聚焦解决模式心理干预在青年脑梗死患者中的应用效果  

Application of focused solution model psychological intervention in young patients with cerebral infarction

作　　者：邹琴娓[1] 刘华之[1] 刘美青 赖鸿[1] 孟利敏[1] 吴建芬 谢桂兰[1] ZOU Qin-wei;LIU Hua-zhi;LIU Mei-qing;LAI Hong;MENG Li-min;WU Jian-fen;XIE Gui-lan(Department of Neurology,the First Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院神经内科,江西赣州341000

出　　处：《中国当代医药》2019年第6期193-195,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20173019);江西省赣州市指导性科技计划项目(GZ2017ZSF011)

摘　　要：目的探讨聚焦解决模式心理干预在青年脑梗死患者中的应用效果。方法选取2017年5～10月来我院治疗的80例青年脑梗死患者,根据患者入院日期单数的为对照组,偶数的为实验组,每组各40例。对照组按神经内科常规健康护理,实验组在神经内科常规护理基础上增加聚焦解决模式对患者行心理干预,分别在干预后3 d、干预后1、6个月对两组利用汉密尔顿抑郁自评量表(HAMD)和改良Barthel评分效果进行比较评价。结果两组干预前HAMD评分比较,差异无统计学意义(P>0.05),两组干预后3 d、干预后1、6个月HAMD评分均较干预前下降,且实验组低于对照组(P<0.05)。两组干预前改良Barthel评分比较,差异无统计学意义(P>0.05),两组干预后3 d、干预后1、6个月改良Barthel评分均较干预前升高,且实验组高于对照组,差异有统计学意义(P<0.05)。结论聚焦解决模式心理干预能降低青年脑梗死患者的抑郁状况,能加快患者功能障碍恢复和提高生活质量。Objective To exploreapplication of focused solution model psychological intervention in young patients with cerebral infarction.Methods According to the date of admission,80 young stroke patients,which were under the treatment in our hospital from May to October 2017,were randomly divided into two groups,the experimental group(even date)and control group(singular date),40 cases in each group.The control group was received conventional treatment,while the experimental group was exposed to psychological intervention using solution focused approach based on conventional treatment.The patients in two groups were evaluated using the Hamilton depression scale(HAMD)and the improved Barthel score after three days,1 and 6 months,respectively.Results There was no significant difference in HAMD score between the two groups before intervention(P>0.05).The scores of HAMD in the two groups were lower than those before intervention 3 days,1 and 6 months after intervention,and the scores in the experimental group were lower than those in the control group(P<0.05).There was no significant difference in the modified Barthel score between the two groups before intervention(P>0.05).The modified Barthel score of the two groups 3 days after intervention,1 and 6 months after intervention was higher than that of the control group(P<0.05).Conclusion Psychological intervention using solution focused approach can obviously alleviate the depression and dysfunction of young stroke patients,and improve the recovery and quality of life of patients with functional disorders.

关 键 词：聚焦解决模式 心理干预 青年脑梗死患者 应用效果 

分 类 号：R473.73[医药卫生—护理学]