焦点解决模式在冠心病患者中的应用及对负性情绪、心理韧性的影响

Application of Solution-focused Mode in Patients with Coronary Heart Disease and its Influences on Negative Emotion and Psychological Resilience

目的探讨焦点解决模式在冠心病患者中的应用及应对负性情况、心理韧性的影响。方法采用实验性研究,从符合研究标准的冠心病患者中随机抽取68例为研究对象,并分为观察组与对照组,每组34例。对照组给予常规护理干预,观察组予以焦点解决干预模式。干预2周后统计两组干预前后负性情绪及心理韧性变化情况。结果干预后对照组HAMD(72.1±13.8)分,HSMD(64.3±9.4)分,均显著低于观察组(78.5±11.6)分、(72.3±11.5)分(P<0.05);干预后对照组乐观、坚强、坚韧评分依次为(8.7±0.8)分、(25.8±4.5)分、(47.2±6.5)分,均显著低于观察组(9.1±1.3)分、(32.4±5.8)分、(52.3±5.2)分(P<0.05)。结论焦点解决模式通过提出问题、鼓励参与式护理能显著改善冠心病患者负性心理。

Objective To explore application of solution-focused mode in patients with coronary heart disease(CHD)and its influences on negative emotion and psychological resilience.Methods The experimental study was performed to randomly select 68 cases from CHD patients who met study criteria.They were divided into observation group and control group,34 cases in each group.The control group was given routine nursing intervention,while observation group was given solution-focused intervention mode.After 2 weeks of intervention,changes in negative emotion and psychological resilience in both groups before and after intervention were statistically analyzed.Results After intervention,scores of HAMD[(72.1±13.8)points]and HSMD[(64.3±9.4)points]in control group were significantly lower than those in observation group[(78.5±11.6)points and(72.3±11.5)points](P<0.05).After intervention,scores of optimism,adamancy and toughness[(8.7±0.8)points,(25.8±4.5)points,(47.2±6.5)points]in control group were significantly lower than those in observation group[(9.1±1.3)points,(32.4±5.8)points,(52.3±5.2)points](P<0.05).Conclusion solution-focused mode can significantly improve negative psychology of CHD patients by raising questions and encouraging participatory for nursing.