聚焦解决模式在改善大肠癌患者术前焦虑和抑郁情绪中的应用  

Effects of solution-focused approach on preoperative anxiety and depression in patients with colorectal cancer

作　　者：陈吉惠 陈远珍[1] 李义军 邹开庆 Chen Jihui;Chen Yuanzhen;Li Yijun;Zou Kaiqing(Operation Room, Ya＇an People＇s Hospital, Sichuan Province, Ya＇an 625000, Chin)

机构地区：[1]四川省雅安市人民医院手术室,625000

出　　处：《中华现代护理杂志》2018年第7期826-828,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨聚焦解决模式对改善大肠癌患者术前焦虑和抑郁情绪的影响,为临床护理干预提供依据.方法 采用目的 抽样法,选取2016年7月—2017年6月住院大肠癌患者120例为研究对象.按照患者入院的先后顺序进行编号,采用随机数字表法将患者随机分为试验组和对照组各60例.对照组进行常规护理干预,试验组采用聚焦解决模式进行干预,采用SAS和SDS分别于患者入院时和干预后进行评估.结果 干预后对照组患者SAS、SDS得分分别为（46.53±9.21）、（34.94±7.62）分,高于试验组的（41.11±8.94）、（29.82±6.82）分,差异有统计学意义（t值分别为3.271、3.878;P〈0.01）.结论 聚焦解决模式能够改善大肠癌患者术前焦虑和抑郁水平,值得临床推广应用.Objective To explore the effects of solution-focused approach on improving preoperative anxiety and depression in colorectal cancer patients, so as to provide evidence for clinical nursing intervention. Methods A total of 120 patients with colorectal cancer admitted from July 2016 to June 2017 were enrolled in this study by purposive sampling method. The patients were numbered according to the order of admission, and randomly divided into the experimental group and the control group, with 60 cases in each group. In the control group, routine nursing intervention was conducted. The observation group was treated with solution-focused approach. Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） were applied to assess patients on admission and after intervention. Results The scores of SAS and SDS of the control group were （46.53±9.21） and （34.94±7.62） respectively, which were higher than those of the experimental group （41.11±8.94） and （29.82±6.82）, and the differences were statistically significant （t=3.271, 3.878;P〈0.01）. Conclusions Solution-focused approach can improve the level of preoperative anxiety and depression in patients with colorectal cancer, which is worthy of clinical application.

关 键 词：焦虑 抑郁 大肠癌 聚焦解决模式 

分 类 号：R473.73[医药卫生—护理学]