聚焦解决模式在抑郁症患者家属心理护理中的应用.docVIP

聚焦解决模式在抑郁症患者家属心理护理中的应用 　　【摘要】 目的：探讨聚焦解决模式在抑郁症患者家属心理护理中的应用效果。方法：将120例陪护家属随机分为试验组和对照组，每组60例，对照组按照传统的问题解决模式给予常规心理护理，试验组采取聚焦解决模式进行心理护理。干预前后采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评价两组干预效果。结果：干预前，两组家属的SAS、SDS评分比较差异无统计学意义（P0.05），但均高于国内常模，比较差异具有统计学意义（P0.05）。干预后，试验组SAS、SDS评分明显低于对照组，比较差异具有统计学意义（P0.05）。结论：应用聚焦解决模式进行心理护理，能够有效地缓解家属的焦虑、抑郁症状。 　　【关键词】 聚焦解决模式； 抑郁症； 家属； 心理护理 　　Application of Solution-focused Approach on Psychological Nursing for Family Members of Patients with Depression/LIU Cai-xia， JI Hong.//Medical Innovation of China，2016，13（04）：107-110 　　【Abstract】 Objective： To explore the application effect of solution-focused approach in the psychological nursing for family members of patients with depression. Method： One hundred and twenty family members of patients with depression were randomly divided into two groups， 60 cases in each group. Control group was given the traditional problem solving model of routine psychological nursing， the experimental group was given psychological care according to the five steps of solution-focused approach. The intervention effects were evaluated by using Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS）. Result： Before intervention， there were no significant differences in the scores of SAS and SDS between the two groups （P0.05）， but the scores was significantly higher than the national norm （P0.05）. After intervention， the scores of SAS and SDS of the experimental group was significantly lower than that of the control group （P0.05）. Conclusion： Solution-focused approach can effectively relieve the anxiety and depression of family members in the psychological nursing. 　　【Key words】 Solution-focused approach； Depression； Family members； Psychological nursing 　　First-author’s address： Shanxi Medical University， Taiyuan 030001， China 　　doi：10.3969/j.issn.1674-4985.2016.04.031 　　抑郁症是一种常见的心理障碍，具有高患病率、高复发率、高致残率和高致死率等特点，被称为“第一心理杀手”，不仅影响患者的生活、学习、工作等，作为患者密切接触者和照顾者角色的家属同样备受煎熬，特别是儿童、青少年抑郁症患者，其不同于成人[1]，家庭需承受更大的压力。国内外相关研究表明，抑郁症患者