聚焦解决模式的心理护理对骨盆微创手术后患者的效果  

Effect of psychological nursing with focused solution model in patients after minimally invasive pelvic surgery

作　　者：严晓慧 谢纪宝 陈少华 孙晓娟 张帆 陈朝辉[3] YAN Xiaohui;XIE Jibao;CHEN Shaohua(Pingmei Shenma Group General Hospital,Pingdingshan 467000,China)

机构地区：[1]平煤神马医疗集团总医院,平顶山467000 [2]中国人民解放军火箭军特色医学中心 [3]河南大学第一附属医院

出　　处：《国际精神病学杂志》2023年第1期156-159,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划项目(编号:2018020325)。

摘　　要：目的探讨聚焦解决模式的心理护理对骨盆微创手术后患者的效果。方法本研究对象为我院2021年1月~2022年1月80例骨盆骨折患者,数字表法随机分为两组,对照组术后接受基础护理以及常规心理护理,观察组在基础护理上给予聚焦解决模式心理护理。干预前后评价焦虑自评量表(SAS)、抑郁自评量表(SDS)、赫氏希望量表(HHS)以及SF-12生存质量量表(SF-12)。结果两组干预后SAS评分、SDS评分均显著低于干预前,且干预后观察组各项评分均显著低于对照组,(P<0.05);干预后两组HHS评分、SF-12评分显著升高,且干预后观察组两项评分显著高于对照组(P<0.05)。结论聚焦解决模式用于骨盆微创手术后的心理护理具有良好的临床效果,能降低焦虑、抑郁情绪,提升希望水平以及生活质量。Objective To discuss the psychological nursing effect of focused solution mode after minimally invasive pelvic surgery.Methods Eighty patients with pelvic fractures in our hospital from January 2019 to January 2021 were selected as the study subjects,and they were randomly assigned to one of two groups.The control group received basic nursing and routine psychological nursing after the operation,and the observation group received psychological nursing with focused solution mode on the basis of basic nursing.The Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Hearst Hope Scale(HHS)and SF-12 Quality of Life Scale(SF-12)were evaluated before and after the intervention.Results The SAS scores and SDS scores of the two groups after the intervention were significantly lower than those before the intervention,and the scores of the observation group were significantly lower than those of the control group after the intervention(P<0.05).The HHS score and SF-12 score of the two groups increased significantly after the intervention,and the two scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).Conclusion The focused solution model is used for psychological care after minimally invasive pelvic surgery and has a good clinical effect,which can reduce anxiety and depression,improve the level of hope and the quality of life.

关 键 词：聚焦解决模式 骨盆骨折 微创手术 心理护理 

分 类 号：R749.99[医药卫生—神经病学与精神病学]