聚焦解决模式对HIV/AIDS患者焦虑抑郁和心理弹性的干预研究

Effect of focused resolution mode on anxiety depression and mental resilience in HIV/AIDS patients

目的探讨聚焦解决模式对HIV/AIDS患者焦虑、抑郁情绪及心理弹性的影响。方法选择符合标准的HIV/AIDS患者,采用随机数字表分为两组,对照组给予感染科HIV/AIDS患者常规护理,观察组在常规护理的基础上采用聚焦解决模式干预。在入组时和干预结束时分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CD-RISC)对患者进行测评。结果62例患者入组,干预组和对照组各31人。干预前,干预组患者焦虑、抑郁、心理弹性得分为(59.35±6.04)、(65.28±7.52)、(59.32±7.82)分;干预后,分别为(50.85±6.26)、(58.99±7.40)、(71.81±6.95)分,干预前后比较,差异有统计学意义(P<0.05)。对照组在干预前焦虑、抑郁、心理弹性得分为(59.35±5.07)、(67.94±6.82)、(61.97±4.96)分;干预后,分别为(59.23±5.38)、(67.86±6.70)、(62.32±4.83)分,对照组干预前后比较,差异无统计学意义(P>0.05)。干预组采取聚焦解决模式优于对照组的常规护理干预。结论聚焦解决模式可以降低HIV/AIDS患者焦虑抑郁情绪,提高其心理弹性水平。

Objective To investigate the effects of focused resolution mode on anxiety,depression,and mental resilience in HIV/AIDS patients.Methods HIV/AIDS patients were selected and divided into two groups by random number table.The control group was given routine care for HIV/AIDS patients in the department of infection and the observation group was given focused solution mode intervention based on routine care.Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Resilience Scale(CD-RISC)were used to evaluate the patients at the time of enrollment and the end of the intervention.Results 62 patients were enrolled,31 in the intervention group and 31 in the control group.Before the intervention,the scores of anxiety,depression,and resilience of patients in the intervention group were(59.35±6.04),(65.28±7.52),and(59.32±7.82).After the intervention,the scores were(50.85±6.26),(58.99±7.40),(71.81±6.95),respectively,and the difference was statistically significant(P<0.05).The scores for anxiety,depression,and resilience in the control group before intervention were(59.35±5.07),(67.94±6.82),(61.97±4.96),(59.23±5.38),(67.86±6.70),(62.32±4.83)after the intervention.There was no significant difference in the control group before and after intervention(P>0.05).The routine nursing intervention in the intervention group was better than in the control group.Conclusion The focused solution model can reduce anxiety and depression in HIV/AIDS patients and improve their psychological resilience.