首页|聚焦解决模式联合积极心理干预对蛛网膜下腔出血患者自我效能及负性情绪的影响

聚焦解决模式联合积极心理干预对蛛网膜下腔出血患者自我效能及负性情绪的影响

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目的:探讨聚焦解决模式联合积极心理干预对蛛网膜下腔出血(SAH)患者自我效能及负性情绪的影响。方法:选取2020 年 10 月 1 日~2022 年 10 月 31 日收治的 100 例SAH患者,按照随机数排秩法分为对照组和研究组各 50 例,对照组采用积极心理干预,研究组在对照组基础上实施聚焦解决模式,均干预 6 个月;比较两组干预前后自我效能[采用自我效能感量表(GSES)]、负性情绪[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、康复效果、预后,康复期间并发症发生情况。结果:干预3、6 个月后,两组GSES评分高于干预前(P<0。01),SAS、SDS评分均低于干预前(P<0。01),且研究组优于对照组(P<0。05);干预6 个月后,两组康复效果优于干预前(P<0。01,P<0。05),且研究组优于对照组(P<0。05);研究组康复期间并发症总发生率低于对照组(P<0。05);干预 6 个月后,两组KPS、GOS、ADL评分均高于干预前(P<0。01),且研究组高于对照组(P<0。01)。结论:将聚焦解决模式联合积极心理干预应用于SAH患者中,可有效提高自我效能,缓解负性情绪,促进患者康复,改善预后。
Effect of Focused Solution Mode Combined with Positive Psychological Intervention on Self-efficacy and Negative Emotions in Patients with Subarachnoid Hemorrhage
Objective:To explore the effect of focused solution mode combined with positive psychological interventions on self-efficacy and negative emotions in patients with subarachnoid hemorrhage.Methods:A total of 100 patients with subarachnoid hemorrhage admitted from October 1,2020 to October 31,2022 were selected as the study subjects,and were divided into the control group and the study group by the random number ranking method with 50 cases in each group.The control group was given positive psychological intervention and the study group was given focused solution model combined with positive psychological intervention,both of which were intervened for 6 months.The self-efficacy by GSES,negative emotions by SAS and SDS,rehabilitation effect and complications in rehabilitation periods were compared between the two groups before and after intervention.Results:After intervention for 3 and 6 months,the GSES scores were higher in both groups than those before intervention(P<0.01),the SAS and SDS scores were lower in both groups than those before intervention(P<0.01),and better in the study than those in the control group(P<0.05).After intervention for 6 months,the rehabilitation effect was better in both groups than those before intervention(P<0.01,P<0.05),were better in the study group than that in the control group(P<0.05).The overall incidence of complications during rehabilitation was lower in the study group than that in the control group(P<0.05).After intervention for 6 months,the KPS,GOS,and ADL scores were higher in both groups than those before intervention period(P<0.05),and were higher in the study group than those in the control group after 6 months of intervention(P<0.01).Conclusion:Focused solution model combined with positive psychological interventions in patients with subarachnoid hemorrhage can effectively improve self-ef-ficacy.reduce negative emotions,promote recovery,and improve prognosis.

Focused solution modelPositive psychological interventionSubarachnoid hemorrhageSelf-efficacyNegative emotions

杨木林、白冰、任男男

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郑州大学第一附属医院 河南郑州 450000

聚焦解决模式 积极心理干预 蛛网膜下腔出血 自我效能 负性情绪

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(1)
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