聚焦解决模式在肺癌患者术前心理干预中的应用效果  

Application effects of solution focused approach in preoperative psychological intervention for lungcancer patients

作　　者：张玲玲[1] 魏素霞[2] 高永平[1] 

机构地区：[1]河北医科大学第二医院护理部,石家庄050000 [2]河北医科大学第二医院胸外科,石家庄050000

出　　处：《中华现代护理杂志》2016年第1期73-76,共4页Chinese Journal of Modern Nursing

基　　金：基金项目：河北省医学科学研究重点课题计划（ZD20140260）

摘　　要：目的探讨采用聚焦解决模式进行心理干预对肺癌患者术前焦虑、抑郁的效果。方法将92例肺癌手术患者随机分为对照组和观察组各46例，对照组给予常规的心理护理，观察组在此基础上采用聚焦解决模式的5个步骤对患者进行心理干预，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）分别于入院当日及术前1d对患者进行调查，比较两组患者SAS、SDS评分。结果干预前两组患者的SAS、SDS评分比较差异无统计学意义（P〉0．05）；实施聚焦解决模式心理干预后观察组的SAS、SDS评分分别为（45．85±7．49），（49．03±7．46）分，分别低于对照组的（50．62±8．01），（54．36±6．72）分，差异有统计学意义（t值分别为2．950，3．600；P〈0．05）。结论采用聚焦解决模式进行心理干预，能明显缓解肺癌患者术前的焦虑、抑郁情绪。Objective To explore the application effects of solution focused approach in psychological intervention to the anxiety and depression before operation in lung cancer patients. Methods A total of 92 lung cancer patients were divided into control group and observation group, with each group 46 cases. The patients of control group was given routine psychological nursing, while the patients of observation group received a 5 - steps psychological intervention of solution focused approach on the basis of routine psychological nursing. The patients were elevated for the level of anxiety and depression by the self-rating anxiety scale （SAS） and the self- rating depression scale （SDS） on the day of admission and the day before operation, and results Were compared between two groups. Results The differences of SAS and SDS scores between two groups were not statistically significant before intervention （ P 〉 0.05 ）. After psychological intervention, the scores of SAS and SDS of observation group were （45.85±7.49） and （49. 03 ± 7.46） points respectively, which were lower than （50.62±8.01） and （54.36±6.72） in the control group （t =2.950, 3.600;P〈0.05）.Conclusions The application of solution focused approach in preoperative psychological intervention can effectively relieve the anxiety and depression before operation in patients with lung cancer.

关 键 词：肺肿瘤 焦虑 抑郁 心理干预 聚焦解决模式 

分 类 号：R473.73[医药卫生—护理学]