聚焦解决模式对扩张型心肌病患者负性情绪的影响  

Effect of Solution-Focused Approach on Negative Emotion in Patients with Dilated Cardiomyopathy

作　　者：邱小英 张艳 石泽亚[1] 秦月兰[1] 李利花[1] QIU Xiaoying;ZHANG Yan;SHI Zeya;QIN Yuelan;LI Lihua(People's Hospital of Hu'nan Province(The First Affiliated Hospital of Hu'nan Normal University),Changsha,Hu'nan 410005)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院),湖南长沙410005

出　　处：《上海护理》2022年第3期44-48,共5页Shanghai Nursing

基　　金：2018年度湖南省哲学社会科学基金资助项目(18YBA315);湖南省社会发展领域重点研发项目(2019SK2142);湖南省卫生健康委一般资助课题(202114012086)。

摘　　要：目的探讨基于聚焦解决模式的护理干预对扩张型心肌病患者负性情绪和再入院率的影响。方法以2020年4—9月就诊于湖南省人民医院心血管内科的76例伴焦虑或抑郁情绪的扩张型心肌病患者为研究对象,按照随机数字表法将研究对象分为观察组(n=38)和对照组(n=38)。两组患者均由同一学科负责人领导下的医师队伍予以对症治疗,由经系统的扩张型心肌病培训和考核的护理团队给予基础护理、饮食护理、疾病与药物知识宣教等扩张型心肌病护理常规,观察组对照组基础上从入院至出院30 d实施基于聚焦解决模式的护理干预。比较两组患者入院时、出院时及出院30 d复诊时的焦虑评分、抑郁评分、入院至出院30 d内心血管不良事件发生率及出院30 d非计划性再入院率。结果观察组有1例患者因个人原因放弃治疗而自动出院,故最终纳入分析的患者观察组37例、对照组38例。两组患者入院时焦虑、抑郁评分无统计学意义(P>0.05),观察组出院时及出院30 d焦虑、抑郁评分低于同期对照组,差异有统计学意义(P<0.05);观察组入院至出院30 d不良心血管事件发生率及30 d非计划再入院率均低于对照组,差异有统计学意义(P<0.05)。结论基于聚焦解决模式的护理措施对缓解扩张型心肌病患者焦虑抑郁等负性情绪、降低不良心血管事件发生率、改善临床结局、减少再入院率具有重要意义。ObjectiveTo explore the effect of nursing intervention based on solution-focused approach onnegative emotion and readmission rate of patients with dilated cardiomyopathy.MethodsA total of 76 pa-tients with dilated cardiomyopathy accompanied by anxiety or depression who visited the Cardiovascular Medi-cine Department at People’s Hospital of Hu’nan Province from April to September 2020 were selected as thesubjects.They were divided into the observation group(n=38)and the control group(n=38)using a randomnumber table.The patients in the two groups were given symptomatic treatment by the physicians under theleadership of directors of the same discipline,and were given DCM routine care such as basic nursing,dietarynursing as well as disease and drug knowledge education by the nurses who received systematic DCM trainingand assessment.The patients in the observation group received the nursing intervention based on a solution-fo-cused approach from admission to 30 days after discharge,on the basis of the control group.The anxiety scoreand depression score at admission,discharge and return visit(30 days after discharge),the incidence of cardiovascular adverse events within 30 days from admission to discharge,and unplanned readmission rate at 30 days after discharge were compared between the two groups.ResultsSince 1 patient in the observation group was discharged due to abandonment of treatment for personal reasons,37 patients were finally included in the observation group and 38 in the control group.The anxiety and depressionscores of the two groups at admission had no statistical significance(P>0.05);the anxiety and depressionscores of the observation group at discharge and 30 days after discharge were lower than those of the concurrentcontrol group,with a significant difference(P<0.05).The incidence of adverse cardiovascular events from ad-mission to 30 days after discharge and unplanned readmission rate at 30 days after discharge in the observationgroup were lower than those in the control group,with a significant

关 键 词：聚焦解决模式 心肌病 扩张型 焦虑 抑郁 再入院率 

分 类 号：R473.54[医药卫生—护理学]