以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (11): 20-23.doi: 10.16460/j.issn1008-9969.2019.11.020

• 研究生园地 • 上一篇    下一篇

焦点解决短程治疗对脑出血患者焦虑抑郁及希望水平的影响

查梦培, 董立焕, 成杰, 唐启群, 王艳东, 郭宗海   

  1. 华北理工大学,河北 唐山 063000
  • 收稿日期:2019-02-18 发布日期:2020-07-08
  • 通讯作者: 成 杰（1971-）,女,河北承德人,硕士,主任护师,E-mail：chengjie9655@163.com。
  • 作者简介:查梦培（1994-）,女,河南平顶山人,本科学历,硕士研究生在读。
  • 基金资助:
    中国煤炭工业协会（MTKJ 2016-352）,河北省教育厅基金（Z2017015）

Effect of Solution-focused Brief Therapy on Anxiety, Depression and Level of Hope in Patients with Cerebral Hemorrhage

ZHA Meng-Pei, DONG Li-huan, CHENG Jie, TANG Qi-qun, WANG Yan-dong, GUO Zong-hai   

  1. North China University of Science and Technology, Tangshan 063000,China
  • Received:2019-02-18 Published:2020-07-08

PDF (PC)

624

赞

摘要： 目的 探讨焦点解决短程治疗对脑出血患者焦虑、抑郁以希望水平的影响。方法 选取 2018年1月—2019年4月在华北理工大学附属医院神经外科治疗的100例脑出血患者,并将其随机分为2组,每组50例,对照组实施常规护理,观察组在常规护理的基础上进行焦点解决短程治疗,连续干预4周,采用Zung's焦虑自评量表、Zung's抑郁自评量表及Herth希望量表（Herth Hope Index,HHI）比较2组干预前后焦虑、抑郁的差异及希望水平情况。结果 2组干预后,观察组的SAS、SDA总得分较对照组低,希望水平得分及积极行为、行为态度、积极关系3个维度得分较对照组高（均P<0.05）。观察组SAS、SDA得分较干预前有所下降、希望水平及3个维度得分较干预前增加（均P<0.05）;对照组SAS、SDS得分较干预前稍有所下降,希望水平较干预前增加较少（均P<0.05）。结论 焦点解决短程治疗可有效增改善患者的焦虑、抑郁情绪,提高其希望水平,减弱或消除疾病对患者造成的身心创伤。

关键词: 焦点解决短程治疗, 脑出血, 焦虑, 抑郁, 希望水平

Abstract: Objective To explore the effect of solution-focused brief therapy (SFBT) on anxiety, depression and level of hope in patients with cerebral hemorrhage. Methods One hundred patients with cerebral hemorrhage in department of neurosurgery in Affiliated Hospital of North China University of Science and Technology from January 2018 to April 2019 were randomly divided into two groups, with 50 in each group. The control group received routine nursing and the intervention group SFBT in addition to routine nursing for one course of treatment. Zung's Self-rating Anxiety Scale (SAS), Zung's Self-rating Depression Scale (SDS) and Herth Hope Index (HHI) were used to compare the differences in anxiety, depression and level of hope between the two groups before and after the intervention. Results After the intervention, the total scores of SAS and SDS in the intervention group were lower than those in the control group. The scores of the level of hope, positive behavior, behavioral attitude and positive relationship were higher than those of the control group (P<0.05). The scores of SAS and SDS in the intervention group were lower after the intervention, but those of level of hope and positive behavior, behavioral attitude and positive relationship were higher after the intervention (P<0.05). The scores of SAS and SDS in the control group were slightly lower after the intervention but the score of level of hope increased moderately (both P<0.05). Conclusion SFBT can effectively improve anxiety and depression of patients, improve their level of hope, and reduce or eliminate the physical and mental trauma caused by the disease.

