聚焦解决模式对慢性硬膜下血肿钻孔引流术患者术后负性情绪的影响  

Effects of solution-focused approach on negative emotions among chronic subdural hematoma patients with trepanation and drainage

作　　者：典慧娟 范艳竹[1] 王琳琳[1] 尤园[1] Dian Huijuan;Fan Yanzhu;Wang Linlin;You Yuan(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100070

出　　处：《中华现代护理杂志》2018年第32期3934-3937,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨聚焦解决模式改善慢性硬膜下血肿钻孔引流术术后负性情感的效果。方法采用随机数字表法将2017年1—12月首都医科大学附属北京天坛医院收治的100例慢性硬膜下血肿住院患者分成对照组和观察组,各50例。对照组采用常规护理,观察组在此基础上应用聚焦解决模式5个步骤进行健康教育。采用SAS、SDS问卷分别于入院时和出院时对两组患者进行评价。结果出院时观察组患者焦虑、抑郁自评评分分别为(35.00±5.222)、(37.28±5.091)分,低于对照组的(38.40±6.550)、(41.26±7.001)分,差异有统计学意义(P<0.05)。结论聚焦解决模式可以改善慢性硬膜下血肿钻孔引流术术后患者负性情绪,值得临床推广应用。Objective To explore the effects of solution-focused approach on improving negative emotions among chronic subdural hematoma patients with trepanation and drainage.Methods From January to December 2017, a total of 100 chronic subdural hematoma inpatients in Beijing Tiantan Hospital of Capital Medical University were divided into control group and observation group by the random number table, 50 cases in each group. Control group carried out routine nursing. On the basis of that in control group, observation group provided health education by five-step of solution focused approach. Patients of two groups were evaluated with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) on admission and at discharge.Results The scores of SAS and SDS of patients in observation group were (35.00±5.222) and (37.28±5.091) respectively at discharge lower than those [ (38.40±6.550) and (41.26±7.001) ]in control group with significant differences (P<0.05) .ConclusionsSolution-focused approach can improve negative emotions among chronic subdural hematoma patients with trepanation and drainage. It is worth to be popularized and applied in clinic.

关 键 词：血肿 硬膜下 焦虑 抑郁 健康教育 聚焦解决模式 

分 类 号：R473.6[医药卫生—护理学]