焦点解决短程心理治疗对老年心肌梗死患者自我感受负担和生存质量的影响
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摘要
目的:探讨焦点解决短程心理治疗(solution focused brief therapy,SFBF)对老年急性心肌梗死(acute myocardial infarction,AMI)患者自我感受负担和生存质量的影响。方法:选取本院2008年4月-2016年6月收治老年AMI患者124例为研究对象,根据随机数字表法随机分为观察组和对照组。对照组患者给予常规心理干预,观察组在对照组基础上采用SFBF心理干预。比较两组干预前后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分、幸福度量表(MUNSH)评分、自我感受负担量表(SPBS)评分以及健康调查简表(SF-36)评分。结果:干预后,观察组SDS、SAS评分,显著低于对照组(t=5.263,5.268;P<0.001),观察组MUNSH评分,显著高于对照组(t=8.535,P<0.001);干预后,观察组SPBS总分显著低于对照组(t=4.990,P<0.001);干预后,观察组SF-36量表各维度评分,如心理健康、社会功能,显著高于对照组(t=3.792,3.629;P<0.001)。结论:SFBF可有效改善老年AMI患者负性情绪,提升幸福感,减轻自我感受负担,提高生存质量。
Objective:To investigate the effect of solution focused brief therapy(SFBF)on self-perceived burden and quality of life of elderly patients with acute myocardial infarction(AMI).Methods:A total of 124 elderly patients with AMI treated in our hospital from April 2008 to June 2016 were selected as the subjects,and they were divided into the observation group(n=62)and the control group(n=62)by the random number table method.The control group were given routine psychology intervention while the observation group were given SFBF psychological intervention on the basis of the control group.Scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Memorial University of Newfoundland Score of Happiness(MUNSH),self-perceived burden scale(SPBS)and health survey short form(SF-36)were compared between the two groups before and after intervention.Results:After the intervention,scores of SAS and SDS of the observation group were significantly lower than those of the control group(t=5.263,5.268;P<0.01)while the MUNSH score was significantly higher than that of the control group(t=8.535,P<0.01).After the intervention,the total SPBS score of observation group was significantly lower than that of the control group(t=4.990,P<0.01).After the intervention,scores of dimensions in SF-36,such as mental health and social function were significantly higher than those of control group(t=3.792,3.629;P<0.01).Conclusion:SFBF can effectively relieve negative emotions,improve the sense of happiness,reduce the self-perceived burden and improve the quality of life of elderly patients with AMI.
Objective:To investigate the effect of solution focused brief therapy(SFBF)on self-perceived burden and quality of life of elderly patients with acute myocardial infarction(AMI).Methods:A total of 124 elderly patients with AMI treated in our hospital from April 2008 to June 2016 were selected as the subjects,and they were divided into the observation group(n=62)and the control group(n=62)by the random number table method.The control group were given routine psychology intervention while the observation group were given SFBF psychological intervention on the basis of the control group.Scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Memorial University of Newfoundland Score of Happiness(MUNSH),self-perceived burden scale(SPBS)and health survey short form(SF-36)were compared between the two groups before and after intervention.Results:After the intervention,scores of SAS and SDS of the observation group were significantly lower than those of the control group(t=5.263,5.268;P<0.01)while the MUNSH score was significantly higher than that of the control group(t=8.535,P<0.01).After the intervention,the total SPBS score of observation group was significantly lower than that of the control group(t=4.990,P<0.01).After the intervention,scores of dimensions in SF-36,such as mental health and social function were significantly higher than those of control group(t=3.792,3.629;P<0.01).Conclusion:SFBF can effectively relieve negative emotions,improve the sense of happiness,reduce the self-perceived burden and improve the quality of life of elderly patients with AMI.
