摘要
目的探讨聚焦解决模式对经皮肾镜超声碎石术患者负性情绪及应对方式的影响。方法选取2015年1~12月四川省广元市第一人民医院收治的120例经皮肾镜超声碎石术患者,根据随机数字表法将患者分为观察组(n=60)及对照组(n=60),对照组应用常规性护理,观察组在对照组基础上应用聚焦解决模式,分别于干预前后应用抑郁自评量表(SDS)、焦虑自评量表(SAS)、疾病应对方式量表对两组抑郁、焦虑情绪及应对方式进行评价。结果观察组干预后SDS、SAS评分均低于对照组(P<0.05)。观察组干预后解决问题、求助、合理化等正性应对方式维度评分高于对照组(P<0.05),而自责、幻想、退避等负性应对方式维度评分低于对照组(P<0.05)。观察组治疗依从率、患者满意率高于对照组(P<0.05),而并发症发生率低于对照组(P<0.05),住院时间短于对照组(P<0.05)。结论聚焦解决模式能有效减轻经皮肾镜超声碎石术患者焦虑、抑郁情绪,减轻患者不良应对方式,使患者能积极乐观地面对疾病,有利于促进患者预后。
Objective To investigate the impact of solution-focused mode on negative emotions and coping style of patients with percutaneous nephroscope ultrasonic lithotripsy. Methods 120 patients with percutaneous nephroscope ultrasonic lithotripsy in the First People＇s Hospital of Guangyuan City, Sichuan Province from January to December 2015 were divided into observation group（n=60） and control group（n=60） according to the random number table method.Routine care was used in control group, solution-focused mode was applied in observation group on the basis of control group. Depression, anxiety and coping style of two groups were evaluated before and after intervention by using self-rating depression scale（SDS）, self-rating anxiety scale（SAS）, disease coping style scale. Results After intervention,SDS, SAS scores of observation group were lower than those of control group（P〈0.05）. After intervention, solve problem, help, rationalization and other positive coping dimension scores of observation group were higher than those of control group（P〈0.05）, self-blame, illusion, retreat and other negative coping scores of observation group were lower than those of control group（P〈0.05）. Treatment adherence rate, satisfaction rate of patient in observation group were higher than those in control group（P〈0.05）, incidence rate of complication in observation group was lower than that in control group（P〈0.05）, hospital stay in observation group was shorter than that in control group（P〈0.05）. Conclusion Solution-focused mode can effectively reduce anxiety and depression of patients with percutaneous nephrolithotomy ultrasonic lithotripsy, reduce adverse coping style, enable patient to face the disease positively and optimistically, it is conducive to the promotion of patient′s prognosis.
作者
方宏
张莉
FANG Hong ZHANG Li(Operation Room, the First People＇s Hospital of Guangyuan City, Sichuan Province, Guangyuan 628017, China)
出处
《中国医药导报》
CAS
2017年第1期150-153,169,共5页
China Medical Herald
关键词
聚焦解决模式
经皮肾镜超声碎石术
负性情绪
应对方式
Solution-focused mode
Percutaneous nephrolithotomy ultrasonic lithotripsy
Negative emotion
Coping style
