聚焦解决模式在更年期妇女健康教育中的应用

Application of Solution-focused Approach in Health Education of Menopausal Women

目的探讨聚焦解决模式在更年期妇女健康教育中的应用方法及效果。方法 2015年1-6月,采取便利抽样方法,选择陕西省志丹县人民医院妇产科收治的更年期妇女85例为研究对象,按照入院先后将其分为对照组(42例)和观察组(43例),对照组给予常规健康教育,观察组在对照组的基础上将聚焦解决模式应用于健康教育中,干预时间均为1年,比较干预前后两组更年期妇女的更年期症状相关知识的知晓率、更年期症状严重程度、抑郁水平、焦虑水平及生活质量水平。结果干预前两组更年期妇女更年期症状严重程度、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)及更年期生活质量评分量表(menopause rating scale,MRS)得分差异均无统计学意义(均P>0.05);干预后,两组比较,观察组各项得分均优于对照组,差异均有统计学意义(均P<0.05)。结论聚焦解决模式能够有效提高更年期妇女的知信行水平和生活质量水平,降低其抑郁和焦虑程度。

Objective To explore the application effect of solution-focused approach model in improving the quality of life of menopausal women.Methods By convenience sampling,86 cases were selected,and equally divided into control group and observation group.The control group received routine health education,while the observation group added solution-focused follow up intervention on the basis of routine nursing, the follow up time was 1 year.The KAP（knowledge, attitudes and practice）level, depression level, anxiety level and quality of life level before and after the intervention were compared.Results Before the intervention,there was statistical significance among the severity of Menopausal symptoms and the scores of SAS, SDS, MRS scales between two groups （P〉0.05）. After the intervention, all scores in observation group women were improved than the control group（P〈0.05）. Conclusions The solution-focused approach can effective improve the level of KAP and quality of life of menopausal women,which can also reduce the degree of depression and anxiety.