聚焦解决模式对脑卒中患者照顾者照顾准备度和负性情绪的影响

Effects of focused solving mode on the care preparedness and negative emotions of the main caregivers of patients with stroke

目的探讨聚焦解决模式对脑卒中患者主要照顾者照顾准备度和负性情绪的影响。方法选取2018年1-10月在江苏省苏北人民医院神经内科住院的脑卒中患者的主要照顾者87名作为研究对象,将2018年1-5月纳入的43名照顾者作为对照组,2018年6-10月纳入的44名照顾者为干预组。对照组接受常规护理,干预组在常规护理基础上应用聚焦解决模式,采用照顾者准备度量表和焦虑抑郁自评量表评价干预效果。干预组失访2例,对照组失访1例。结果干预前2组主要照顾者准备度得分、焦虑抑郁评分比较差异无统计学意义(P>0.05)。实施聚焦解决模式后,干预组照顾者准备度得分为(24.14 ± 3.25)分,明显高于对照组的(20.95 ± 2.56)分,2组比较差异有统计学意义(t=5.000,P<0.01);干预组照顾者焦虑和抑郁评分分别为(47.64 ± 6.54)、(48.39 ± 7.07)分,对照组分别为(50.33 ± 4.68)、(53.68 ± 6.73)分,2组比较差异有统计学意义(t=-2.165、-3.511,P<0.05或0.01)。结论聚焦解决模式能够提高脑卒中患者主要照顾者的照顾准备度,缓解焦虑、抑郁情绪。

Objective To explore the effects of focused solving mode on the care preparedness and negative emotions of the main caregivers of patients with stroke. Methods Totally 87 main caregivers of patients with stroke were enrolled from the department of Neurology,North Jiangsu People′s hospital in Yangzhou from January 2018 to October 2018. Forty-three caregivers were recruited in the control group from January to May 2018. From June to October in 2018, 44 caregivers were recruited in the intervention group. Both groups received routine care, and the intervention group also received focused solving mode. Applying Caregiver Preparedness Scale、Self-rating Anxiety and Depression Scale to evaluate the effects of intervention. Two cases in intervention group were lost to follow-up while one case in control group. Results Before the intervention, there were no statistical differences in caregiver preparedness scores and anxiety and depression scores between two groups (P>0.05). After the implementation of the focused solving mode, the caregiver preparedness score was (24.14±3.25) points in the intervention group and (20.95±2.56) points in the control group, the difference was statistically significant (t=5.000, P<0.01);the anxiety and depression scores of caregivers were (47.64±6.54),(48.39 ±7.07) points in the intervention group,(50.33±4.68),(53.68±6.73) points in the control group, there were significant differences (t=-2.165,-3.511, P<0.05 or 0.01). Conclusion Focused solving mode can improve the care preparedness of the main caregivers of patients with stroke and alleviate anxiety and depression effectively.