聚焦解决模式在颅脑外伤患者家庭照护者中的应用评价  

Evaluation of application of focus solution model in family caregivers of patients with craniocerebral injury

作　　者：彭海容[1] 谭亚贵[1] 庞振雄[2] Peng Hairong;Tan Yagui;Pang Zhenxiong(Wuchuan People's Hospital,Wuchuan 524500,China;Zhanjiang Central People's Hospital,Zhanjiang 524037,China)

机构地区：[1]吴川市人民医院,524500 [2]湛江中心人民医院,524037

出　　处：《国际医药卫生导报》2020年第10期1458-1461,共4页International Medicine and Health Guidance News

摘　　要：目的探讨聚焦解决模式应用在颅脑外伤患者家庭照护者中,对减轻负性情绪和照顾负担的临床效果。方法选取2018年9月1日至2019年7月30日期间因颅脑外伤在吴川市人民医院治疗患者家庭照护者80例设为研究对象,采用等组试验法分为两组,各40例。两组均施行心理辅导,给予健康教育并提供帮助。对观察组的家庭照护者实施聚焦解决干预。观察期统一为3周。干预前后分别采用Zung焦虑自评量表(SAS)和照顾者负担量表(ZBI)对两组家庭照护者进行心理和照顾负担评定,并分析。结果干预前,两组家庭照护者SAS评分、照顾负担总分比较,差异均无统计学意义(均P>0.05);干预后,观察组家庭照护者SAS评分、角色负担、个人负担、照顾负担总分分别为(49.08±4.71)分、(9.73±3.19)分、(9.13±2.93)分、(18.85±4.55)分,均低于对照组(62.73±4.51)分、(17.25±2.46)分、(19.95±3.04)分、(37.20±4.03)分,差异均有统计学意义(均P<0.05)。结论应用聚焦解决模式可减轻颅脑外伤患者家庭照护者的焦虑心理和照顾负担感受。Objective To explore the clinical effect of the application of focus solution model in family caregivers of patients with craniocerebral injury on reducing negative emotions and burden of care.Methods 80 family caregivers of 80 patients with craniocerebral injury treated in Wuchuan People’s Hospital from September 1,2018 to July 30,2019 were selected as study objects,and were divided into a control group and an observation group by the equal group test method,with 40 cases in each group.Both groups received psychological guidance and were provided with health education and help.The family caregivers in the observation group were given focused solution intervention.The observation period was 3 weeks in both groups.Before and after the intervention,Zung Anxiety Self-Assessment Scale(SAS)and Caregiver Burden Scale(ZBI)were used to assess the psychological and care burden of the two groups,and the results were analyzed.Results Before the intervention,the total scores of SAS and care burden of the family caregivers in the observation group were(65.23±5.65)and(39.05±5.27),and those in the control group were(64.95±5.06),(39.68±5.05),with no statistical differences(both P>0.05).After the intervention,the scores of SAS,role burden,and individual burden and the total score of care burden were lower in the observation group than in the control group[(49.08±4.71)vs.(62.73±4.51),(9.73±3.19)vs.(17.25±2.46),(9.13±2.93)vs.(19.95±3.04),and(18.85±4.55)vs.(37.20±4.03);all P<0.05].Conclusion The application of focus solution model can reduce the anxiety and burden of care of family caregivers of patients with craniocerebral injury.

关 键 词：聚焦解决 颅脑外伤 家庭照护者 焦虑 照顾负担 

分 类 号：R473.6[医药卫生—护理学]