焦点解决短程治疗对脑出血患者焦虑抑郁及希望水平的影响

Effect of Solution-focused Brief Therapy on Anxiety, Depression and Level of Hope in Patients with Cerebral Hemorrhage

目的探讨焦点解决短程治疗对脑出血患者焦虑、抑郁以希望水平的影响。方法选取2018年1月-2019年4月在华北理工大学附属医院神经外科治疗的100例脑出血患者,并将其随机分为2组,每组50例,对照组实施常规护理,观察组在常规护理的基础上进行焦点解决短程治疗,连续干预4周,采用Zung’s焦虑自评量表、Zung’s抑郁自评量表及Herth希望量表(Herth Hope Index,HHI)比较2组干预前后焦虑、抑郁的差异及希望水平情况。结果 2组干预后,观察组的SAS、SDA总得分较对照组低,希望水平得分及积极行为、行为态度、积极关系3个维度得分较对照组高(均P<0.05)。观察组SAS、SDA得分较干预前有所下降、希望水平及3个维度得分较干预前增加(均P<0.05);对照组SAS、SDS得分较干预前稍有所下降,希望水平较干预前增加较少(均P<0.05)。结论焦点解决短程治疗可有效增改善患者的焦虑、抑郁情绪,提高其希望水平,减弱或消除疾病对患者造成的身心创伤。

Objective To explore the effect of solution-focused brief therapy(SFBT) on anxiety, depression and level of hope in patients with cerebral hemorrhage. Methods One hundred patients with cerebral hemorrhage in department of neurosurgery in Affiliated Hospital of North China University of Science and Technology from January 2018 to April 2019 were randomly divided into two groups, with 50 in each group. The control group received routine nursing and the intervention group SFBT in addition to routine nursing for one course of treatment. Zung’s Self-rating Anxiety Scale(SAS), Zung’s Self-rating Depression Scale(SDS) and Herth Hope Index(HHI) were used to compare the differences in anxiety, depression and level of hope between the two groups before and after the intervention. Results After the intervention, the total scores of SAS and SDS in the intervention group were lower than those in the control group. The scores of the level of hope, positive behavior, behavioral attitude and positive relationship were higher than those of the control group(P<0.05). The scores of SAS and SDS in the intervention group were lower after the intervention, but those of level of hope and positive behavior, behavioral attitude and positive relationship were higher after the intervention( P<0.05).The scores of SAS and SDS in the control group were slightly lower after the intervention but the score of level of hope increased moderately(both P<0.05). Conclusion SFBT can effectively improve anxiety and depression of patients, improve their level of hope,and reduce or eliminate the physical and mental trauma caused by the disease.