聚焦解决模式护理在支气管哮喘患者中的干预效果及对SAS与SDS评分的影响

Intervention effect of solution focused approach nursing in patients with bronchial asthma and its influences on SAS and SDS scores

目的探讨聚焦解决模式护理在支气管哮喘患者中的干预效果及对焦虑自评量表(SAS)与抑郁自评量表(SDS)评分的影响。方法选取2020年8月至2021年8月在本院接受治疗的98例支气管哮喘患者,按电脑数字表法随机将其分为对照组和观察组,各49例。对照组行常规护理,观察组在常规护理基础上展开聚焦解决模式护理。比较两组的自我效能、自我感受负担、SAS与SDS评分、哮喘控制效果及生活质量。结果护理后,两组的慢性病自我效能感量表(SECD6)评分均升高,自我感受负担量表(SPBS)评分均降低,且观察组优于对照组,差异具有统计学意义(P<0.05)。护理后,两组的SAS、SDS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。护理后,两组的日间症状、夜间症状评分均降低,哮喘控制测试表(ACT)评分均升高,且观察组优于对照组,差异具有统计学意义(P<0.05)。护理后,两组的支气管哮喘生命质量调查问卷(AQLQ)各维度评分均升高,且观察组高于对照组,差异具有统计学意义(P<0.05)。结论聚焦解决模式护理应用于支气管哮喘患者中可有效改善其自我效能、自我感受负担及焦虑、抑郁情绪,并且有助于进一步提升疾病控制效果、生活质量。

Objective To explore the intervention effect of solution focused approach nursing in patients with bronchial asthma and its influences on the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Methods A total of 98 cases of patients with bronchial asthma who received treatment in our hospital from August 2020 to August 2021 were selected and randomly divided into control group and observation group according to the computer digital table method,with 49 cases in each group.The control group received routine nursing,and the observation group carried out solution focused approach nursing on the basis of routine nursing.The self-efficacy,self-feeling burden,SAS and SDS scores,asthma control effect and quality of life were compared between the two groups.Results After nursing,the score of self-efficacy scale for chronic diseases(SECD6)increased and the score of self-perceived burden scale(SPBS)decreased in the two groups,those in the observation group were better than the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of SAS and SDS in the two groups decreased,those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of daytime and nighttime symptoms in the two groups decreased,the score of asthma control test(ACT)increased,and those in the observation group were better than the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of each dimension bronchial asthma quality of life questionnaire(AQLQ)in the two groups increased,those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusion The solution focused approach nursing applied in patients with bronchial asthma can effectively improve their self-efficacy,self-perceived burden,anxiety and depression emotion,as well as help to further improve disease control effects and quality of life.