital stay and supports maintaining a positive nurse-patient relationship.

Objective: To explore the fear of disease recurrence in pulmonary tuberculosis patients and analyze its influencing factors based on the theoretical model of social support, so as to provide reference for the medical staff to implement comprehensive and personalized nursing interventions. Methods: 152 pulmonary tuberculosis patients who were hospitalized in the tuberculosis department of a tertiary Class A hospital in Tianjin were selected by the convenient sampling method. Questionnaires were surveyed using the general data questionnaire, social support rating scale, and fear of progression questionnaire-short form. Results: The total score of social support for pulmonary tuberculosis patients was 33.13±9.60; the total score of fear of disease recurrence was 33.39±10.89, 77 cases(50.7%) exceeded the normal level(≥34).The scores of social support and each dimension were negatively correlated with the scores of fear of disease recurrence and each dimension（ P<0.01）. Multiple stepwise regression analysis showed that social support and age were independent factors influencing the fear of disease recurrence( P<0.05). Conclusion: The level of fear of disease recurrence in pulmonary tuberculosis patients was not optimistic. The level of social support and age could independently affect the level of fear of disease recurrence. Nursing staff should cooperate with other departments to formulate comprehensive, multi-dimensional, and diversified intervention measures to improve their social support, so as to reduce the level of fear of recurrence of pulmonary tuberculosis patients and improve the treatment effect.