Key words: solution focused brief therapy, cerebral hemorrhage, anxiety, depression, hope level

中图分类号: 

  • R473.74
[1] Lo Buono V, Corallo F, Bramanti P, et al.Coping Strategies and Health-related Quality of Life after Stroke[J]. J Health Psychol,2015:1359105315595117.DOI:10.1177/1359105315595117.
[2] Lo Buono V, Bonanno L, Palmeri R, et al.Relation among Psychopathological Symptoms, Neuropsychological Domains, and Functional Disability in Subacute Post stroke Rehabilitation[J]. J Stroke Cerebrovasc Dis, 2018:S1052305717307073.DOI:10.1016/j.jstrokecerebrovasdis.
[3] 张英兰,杨胜甫. 焦点解决短期心理咨询对青光眼患者焦虑抑郁情绪及生存质量的影响[J]. 临床护理杂志, 2015(6):24-27.DOI:10.3969/j.issn.1671-8933.2015.06.009.
[4] Frendi F, Imas K R.Konsep Bimbingan Dan Konseling Islam Solution Focused Brief Therapy (SFBT) Untuk Membantu Men Yembuhkan Perilaku Prokrastinasi Mahasiswa[J].Journal Edukasi,2016,2(2):215-236.
[5] 吴歌. 短程焦点解决辅助团体疗法对青少年焦虑、抑郁情绪的改善作用[J]. 重庆医学, 2016, 45(6):787-789.DOI:10.3969/j.issn.1671-8348.2016.06.020.
[6] 梁明明,李晓敏,杜玉凤,等. 焦点解决短程治疗对脑卒中患者自我感受负担和生存质量的影响[J]. 中华行为医学与脑科学杂志, 2017, 26(6):507.DOI:10/3760/cma.j.issn.1674-6554.2017.06.006.
[7] Ola diji J O, Sra A, Aina O F, et al. Risk Factors of Post-Stroke Depression Among Stroke Survivors in Lagos, Nigeria[J]. Afric J Psychiatry, 2009, 12(1):47-51.DOI:10.4314/ajpsy.v12i1.30278.
[8] Kneebone I I, Neffgen L M, Pettyfer S L.Screening for Depression and Anxiety after Stroke: Developing Protocols for Use in the Community[J]. Disabil Rehabil, 2012, 34(13):1114-1120.DOI:10.3109/09638288.2011.636137.
[9] Emily G, Roberts E T, Parikh N S, et al.Race/ethnic Differences in Post-stroke Depression (PSD):Findings from the Stroke Warning Information and Faster Treatment (SWIFT) Study[J]. Ethn Dis, 2016, 26(1):1-8.DOI:10.18865/ed.26.1.1.
[10] 何剑萍. 焦点解决模式对脑出血患者生活质量及焦虑、抑郁情绪的影响[J]. 中国医药导报, 2016, 13(14):150-153.
[11] Wichowicz H M, Puchalska L, Rybak-Korneluk A M, et al. Application of Solution-focused Brief Therapy (SFBT) in Individuals after Stroke[J]. Brain Inj,2017,31(11):1507-1512.DOI:10.1080/02699052.2017.1341997.
[12] 李瑾. 焦点解决短程治疗对全膝关节置换术后患者焦虑抑郁的影响[J]. 中国健康心理学杂志, 2019, 27(1):66-70.DOI:10.13342/j.cnki.cjhp.2019.01.021.
