聚焦解决模式在急性心肌梗死护理中的应用

Application of Solution-Focused Approach in Nursing Patients with Acute Myocardial Infarction

目的:探讨聚焦解决模式应用于急性心肌梗死护理中的效果。方法:选取住院治疗的急性心肌梗死患者76例,随机分为对照组和实验组。对照组患者接受常规的护理指导,实验组在常规护理指导的基础上应用聚焦解决模式进行护理。出院时对两组患者的治疗护理效果进行评价。结果:实验组患者的自我护理技巧和知识、遵医行为、病人满意度均明显优于对照组(P<0.05),而便秘、坠积性肺炎等其他并发症发生率低于对照组(P<0.05);实验组平均住院天数少于对照组(P<0.05)。结论:聚焦解决模式能够架起患者与医护人员之间有效沟通的桥梁,增加患者对医护人员的信任程度,提高健康教育的效果,而且有利于减少并发症,缩短住院天数。

Objective：To investigate the effect of nursing with solution-focused approach in acute myocardial infarction（AMI）patients.Method：76 AMI patients were randomized into experimental group and control group.The experimental group patients received conventional nursing plus solution-focused approach,while the control group patients received only conventional nursing.The effectiveness of nursing and treatment was evaluated in the two groups at discharge.Result：The knowledge of self-care skills,medical compliance behaviors and services satisfaction degree in the experimental group were higher than those in the control group（P〈0.05）.The experimental group was significantly lower than the control group in constipation and hypostatic pneumonia（P〈0.05）.The average hospitalization duration of the experimental group was shorter than that of the control group（P〈0.05）.Conclusion：Solution-focused approach was a feasible and effective method in course of nursing in AMI patients.It plays an important role as a communication bridge between patients and health care providers.It could enhance patients＇ trustiness to health care providers,improve the effect of nursing,facilitate the acceptance and satisfaction.Moreover,it is beneficial for reducing complications and shortening the duration of hospitalization.