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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(P<0.01),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(P<0.01)。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。
OBJECTIVE: To evaluate the intervention effect of focusing solution mode on anxiety, depression and quality of life in patients with bronchial asthma. Methods 200 cases of bronchial asthma patients were randomly divided into experimental group and control group, each 100 cases. Patients in the control group were given routine nursing intervention. Patients in the experimental group were given psychological intervention focusing on the mode of treatment based on routine nursing intervention. Before and after intervention, anxiety, depression and quality of life were evaluated and compared using SAS, SDS and AQQ respectively. Results After the psychological intervention focused on the mode of treatment, the scores of anxiety and depression in the experimental group were lower than those in the control group (P <0.01). The patients in the experimental group were limited in the daily life, with symptoms and discomfort, The scores of the five dimensions of response to predisposing factors and psychological responses to asthma were higher than those of the control group (P <0.01). Conclusions Focusing on the mode of psychological intervention can effectively improve the anxiety and depression in patients with bronchial asthma, improve their quality of life, and help control asthma.