聚焦解决模式在缓解脊髓损伤合并截瘫患者负性情绪中的应用及效果评价

The effect of solution-focused nursing on self management and negative emotion in patients with spinal cord injury with paraplegia

目的探讨聚焦解决模式在脊髓损伤合并截瘫患者缓解负性情绪中的应用及效果。方法用随机数字表法将纳入研究的70例脊髓损伤合并截瘫患者随机分为实验组和对照组各35例,实验组实施聚焦解决模式护理和常规护理,对照组实施常规护理。应用自行设计的一般资料调查表、自我感受负担量表、焦虑自评量表、抑郁自评量表评价干预前后的效果。结果干预前两组的自我感受负担评分和焦虑、抑郁评分差异无统计学意义(P>0.05),干预后随着时间的延长,自我感受负担评分和焦虑、抑郁评分逐渐降低,且实验组比对照组得分更低,差异有统计学意义(P<0.05)。结论聚焦解决模式能够明显减轻脊髓损伤合并截瘫患者的自我感受负担和焦虑、抑郁状况,有效缓解患者的负性情绪。

Objective To explore the effect of solution-focused nursing on self management and negative emotion in patients with spinal cord injury with paraplegia. Methods Totally 70 patients with spinal cord injury combined with paraplegia were randomly divided into the experimental group and the control group,and each group has 35 patients. The control group was given routine nursing and the experimental group was given solution-focused nursing implemented by the nursing staff on the basis of the control group. General data sheet,the self-perceived burden seale（SPBS）,SDS and SAS were used to evaluate the intervention effect at different time. Results There was no significant difference between the two groups before intervention（P〉0.05）. The scores of SDS,SAS and SPBS were gradually decreased ,and the scores of the experimental group were lower than the control group ,and the difference was statistically significan （P〈0.05）. Conclusion Solution-focused nursing can significantly reduce self-perceived burden and anxiety,depression of patients with spinal cord injury combined with paraplegia,and effectively alleviate their negative emotions.