聚焦解决模式对焦虑症患者服药信念和依从性的影响  

Effects of solution-focused approach on medication belief and adherence among anxiety disorder patients

作　　者：章启秀[1] 汤阿毛 胡琳琳 金燕萍 许波 Zhang Qixiu;Tang amao;Hu Linlin;Jin Yanping;Xu Bo(Department of Clinical Psychology,Hangzhou First People＇s Hospital Affdiated to Zhejiang University School of Medicine,Hangzhou 310006,China;Nursing Department,Hangzhou First People＇s Hospital,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属杭州市第一人民医院临床心理科,310006 [2]浙江大学医学院附属杭州市第一人民医院护理部,310006

出　　处：《中华现代护理杂志》2018年第21期2532-2536,共5页Chinese Journal of Modern Nursing

基　　金：杭州市医药卫生科技计划（一般）项目（2016A08）

摘　　要：目的 探讨聚焦解决模式对焦虑症患者服药信念和服药依从性的影响.方法 选取2016年3—8月杭州市第一人民医院心理科首次入院治疗的87例焦虑症患者为研究对象,按照随机数字表法将纳入研究的患者随机分为试验组和对照组,对照组常规实施健康教育、心理护理,试验组在此基础上给予聚焦解决治疗,应用服药信念量表比较干预前后两组患者的服药信念,服药依从性量表比较两组患者出院后1、3、6个月的服药依从性.结果 干预后试验组服药必要性维度得分高于对照组,差异有统计学意义（t=-2.888;P〈0.05）;试验组患者出院后1、3、6个月服药依从性均高于对照组,差异有统计学意义（P〈0.05）.结论 聚焦解决模式有助于改善焦虑症患者的焦虑情绪,增强焦虑症患者的服药必要信念,减少服药顾虑信念,增强其治疗信心和积极康复行为,提高服药依从性.Objective To explore the effects of solution-focused approach on medication belief and adherence among anxiety disorder patients. Methods From March to August 2016, a total of 87 anxiety disorder patients admitted to hospital for the first time in Psychology department of Hangzhou First People＇s Hospital were selected as subjects. All of the patients included in the study were randomly divided into experimental group and control group with the random number table. Patients of control group received health education and mental nursing. On this basis, patients of experimental group were treated with solution-focused approach. The Beliefs about Medical Questionnaire （BMQ） was used to compared medication belief of patients in two groups before and after intervention. The Medication Adherence Scale was used to assess medication adherence of patients in both groups one, two and three months after discharge. Results After intervention, the score of medication necessity of experimental group was higher than that of control group with significant differences （t=-2.888 ; P 〈 0.05）. The medication belief of patients in experimental group was significantly higher than those in control group one, two and three months post discharge （P 〈 0.05）. Conclusions The solution-focused approach contributes to improving anxiety of anxiety disorder patients, strengthening their medication belief in necessity, lowering medication belief in worry, enhancing treatment confidence and positive rehabilitation behavior so as to improve medication adherence.

关 键 词：焦虑症 聚焦解决模式 服药信念 依从性 

分 类 号：R473.74[医药卫生—护理学]