摘要
目的探讨焦点解决短程治疗对老年COPD患者自我感受负担的影响。方法采用便利抽样法,选取2016年2月—2018年2月就诊于浙江省某三级乙等综合性医院呼吸内科门诊的老年COPD患者122例为研究对象,采用随机数字表法随机分为试验组(n=61)和对照组(n=61)。对照组仅接受常规护理,试验组在常规护理的基础上接受6次焦点解决短程治疗,每周2次,持续3周。干预前后采用自我感受负担量表评价两组患者的自我感受负担水平。结果对照组4例失访,试验组3例失访,最终完成研究对照组57例,试验组58例。干预3周后,试验组患者的自我感受负担总分(35.08±2.01)分,其中身体负担维度(17.18±1.34)分、情感负担维度(14.01±1.23)分、经济负担维度(3.77±0.67)分,均低于对照组,差异有统计学意义(t值分别为-11.543、6.856、-10.812、-2.109;P<0.01)。结论焦点解决短程治疗能够有效缓解老年COPD患者自我感受负担,建议将其作为一种常规护理融入老年COPD患者的出院管理中。
Objective To examine the effect of solution-focused short-course therapy on the self-perceived burden(SPB)for elderly COPD patients.Methods A total of 112 elderly patients with COPD were selected from the Out-patient Respiratory Department of a Class III Grade B hospital in Zhejiang Province between February 2016 and February 2018 by convenience sampling.The participants were randomly assigned into the observation group(n=61)and the control group(n=61)in accordance with the random number table.The participants in the control group received the regular nursing care while the participants in the observation group received both regular nursing care and the solution-focused short-course therapy.In total there were 6 sessions of the therapy,and it was delivered twice a week for 3 weeks with each session lasted for 30-60 minutes.The levels of SPB before and after intervention were evaluated by the Self-Perceived Burden Scale(SPBS).Results A total of 4 participants in the control group and 3 participants from the observation group dropped out of the study.In the end,57 participants from the control group and 58 participants from the observation group completed the study.Three weeks after intervention,the SPBS score in the observation group was(35.08±2.01)in which the subclause of physical burden scored(17.18±1.34),emotional burden scored(14.01±1.23);and economic burden scored(3.77±0.67).All the scores were lower than the control group with statistical differences(t=-11.543,6.856,-10.812,-2.109;P<0.01).Conclusions The solution-focused short-course therapy can effectively reduce the SPB in the elderly COPD patients.It is recommended that the solution-focused short-course therapy should be adopted as a regular procedure in the elderly COPD patients'discharge management.
作者
杨波
余中子
Yang Bo;Yu Zhongzi(Nursing Department,Taizhou Municipal Hospital,Zhejiang Province,Taizhou 318000,China;Respiratory Department,Taizhou Municipal Hospital,Zhejiang Province,Taizhou 318000,China)
出处
《中华现代护理杂志》
2019年第12期1546-1549,共4页
Chinese Journal of Modern Nursing
关键词
老年人
肺疾病
慢性阻塞性
焦点解决短程治疗
自我感受负担
Aged
Pulmonary disease,chronic obstructive
Solution-focused short-course therapy
Self-perceived burden