[13] 高翔,戴艳,郑日昌.焦点解决短期治疗(SFBT)简介[J]. 中国心理卫生杂志, 2004, 18(5):321-322.DOI:10.3321/j.issn:1000-6729.2004.05.012.
[14] Barclay T H, Barclay R D.A Clinical Trial of Cranial Electrotherapy Stimulation for Anxiety and Comorbid Depression[J]. J Affect Disord, 2014, 164:171-177.DOI:10.1016/j.jad.2014.04.029.
[15] Roeden J M, Maaskant M A, Curfs L M.Processes and Effects of Solution-focused Brief Therapy in People with Intellectual Disabilities: A Controlled Study[J]. J Intellect Disabil Res, 2014, 58(4):307-320.DOI:10.1111/jir.12038.
[16] He X X, Song L P.Development and Application Research of Solution-focused Brief Therapy[J]. China J Health Psychol,2017, 25(4):633-636.DOI:10.13342/j.cnki.cjhp.2017.04.041.
[17] 陈玉梅,闫树英,赵娟,等. 肠造口患者希望水平、应对方式及焦虑抑郁的相关性[J]. 中国老年学杂志, 2018,38(13):3270-3272.
[1] 李疆伟, 王树君, 李长仔, 胡宝山, 焦桂梅, 张卫红. 基于压力应对理论的护理干预对结直肠癌术后永久性肠造口患者心理压力、负性情绪及自我管理的影响[J]. 护理学报, 2025, 32(4): 64-69.
[2] 肖霄, 张煊丽, 张云漪, 谢梓洋. 代际共同养育关系对0~3岁婴幼儿母亲抑郁的影响机制研究[J]. 护理学报, 2024, 31(24): 57-63.
[3] 牟晓玲, 陈宇琦, 刘海燕, 李敏, 董敏, 黄佳佳, 李璇, 陈瑜. 肺移植受者术后抑郁调查及影响因素分析[J]. 护理学报, 2024, 31(21): 7-11.
[4] 祁丽萍, 王文煊, 侯敏, 郑粤豪, 冯惠霞, 李济宾. 首诊鼻咽癌患者焦虑抑郁现状及其与恐惧疾病进展的关系[J]. 护理学报, 2024, 31(20): 67-72.
[5] 袁佳琳, 杨玲玲, 刘晓慧, 甘茹, 杜瑄, 高海花, 杨小萍, 王慧娟. 308名脑卒中患者主要照顾者抑郁现状及影响因素分析[J]. 护理学报, 2024, 31(2): 27-31.
[6] 吴双赢, 谢子恒, 庄严. 2 888名老年人抑郁症状发展轨迹及影响因素研究[J]. 护理学报, 2024, 31(14): 6-12.
[7] 李梦帆, 张侠, 李晓媛. 抑郁在妊娠晚期孕妇身体不满与母胎依恋间的中介效应[J]. 护理学报, 2023, 30(6): 68-71.
[8] 王柳月, 李君丽, 黄春兰, 刘芳印. 住院患者PICC置管后恐动症发生现状及影响因素分析[J]. 护理学报, 2023, 30(5): 23-27.
[9] 郑思琪, 陈璐, 马晴, 王钰涵, 成杰, 王云龙. 双耳节拍音乐疗法对脑卒中偏瘫患者焦虑抑郁及疲劳的效果研究[J]. 护理学报, 2023, 30(5): 72-78.
[10] 张鹏博, 梅永霞, 张振香, 林蓓蕾, 薛利红, 刘志薇. 脑卒中患者焦虑症状潜在剖面影响因素分析[J]. 护理学报, 2023, 30(23): 12-17.
[11] 蒋新艳, 孟海兵, 邓飞娜, 蒋玉婷, 章晓玲. 多元化环境干预对学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑及麻醉诱导依从性的影响[J]. 护理学报, 2023, 30(20): 68-71.
[12] 姜硕, 马靓, 苗晓. 脑出血术后患者家属家庭抗逆力现况及影响因素分析[J]. 护理学报, 2023, 30(2): 7-11.
[13] 崔静萍, 蒋燕, 赵姗姗. 衰弱和抑郁在肺癌化疗患者恐惧疾病进展与生活质量间的链式中介作用[J]. 护理学报, 2023, 30(18): 65-70.
[14] 刘祯帆, 严晓婷, 陈粹, 王芷彤. 希望水平与个人掌控感在甲状腺癌术后患者领悟社会支持与灵性健康的链式中介作用[J]. 护理学报, 2023, 30(17): 57-62.
[15] 蒋新艳, 来伟, 章晓玲, 蒋玉婷, 邓飞娜. 手术室环境对膝关节镜检查术患者等待期应激反应的影响[J]. 护理学报, 2023, 30(14): 65-69.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!