聚焦解决模式对肝源性腹泻患者负性情绪及胃肠道症状的影响  

Effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea

作　　者：张雪雪[1] 王晓娟[1] 王林林 孙长宇[1] Zhang Xuexue;Wang Xiaojuan;Wang Linlin;Sun Changyu(Department of Infectious Diseases,the First Affiliated Hospital of Zheng zhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院感染性疾病科,郑州450000

出　　处：《中华现代护理杂志》2019年第30期3927-3931,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划普通项目(201503018)。

摘　　要：目的探讨聚焦解决模式改善肝源性腹泻患者负性情绪及胃肠道症状的效果.方法采用便利抽样法,选择2018年1-12月郑州大学第一附属医院收治的86例肝源性腹泻患者为研究对象,按照入院顺序将患者分为对照组39例和观察组47例,对照组采用常规护理,观察组在此基础上给予聚焦解决模式5步骤干预,采用SAS、SDS及胃肠道症状分级评分量表(GSRS)评估干预的效果.结果观察组干预后,SAS、SDS、GSRS评分均低于对照组,差异有统计学意义(P<0.05);两组干预前胃肠道症状位列前5的均为腹痛、排便不尽感、排便次数增多、稀便及排便紧迫感.观察组干预后反酸、腹痛、胃肠胀气、排便不尽感、排便次数增多、稀便及排便紧迫感发生率较干预前减少,差异有统计学意义(P<0.05).结论聚焦解决模式可以改善肝源性腹泻患者焦虑、抑郁等负性情绪及胃肠道症状,值得临床推广.Objective To explore the effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea.Methods Totally 86 patients with hepatogenic diarrhea admitted in the First Affiliated Hospital of Zhengzhou University from January to December 2018 were selected using convenient sampling and divided into control(n=39)and observation(n=47)groups according to the time of admission.Patients in the control group received conventional nursing care,while patients in the observation group received 5-step intervention based on solution-focused approach.Self-Anxiety Scale(SAS),Self-Depression Scale(SDS)and Gastrointestinal Symptom Rating Scale(GSRS)were used to assess the effects of intervention.Results After intervention,the SAS,SDS and GSRS scores of the observation were lower than those of the control group,and there were statistically significant differences between the two groups(P<0.05).The top 5 gastrointestinal symptoms in both groups were stomachache,poor stool output,frequent defecation,loose stools and fecal urgency.The incidence of sour regurgitation,abdominal pain,flatulence,poor stool output and frequent defecation,loose stools and fecal urgency was reduced after intervention in the observation group,and there were statistically significant differences between the two groups(P<0.05).Conclusions Solution-focused approach can ameliorate negative emotions such as anxiety and depression as well as gastrointestinal symptoms in patients with hepatogenic diarrhea,which is worthy promoting in clinical practice.

关 键 词：焦虑 抑郁 肝源性腹泻 胃肠道 聚焦解决模式 

分 类 号：R47[医药卫生—护理学]