聚焦解决模式在玻璃体填充术患儿照顾者中的应用

Application of solution-focused therapy for caregivers of children with vitreous tamponade

目的探讨聚焦解决模式对玻璃体填充术患儿照顾者在照顾负担与护士护理支持的影响。方法将120例实施玻璃体填充术患儿的照顾者随机分为对照组和干预组,对照组采用传统护理方式,干预组采用聚焦解决模式进行护理。采用照顾者负担量表(CBI)、护士对患儿父母支持量表(NPST)作为评价指标,于入院时和出院前1日分别对两组照顾者进行调查和评价。结果出院前1日,干预组的CBI总分及5个维度的负担得分均低于对照组,但NPST均分及4个维度的支持得分均高于对照组,差异均有统计学意义(P<0.01)。结论聚焦解决模式作为一种心理干预模式,能有效减轻玻璃体填充术患儿照顾者的照顾负担,并提高患儿照顾者对护士护理支持的感知程度。

Objective To investigate the effects of solution-focused therapy on the care burden of caregivers of children with vitreous tamponade and care support of nurses. Methods Caregivers of 120 children with vitreous tamponade were randomly divided into the control group and intervention group. The control group adopted routine nursing methods and the intervention group adopted the solution-focused therapy. Caregivers of two groups were investigated and assessed by the Caregiver Burden Inventory （CBI） and Nurse Parent Support Tool （NPST） on the admission day and the day before discharge. Results The total score of CBI and scores of five burden dimensions of the intervention group the day before discharge were lower than those of the control group, but the average score of NPST and scores of four support dimensions were higher than those of the control group. The differences were statistically significant （P 〈 0.01）. Conclusion As a psychological intervention therapy, solution-focused therapy can effectively relieve the care burden of caregivers of children with vitreous tamponade and improve the awareness of caregivers towards the care support of nurses.