聚焦解决模式联合积极心理干预对哺乳期急性乳腺炎患者预后的影响  

Effects of focused solution model combined with active psychological intervention on prognosis of patients with acute mastitis during lactation

作　　者：刘蔚娅[1] 付建红[2] Liu Weiya;Fu Jianhong(Outpatient Department,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Obstetrics and Gynecology,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第五附属医院门诊部,郑州450052 [2]郑州大学第五附属医院妇产科,郑州450052

出　　处：《中华现代护理杂志》2021年第25期3483-3486,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨聚焦解决模式下针对性护理联合积极心理干预对哺乳期急性乳腺炎患者预后的影响。方法将郑州大学第五附属医院2018年6月-2020年1月收治的180例哺乳期急性乳腺炎患者随机分为观察组(n=92)和对照组(n=88)。两组患者均给予哺乳期急性乳腺炎常规护理干预,对照组在此基础上给予积极心理干预,观察组在对照组基础上采用基于聚焦解决模式的针对性护理。比较两组患者预后效果的差异,采用焦虑状态-特质问卷(STAI)、爱丁堡产后抑郁量表(EPDS)观察干预前和干预2周后两组患者心理状态评分变化。结果观察组患者的治疗时间短于对照组,乳腺脓肿发生率低于对照组,继续哺乳率高于对照组,差异均有统计学意义(P<0.05)。干预2周后,两组患者STAI中的S-AI、T-AI和EPDS评分均较干预前降低,且观察组均低于对照组(P<0.05)。结论聚焦解决模式下针对性护理联合积极心理干预应用于哺乳期急性乳腺炎患者可有效缩短治疗时间,提高治疗效果,并可缓解患者焦虑和抑郁情绪。Objective To explore effects of targeted nursing combined with positive psychological intervention on prognosis of patients with acute mastitis during lactation under the focused solution model.Methods A total of 180 patients with acute mastitis during lactation who were admitted to the Fifth Affiliated Hospital of Zhengzhou University from June 2018 to January 2020 were randomly divided into the observation group(n=92)and the control group(n=88).Patients in both groups were given routine nursing intervention for lactation acute mastitis.The control group was given positive psychological intervention on this basis,and the observation group was given targeted nursing based on focused solution mode on the basis of the control group.The differences in prognostic effects of patients were compared between the two groups.State-Trait Anxiety Inventory(STAI)and Edinburgh Postnatal Depression Scale(EPDS)were used to observe changes of mental state scores before and 2 weeks after intervention.Results The treatment time of the observation group was shorter than that of the control group,the incidence of breast abscess was lower than that of the control group,and the rate of continued breastfeeding was higher than that of the control group.The differences were statistically significant(P<0.05).After 2 weeks of intervention,scores of S-AI and T-AI in STAI and EPDS of patients of the two groups were lower than before the intervention,and scores of the observation group were lower than those of the control group(P<0.05).Conclusions Targeting nursing combined with positive psychological intervention under the focused solution mode can effectively shorten the treatment time,improve the treatment effect and relieve anxiety and depression of patients.

关 键 词：哺乳期 急性乳腺炎 聚焦解决模式 针对性护理 积极心理干预 

分 类 号：R473.6[医药卫生—护理学]