聚焦解决模式在肾穿刺活检术患者心理护理中的应用.docVIP

聚焦解决模式在肾穿刺活检术患者心理护理中的应用 韩雪 丛云凤 【摘要】 目的 探讨聚焦解决模式在肾穿刺活检术患者围手术期心理护理中的作用。方法 将60例吉大一院肾内科拟行肾穿刺活检术患者随机分为对照组和实验组各30例，分别给予常规的健康教育、聚焦解决模式护理干预。于术前1天术后3天采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者进行评估。结果 肾穿刺活检术患者焦虑、抑郁发生率分别为63.3%、66.7%;患者焦虑、抑郁评分分别为53.43±10.06、54.43±10.27;干预后实验组患者焦虑和抑郁平均分值均低于对照组(P 0.05)。结论 采用聚焦解决模式护理干预可降低肾穿刺活检术围手术期患者焦虑抑郁程度，实验组患者比对照组情绪更加稳定，能够平稳渡过围手术期。 【关键词】 肾穿刺活检术；心理护理；聚焦解决模式 The application of solution-focused approach psychological care in Percutaneous renal needle biopsy HAN xue ,CONG yun-feng*. *Department of gynecology , First Clinical Hospital of Jilin University ,Jilin Province ,changchun130021 ,China 【Abstract】Objective Focus on solving model of renal biopsy patients in the perioperative role of psychological care. Methods 60 cases of Nephrology, Jilin Academy freshman who underwent renal biopsy were randomly divided into control and experimental group of 30 cases, Two groups were given regular health education, nursing intervention focused solution model.Respectively, before and after surgery using self-rating anxiety scale (SAS), self-rating depression scale (SDS) to assess the patient. Results Renal biopsy in patients with anxiety, depression rates were 63.3%, 66.7%; Anxiety, depression scores were 53.43±10.06,54.43± 10.27;experimental group mean score of anxiety and depression than the control group (P 0.05) Conclusion Solution-focused approach using nursing interventions to reduce perioperative renal biopsy of patients with anxiety and depression. Experimental group were more emotionally stable than the control group, to smooth out the perioperative period. 【Key words】Percutaneous renal needle biopsy; Psychology nursing; Solution focused approach 肾穿刺活检查术(简称肾穿刺)是确诊肾脏疾病的重要手段之一。该方法对于了解肾脏疾病的病理类型、后续的临床治疗、判断疾病预后具有重要的意义[1]。但肾穿刺作为一种有创性的检查,很容易引发各种并发症,如血尿、肾周血肿、感染、出血等。患者出于各种担心在围手术期普遍存在焦虑、抑郁、紧张、恐惧等负性情绪，因此如何对围手术期患者实施有效的心理护理以帮助患者安全平稳的渡过围手术期一直是护理研究的一项重要课题。聚焦解决模式(Solution Focused Approach)是Steve de Shazer在20世纪70年代末提出的，最初该模式被应用于临床心理咨询和治疗，目前作为一种心理干预模式在护理领域已经得到越来越多的关注。国外学者Dola