聚焦解决模式对支气管哮喘患者焦虑抑郁及生活质量干预作用.docVIP

聚焦解决模式对支气管哮喘患者焦虑抑郁及生活质量干预作用 　　【摘要】 目的 评价聚焦解决模式对支气管哮喘患者焦虑、抑郁及生活质量的干预作用。方法 200例支气管哮喘患者， 随机分为实验组和对照组， 各100例。对照组患者给予常规护理干预， 实验组患者在常规护理干预的基础上给予聚焦解决模式的心理干预。干预前后利用焦虑自评量表（SAS）、抑郁自评量表（SDS）和哮喘生活质量调查量表（AQLQ）分别评价和比较两组患者的焦虑、抑郁状态和生活质量。结果 经过聚焦解决模式的心理干预后， 实验组患者的焦虑、抑郁评分低于对照组， 差异有统计学意义（P0.01）， 实验组患者AQLQ中日常生活受限、伴随症状、不适感、对诱发因素的反应、对哮喘的心理反应等5个维度的评分及总分均高于对照组， 差异有统计学意义（P0.01）。结论 聚焦解决模式的心理干预可以有效改善支气管哮喘患者焦虑、抑郁状态， 提高其生活质量， 有利于控制哮喘病情。 　　【关键词】 聚焦解决模式；支气管哮喘；焦虑；抑郁；生活质量 　　DOI：10.14163/j.cnki.11-5547/r.2016.01.158 　　Intervention effect by solution focused approach for anxiety， depression and quality of life in bronchial asthma patients QI Wen-wen， LIU Hong-yan. Shandong Zaozhuang Municipal Hospital， Zaozhuang 277800， China 　　【Abstract】 Objective To evaluate intervention effect by solution focused approach for anxiety， depression and quality of life in bronchial asthma patients. Methods A total of 200 patients with bronchial asthma were randomly divided into experimental group and control group， with 100 cases in each group. The control group received conventional nursing intervention， and the experimental group received additional solution focused approach for psychological intervention. Self-rating anxiety scale （SAS）， self-rating depression scale （SDS）， and asthma quality of living questionnaire （AQLQ） were applied to evaluate and compare anxiety， depression and quality of life in the two groups before and after intervention. Results After solution focused approach for psychological intervention， the experimental group had lower scores of anxiety and depression than the control group， and the difference had statistical significance （P0.01）. It also had higher scores of limited daily life， simultaneous phenomenon， discomfortableness， response to inducing factors， and psychoreaction to asthma in AQLQ and the total score than the control group， and the difference had statistical significance （P0.01）. Conclusion Solution focused approach for psychological intervention can effectively improve an