聚焦解决模式在脑卒中患者康复训练中的应用  

Application of Solution-Focused Approach in Patients with Stroke Rehabilitation Training

作　　者：段碧媛[1] 兰丽梅[1] 吴翠平[1] 

机构地区：[1]南方医科大学附属小榄医院神经内科,广州中山528415

出　　处：《解放军护理杂志》2013年第14期31-33,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：中山市卫生局课题(J2011124)

摘　　要：目的探讨聚焦解决模式在脑卒中患者康复训练中的应用效果。方法 2011年3月至2012年3月,便利抽样法选择在南方医科大学附属医院治疗的50例脑卒中患者为研究对象,按其入院时间的先后,将其分为观察组和对照组,各25例。对照组患者采用常规康复训练,观察组患者在常规康复训练的基础上应用聚集解决模式对患者进行心理干预。两组患者分别于入院时、干预后3周、3个月、6个月、12个月,采用简式Fugl-Meyer运动功能评分和改良Barthel指数评分对运动能力及生活自理能力进行评价。结果两组患者简式Fugl-Meyer运动功能评分、改良Barthel指数评分在入院时的差异无统计学意义(P>0.05),干预后3周、3个月、6个月、12个月时,观察组患者两项评分显著高于对照组,差异有统计学意义(P<0.05)。结论采用聚集解决模式对脑卒中患者进行心理干预,可以显著提高其康复训练的效果。Objective To investigate the application effect of Solution-Focused Approach in patients with stroke rehabilitation training. Methods Totally 50 patients, who were admitted to Southern medical university affiliated hospital from March 2011 to March 2012, were successively divided into observational group and control group according to the time of admission, with 25 patients in each group. Patients in the control group received conven- tional rehabilitation training only, while the patients in the observational group received conventional nursing plus solution-focused approach. The effect for athletic ability and self-help ability in both groups were evaluated with simple Fugl-Meyer score and modified Barthel index score at the time of admission, 3 weeks, 3 months and 12 months after the intervention, respectively. Results Significant difference of the both groups in simplified Fugl- Meyer score and modified Barthel index score were not found at the time of admission（P〈0.05）. Meyer score and modified Barthel index score in observation group were significantly higher than the control group at the time of 3 weeks, 3 months, 6 months and 12 months after intervention （P〈0. 05）. Conclusion Solution-focused approach can significantly improve the effectiveness of rehabilitation in stroke patients.

关 键 词：聚焦解决模式 脑卒中 康复训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]