焦点解决短期心理疗法(SFBT)联合心灵关怀改善轻中度偏瘫患者负性情绪、创伤后成长的效果

Effect of SFBT combined with spiritual care on improving negative emotions and post-traumatic growth in patients with mild-to-moderate hemiplegia

目的:观察焦点解决短期心理疗法(SFBT)联合心灵关怀改善轻中度偏瘫患者负性情绪、创伤后成长的效果。方法:选取2020年2月至2023年3月某院收治的120例轻中度偏瘫患者,随机分为常规组(n=60)和干预组(n=60),常规组给予常规护理,干预组给予SFBT联合心灵关怀护理,比较两组负性情绪[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、自我感受负担、创伤后成长和生活质量。结果:干预后干预组SAS评分(t=8.899,P<0.05)、SDS评分(t=6.499,P<0.05)低于常规组;干预组干预后情感负担(t=15.756,P<0.05)、身体负担得分(t=10.381,P<0.05)低于常规组;干预组干预后精神改变(t=23.383,P<0.05)、新的可能性(t=21.155,P<0.05)、欣赏生活(t=22.668,P<0.05)、个人力量(t=21.155,P<0.05)、人际关系得分(t=17.959,P<0.05)高于常规组;干预组干预后生理职能(t=13.548,P<0.05)、心理状态(t=13.939,P<0.05)、情感功能(t=13.026,P<0.05)、社会功能得分(t=13.689,P<0.05)高于常规组。结论:SFBT联合心灵关怀有助于改善轻中度偏瘫患者负性情绪,减轻患者自我感受负担,提升创伤后成长水平和生活质量。

Objective:To observe the effect of solution focused brief therapy(SFBT)combined with spiritual care on improving the negative emotions and post-traumatic growth in patients with mild-to-moderate hemiplegia.Methods:A total of 120 patients with mild-to-moderate hemiplegia admitted to the hospital from February 2020 to March 2023 were selected and randomly divided into routine group(n=60)and intervention group(n=60).The routine group was given routine nursing,and the intervention group was given SFBT combined with spiritual care nursing.The negative emotions[Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score],self-perceived burden,post-traumatic growth and quality of life were compared between the two groups.Results:After intervention,the SAS score(t=-8.899,P<0.05)and SDS score(t=-6.499,P<0.05)in intervention group were lower than those in routine group.The scores of emotional burden(t=-15.756,P<0.05)and physical burden(t=-10.381,P<0.05)in intervention group after intervention were lower than those in routine group.The scores of mental change(t=23.383,P<0.05),new possibility(t=21.155,P<0.05),appreciation of life(t=22.668,P<0.05),personal strength(t=21.155,P<0.05)and interpersonal relationship(t=17.959,P<0.05)were higher in intervention group than those in routine group.After intervention,the scores of role physical(t=13.548,P<0.05),psychological state(t=13.939,P<0.05),emotional function(t=13.026,P<0.05)and social function(t=13.689,P<0.05)in intervention group were higher compared with those in routine group.Conclusion:SFBT combined with spiritual care can help to improve the negative emotions,relieve the self-perceived burden,and enhance the post-traumatic growth level and quality of life in patients with mild-to-moderate hemiplegia.