聚焦解决模式对脊髓损伤伴截瘫患者残障接受度影响的研究

A study on the effect of solution focused approach on the acceptance of disability in patients with spinal cord injury with paraplegia

目的探讨聚焦解决模式对脊髓损伤伴截瘫患者残障接受度的影响,以提高脊髓损伤伴截瘫患者的残障接受度。方法将64例脊髓损伤伴截瘫患者按随机数字表法分为2组各32例,对照组给予常规护理,试验组在对照组基础上实施聚焦解决模式干预,采用残障接受度量表、自我感受负担量表和医院焦虑抑郁量表分别在干预前和干预3个月后对患者进行调查,评价两组患者的残障接受度、自我感受负担和焦虑抑郁情况。结果干预3个月后,试验组残障接受度量表中扩大维度、服从维度、控制维度、转变维度及总分均明显高于对照组(均P<0.05),试验组自我感受负担得分和焦虑抑郁总分均明显低于对照组(t=5.263,P<0.05;t=3.613,P<0.05)干预前,上述各指标两组间比较均无统计学差异(P>0.05)。干预3个月后,试验组残障接受度总分明显高于干预前(Z=-3.946,P<0.05),对照组干预前后差异无统计学意义(P>0.05)。结论聚焦解决模式能够提高脊髓损伤伴截瘫患者的残障接受度,减轻患者的自我感受负担和焦虑抑郁水平。

Objective To explore the effect of solution focused approach on the acceptance of disability in patients with spinal cord injury combined with paraplegia,to improve the patient's acceptance of disability.Methods Totally 64 patients with spinal cord injury combined with paraplegia were randomly divided into the experimental group and the control group with 32 cases in each group.The experimental group received the solution focused approach on the basis of routine nursing,while the control group patient only received routine nursing.Acceptance of disability scale,Self-feeling burden scale and hospital anxiety and depression scale were used to evaluate the intervention effect at different time.Results After 3 months of intervention,the dimensions of expansion,obedience,control,transformation and total scores of disability Acceptance Scale in the experimental group were significantly higher than those in the control group(all P<0.05).The self-feeling burden score and the total anxiety and depression score of the experimental group were significantly lower than those of the control group(t=5.263,P<0.05;t=3.613,P<0.05).Before intervention,there was no statistical difference between the two groups(P>0.05).After 3 months of intervention,the total score of disability acceptance in the experimental group was significantly higher than that before intervention(Z=-3.946,P<0.05),while the difference before and after intervention in the control group was no statistically significant(P>0.05).Conclusion Solution Focused Approach can improve the acceptance of disability and reduce the patient's self-feeling burden and anxiety and depression levels in patients with spinal cord injury combined with paraplegia.