焦点解决模式联合呼吸运动康复对肺结核合并胸膜炎患者病耻感及康复进程的影响分析  

Analysis of the influence of focus resolution mode combined with respiratory exercise rehabilitation on stigma and rehabilitation process in patients with pulmonary tuberculosis complicated with pleurisy

作　　者：张平平 陈雪薇 张玉萍 ZHANG Pingping;CHEN Xuewei;ZHANG Yuping(Yancheng Second People's Hospital,Yancheng 224000,China)

机构地区：[1]盐城市第二人民医院,江苏盐城戈224000

出　　处：《心理月刊》2025年第3期191-193,共3页

摘　　要：目的探寻焦点解决模式联合呼吸运动康复在肺结核合并胸膜炎患者病耻感以及康复进程的影响。方法以某院呼吸科2022年5月~2024年7月收治的215例肺结核合并胸膜炎患者为研究样本,使用随机数字表法将入组患者分为对照组(n=107)和试验组(n=108)。对照组开展呼吸科常规护理,试验组基于常规护理开展焦点解决模式联合呼吸运动康复的护理干预,护理干预2个月后比对两组患者的疾病康复进程,评估并比对两组患者护理前后的病耻感[污名感受量表(TSS)]和心理状态[抑郁自评问卷量表(PHQ-9)与广泛焦虑自评量表(GAD-7)]。结果护理2个月后两组患者的TSS评分均下降且试验组明显低于对照组(P<0.05);护理2个月后两组患者PHQ-9以及GAD-7评分均明显下降,且试验组患者PHQ-9以及GAD-7评分明显低于对照组(P<0.05);护理2个月后试验组的康复效率(96.30%)明显高于对照组(87.85%)(P<0.05);试验组患者咳嗽咳痰消失时间、痰菌转阴时间及总住院时长均比对照组短(P<0.05)。结论焦点解决模式联合呼吸运动康复不仅能帮助肺结核合并胸膜炎患者减轻病耻感,还能改善患者的焦虑、抑郁情绪,让患者在治疗期间保持一个健康的心理状态,从而加速疾病康复。Objective To explore the effect of solution-focused therapy combined with respiratory movement on the stigma and recovery process of pulmonary tuberculosis patients with pleurisy.Methods 215 cases of pulmonary tuberculosis complicated with pleurisy in a hospital from May 2022to July 2024 were randomly divided into control group(n=107)and experimental group(n=108).The control group received routine nursing care in respiratory department,and the experimental group received solution-focused nursing intervention combined with respiratory movement rehabilitation based on routine nursing care.After 2 months of nursing intervention,the disease rehabilitation process of the two groups was compared.Stigma[tuberculosis-related stigma scale(TSS)]and mental status[patient health questionnaire-9(PHQ-9)and generalized anxixy disorde-7(GAD-7)]were assessed and compared before and after nursing care.Results The scores of TSS in the two groups were significantly lower than that in the control group(P<0.05).The scores of PHQ-9 and GAD-7 in the two groups were significantly decreased after nursing,and the scores of PHQ-9 and GAD 7in the test group were significantly lower than those in the control group(P<0.05).The recovery efficiency of the experimental group(96.30%)was significantly higher than that of the control group(87.85%)(P<0.05).The time of disappearance of cough and sputum,the time of sputum turning negative and the length of hospital stay in the test group were shorter than those in the control group(P<0.05).Conclusion Solution-focused therapy combined with respiratory movement can not only help pulmonary tuberculosis patients with pleuritis to reduce the stigma,but also improve anxiety,depression,so that patients can maintain a healthy mental state during the treatment,so as to accelerate the disease recovery.

关 键 词：焦点解决模式 呼吸运动康复 肺结核 胸膜炎 病耻感 康复进程 

分 类 号：R47[医药卫生—护理学]