FOCUS夫妻干预对中青年脑卒中患者及其配偶抑郁情绪和心理弹性的影响  

Effects of FOCUS couple intervention on depression and psychological resilience of young and middle-aged stroke patients and their spouses

作　　者：吕会力[1] 张丽[2] 李付华[1] 张苇[3] 刘慧[1] 孙甜甜[1] 钟方[1] Lyu Huili;Zhang Li;Li Fuhua;Zhang Wei;Liu Hui;Sun Tiantian;Zhong Fang(ntensive Care Unit,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Internal Medicine,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Intensive Care Unit,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院重症医学科,郑州450000 [2]郑州大学第二附属医院大内科,郑州450000 [3]郑州大学第二附属医院消毒供应中心,郑州450000

出　　处：《中华现代护理杂志》2021年第16期2204-2208,共5页Chinese Journal of Modern Nursing

基　　金：2019河南省医学教育研究项目(Wjix2019044)。

摘　　要：目的:探讨FOCUS夫妻干预对中青年脑卒中患者及其配偶抑郁情绪和心理弹性的影响。方法:采用便利抽样法,选取郑州市某三级甲等医院2018年6月—2020年1月收治的76例中青年脑卒中患者及其配偶为研究对象。将患者随机分为对照组和试验组,每组38例。对照组实施脑卒中后常规护理,试验组在对照组的基础上实施FOCUS夫妻干预。采用汉密顿抑郁量表和Connor-Davidson心理弹性量表评价干预前后患者及其配偶的抑郁和心理弹性水平。结果:最终试验组37例、对照组38例完成本研究。干预后,试验组患者及其配偶抑郁得分均低于对照组,心理弹性得分及各维度得分均高于对照组,差异均具有统计学意义(P<0.05)。结论:FOCUS夫妻干预能够降低脑卒中患者及其配偶的抑郁程度,提高患者的心理弹性水平,具有较强的临床借鉴意义。Objective To explore the effect of family involvement,optimistic attitude,coping effectiveness,uncertainty reduction and symptom management(FOCUS)couple intervention on depression and psychological resilience of young and middle-aged stroke patients and their spouses.Methods From June 2018 to January 2020,convenience sampling was used to select 76 young and middle-aged stroke patients and their spouses in a ClassⅢGrade A hospital in Zhengzhou as the research object.According to the order of hospitalization,patients were randomly divided into control group and experimental group,with 38 cases in each group.Control group implemented routine post-stroke nursing,and experimental group conducted the FOCUS couple intervention on the basis of control group.Depression and psychological resilience of patients and their spouses were evaluated with the Hamilton Depression Scale and Connor-Davidson Resilience Scale before and after intervention.Results Finally,37 cases in experimental group and 38 cases in control group completed the study.After intervention,the depression scores of patients and their spouses in experimental group were lower than those in control group,and the psychological resilience score and all dimension scores of patients and their spouses in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusions The FOCUS couple intervention can reduce the degree of depression of stroke patients and their spouses,and improve the patients'psychological resilience,which has strong clinical significance.

关 键 词：卒中 抑郁 FOCUS夫妻干预 中青年 配偶 心理弹性 

分 类 号：R473.74[医药卫生—护理学]