聚焦解决模式的心理干预对颅内动脉瘤患者疾病不确定感及术后恢复的影响

Effect of psychological intervention with focus solution model on disease uncertainty and postoperative recovery of patients with intracranial aneurysms

目的:探究聚焦解决模式(SFA)心理干预对颅内动脉瘤患者疾病不确定感及术后恢复的影响。方法:选取2017年12月-2019年12月某院收治的颅内动脉瘤患者180例,随机分为观察组和对照组,各90例。观察组行SFA心理干预,对照组行常规干预。比较两组心理状况[焦虑自评量表(SAS)和抑郁自量表(SDS)]、疾病不确定感[Mishel制定的疾病不确定感量表(MUIS)]、术后恢复[格拉斯哥昏迷量表(GCS)、Barthel指数]及生活质量[健康调查简表(SF-36)]。结果:干预后,对照组SAS和SDS评分明显高于观察组(t=5.386,3.215;P<0.05);干预后,对照组MUIS各维度评分及总分明显高于观察组(t=6.520,7.635,5.823,3.822,11.358;P<0.05);干预后,观察组GCS和Barthel指数评分明显高于对照组(t=12.934,12.777;P<0.05);干预后,观察组SF-36各维度评分明显高于对照组(t=7.765,11.210,8.083,5.150,9.201,10.016,9.909,6.643;P<0.05)。结论:针对颅内动脉瘤患者给予SFA心理干预,可改善患者心理状况,减轻对疾病的不确定感,加速患者术后恢复,提升生活质量。

Objective:To explore the influence of psychological intervention of Focused Solution Model(SFA)on the uncertainty of disease and postoperative recovery of patients with intracranial aneurysms.Methods:A total of 180 patients with intracranial aneurysms admitted to our hospital from December 2017 to December 2019 were randomly divided into observation group and control group, with 90 cases in each group.The observation group received SFA psychological intervention, while the control group received routine intervention.The psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],uncertainty of disease[MUIS]developed by[Mishel],postoperative recovery[Glasgow coma scale(GCS),Barthel index]and quality of life[health survey short form(SF-36)]were compared between two groups.Results:After intervention, SAS and SDS scores of observation group were significantly lower than those of control group(t=5.386,3.215;P<0.05).After intervention, the scores and total scores of MUIS in the observation group were significantly lower than those in the control group(t=6.520,7.635,5.823,3.822,11.358;P<0.05).After intervention,GCS and Barthel index scores in the observation group were significantly higher than those in the control group(t=12.934,12.777;P<0.05).After intervention,the scores of SF-36 in observation group were significantly higher than those in control group(t=7.765,11.210,8.083,5.150,9.201,10.016,9.909,6.643;P<0.05).Conclusion:SFA psychological intervention for patients with intracranial aneurysms can improve the psychological status of patients,reduce the uncertainty of disease,accelerate the postoperative recovery of patients and improve the quality of life.