焦点解决模式心理干预对缺血性脑卒中患者伤残接受度的影响

Effect of solution-focused model psychological intervention on disability acceptance of patients with ischemic stroke

目的探讨焦点解决模式心理干预对缺血性脑卒中患者伤残接受度的影响效果。方法采用便利抽样法,选取2020年5—7月河北医科大学第二医院神经内科收治的200例缺血性脑卒中患者为研究对象,采用信封法随机将患者分为对照组和观察组,各100例。对照组给予常规护理模式干预,观察组在常规护理基础上应用焦点解决模式心理干预。采用伤残接受度量表(ADS)和脑卒中专用生活质量量表(SS-QOL)比较两组入院时、出院3个月和6个月后的伤残接受度水平和生活质量。观察组失访2例,对照组失访2例,最终观察组和对照组各纳入98例患者。结果入院时两组患者ADS、SS-QOL评分比较差异无统计学意义(P>0.05);出院3、6个月后,观察组患者ADS、SS-QOL评分均高于入院时,且观察组高于对照组,差异有统计学意义(P<0.01)。结论焦点解决模式心理干预能够提高脑卒中患者伤残接受度和生活质量水平,值得临床应用。

Objective To explore the effect of solution-focused model psychological intervention on disability acceptance of ischemic stroke patients.Methods From May to July 2020,200 patients with ischemic stroke who were admitted to the Neurology Department of the Second Hospital of Hebei Medical University were selected as the study subject by convenience sampling.The patients were randomly divided into the control group and the observation group by the envelope method,with 100 cases in each group.The control group was given routine nursing,while the observation group received solution-focused model psychological intervention on the basis of routine nursing.The Acceptance of Disability Scale(ADS)and Stroke Specific Quality of Life Scale(SS-QOL)were used to compare the disability acceptance and quality of life at admission,three months and six months after discharge in the two groups.There were two cases lost in the observation group and two cases lost in the control group,and 98 patients were included in the final observation group and the control group respectively.Results There was no statistical difference in the scores of ADS and SS-QOL between the two groups at admission(P>0.05).At three and six months after discharge,the scores of ADS and SS-QOL of patients in the observation group were higher than those at admission,and the scores in the observation group were higher than those in the control group,with statistically significant differences(P<0.01).Conclusions The solution-focused model psychological intervention can improve the disability acceptance and quality of life of stroke patients,which is worthy of clinical application.