| 邱小英.聚焦解决模式干预对扩张型心肌病患者负性情绪和再入院率的影响[J].上海护理,2022,22(3): |
| 聚焦解决模式干预对扩张型心肌病患者负性情绪和再入院率的影响 |
| The effect of solution-focused approach on negative emotions and readmission rate of patients with dilated cardiomyopathy |
| DOI： |
| 中文关键词: 扩张型心肌病 聚焦解决模式 焦虑 抑郁 负性情绪 再入院率 |
| 英文关键词:Dilated Cardiomyopathy Solution-focused approach Anxiety Depression Negative emotion Rehospitalization |
| 基金项目:湖南省社科基金资助项目(18YBA315)；湖南省社会发展领域重点研发项目(2019SK2142);湖南省卫生健康委一般资助课题(202114012086)作者单位：410005, 长沙市,湖南省人民医院1.心血管内科；2.院办；3.护理部 |
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| 中文摘要: |
| 目的 探讨聚焦解决模式干预对扩张型心肌病患者负性情绪和再入院率的影响 方法 将76例入住湖南省某三甲医院两病区的扩张型心肌病伴焦虑或抑郁情绪的患者随机分成试验组和对照组各38例,试验组在常规护理方法的基础上,从入院至出院30d应用聚焦解决模式实施心理干预和随访；对照组采用常规护理方法。比较两组患者入院时、出院时及出院30d复诊时的焦虑评分、抑郁评分、入院至出院30d内心血管不良事件发生率及出院30d非计划性再入院率。结果 两组患者入院时焦虑、抑郁评分无统计学意义(P>0.05),随着治疗的进展两组均有所改善,但试验组出院时及出院30d焦虑、抑郁评分优于同期对照组,差异有统计学意义(P<0.05)；试验组入院至出院30d不良心血管事件发生率及30d非计划再入院率均低于对照组,差异有统计学意义(P<0.05)。结论 聚焦解决模式对缓解扩张型心肌病患者焦虑抑郁等负性情绪、降低不良心血管事件发生率、改善临床结局、减少再入院率具有重要意义,值得临床推广。 |
| 英文摘要: |
| SObjective To explore the effect of solution-focused approach on negative emotions and readmission rate of patients with dilated cardiomyopathy. Methods A total of 76 patients with dilated cardiomyopathy with anxiety or depression were randomly divided into the experimental group(n=38) and the control group(n=38). The experimental group, on the basis of conventional nursing methods, applied the focused solution approach mode to carry out psychological intervention from admission to 30 days discharge. Conventional nursing methods were used in the control group.Anxiety and depression scores,incidence of adverse events from admission to 30days discharge and 30-day readmission rate were compared between the two groups. Results The scores of anxiety and depression in the two groups at admission were not statistically significant (P>0.05), and both groups improved with the progress of treatment. However, the scores of anxiety and depression in the experimental group at discharge and 30 days after discharge were better than those in the control group (P<0.05). The incidence of adverse events within 30 days from admission to discharge and 30-day readmission rate in the experimental group were all lower than those in the control group (P<0.05). Conclusion The application of the solution-focused approach can effectively relieve the negative emotions of patients with dilated cardiomyopathy, reduce the incidence of adverse cardiovascular events, improve clinical outcomes and reduce the readmission rate which is worthy of clinical promotion . |
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