引文
[1]杨亚佳,范雪华,江溶.优质护理对急性心肌梗死患者的临床疗效观察[J].护士进修杂志,2016,31(8):718-720
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[5]吴歌.短程焦点解决辅助团体疗法对青少年焦虑、抑郁情绪的改善作用[J].重庆医学,2016,45(6):787-789
[6]梁明明,李晓敏,杜玉凤,等.焦点解决短程治疗对脑卒中患者自我感受负担和生存质量的影响[J].中华行为医学与脑科学杂志,2017,26(6):507-512
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[10]张庆娜,李惠萍,王德斌.中文版自我感受负担量表在癌症患者中应用的信效度评价[J].中国实用护理杂志,2013,29(2):1-4
[11]李莉,陈善佳,方云华,等.中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度[J].中国康复医学杂志,2017,32(5):509-515
[12]施海燕.社会支持对缓解心肌梗死后患者焦虑抑郁情绪的干预效果[J].中国健康心理学杂志,2014,22(3):357-358
[13]王汝涛,刘毅,夏陈海,等.百乐眠联合氟哌噻吨美利曲辛治疗冠心病合并焦虑症状患者的疗效[J].神经疾病与精神卫生,2016,16(2):155-157
[14]楼秋英,冯国和,张邢炜,等.急性心肌梗死患者经皮冠状动脉介入术后心理状态调查与分析[J].护理与康复,2013,12(3):221-222
[15]周青静,关承斌,王纯.抑郁症患者主观幸福感与复原力的对照研究[J].神经疾病与精神卫生,2011,11(4):341-343
[16]骆宏,相麟.焦点解决短期治疗中奇迹提问对大学生回忆倾向、情绪状态的影响[J].中华行为医学与脑科学杂志,2014,23(11):1030-1032
[17]Bond C,Woods K,Humphrey N,et al.Practitioner Review:The effectiveness of solution focused brief therapy with children and families:a systematic and critical evaluation of the literature from1990-2010[J].Journal of Child Psychology&Psychiatry,2013,54(7):707-723
[18]李莉,金昌德,邱婷,等.焦点解决模式对改善颈椎病患者焦虑状态和社会支持水平的效果研究[J].中国实用护理杂志,2012,28(34):82-84
[19]梁明明,杜玉凤,李晓敏,等.脑卒中患者自我感受负担和主观幸福感的关系[J].中国健康心理学杂志,2017,25(6):832-835
[20]朱凌燕,卢惠娟,许燕玲,等.压力管理对改善急性心肌梗死患者生活质量的效果研究[J].中华护理杂志,2014,49(5):534-539
[21]Carr S M,Smith I C,Simm R.Solution-focused brief therapy from the perspective of clients with long-term physical health conditions[J].Psychology Health&Medicine,2014,19(4):384-391(收稿日期:)
[2]李伟,张玉堂.焦虑与心血管疾病的相关性分析[J].神经疾病与精神卫生,2013,13(4):426-428
[3]王丽,杨莉莉,汤柏赞,等.老年冠心病患者并发急性心肌梗死危险因素分析[J].中国公共卫生,2017,33(7):1135-1138
[4]武燕燕,赵立新,夏月.焦点解决短期治疗模式的研究进展[J].护理管理杂志,2012,12(5):349-351
[5]吴歌.短程焦点解决辅助团体疗法对青少年焦虑、抑郁情绪的改善作用[J].重庆医学,2016,45(6):787-789
[6]梁明明,李晓敏,杜玉凤,等.焦点解决短程治疗对脑卒中患者自我感受负担和生存质量的影响[J].中华行为医学与脑科学杂志,2017,26(6):507-512
[7]元柏民.心血管病诊断标准[M].北京:学苑出版社,1992
[8]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679
[9]陶明,高静芳.修订焦虑自评量表(SAS-CR)的信度及效度[J].中国神经精神疾病杂志,1994,20(5):301-303
[10]张庆娜,李惠萍,王德斌.中文版自我感受负担量表在癌症患者中应用的信效度评价[J].中国实用护理杂志,2013,29(2):1-4
[11]李莉,陈善佳,方云华,等.中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度[J].中国康复医学杂志,2017,32(5):509-515
[12]施海燕.社会支持对缓解心肌梗死后患者焦虑抑郁情绪的干预效果[J].中国健康心理学杂志,2014,22(3):357-358
[13]王汝涛,刘毅,夏陈海,等.百乐眠联合氟哌噻吨美利曲辛治疗冠心病合并焦虑症状患者的疗效[J].神经疾病与精神卫生,2016,16(2):155-157
[14]楼秋英,冯国和,张邢炜,等.急性心肌梗死患者经皮冠状动脉介入术后心理状态调查与分析[J].护理与康复,2013,12(3):221-222
[15]周青静,关承斌,王纯.抑郁症患者主观幸福感与复原力的对照研究[J].神经疾病与精神卫生,2011,11(4):341-343
[16]骆宏,相麟.焦点解决短期治疗中奇迹提问对大学生回忆倾向、情绪状态的影响[J].中华行为医学与脑科学杂志,2014,23(11):1030-1032
[17]Bond C,Woods K,Humphrey N,et al.Practitioner Review:The effectiveness of solution focused brief therapy with children and families:a systematic and critical evaluation of the literature from1990-2010[J].Journal of Child Psychology&Psychiatry,2013,54(7):707-723
[18]李莉,金昌德,邱婷,等.焦点解决模式对改善颈椎病患者焦虑状态和社会支持水平的效果研究[J].中国实用护理杂志,2012,28(34):82-84
[19]梁明明,杜玉凤,李晓敏,等.脑卒中患者自我感受负担和主观幸福感的关系[J].中国健康心理学杂志,2017,25(6):832-835
[20]朱凌燕,卢惠娟,许燕玲,等.压力管理对改善急性心肌梗死患者生活质量的效果研究[J].中华护理杂志,2014,49(5):534-539
[21]Carr S M,Smith I C,Simm R.Solution-focused brief therapy from the perspective of clients with long-term physical health conditions[J].Psychology Health&Medicine,2014,19(4):384-391(收稿日期:)