聚焦解决模式联合激励式心理干预应用于主动脉夹层患者术后的效果研究

doi:10.3760/cma.j.cn441417-20250402-19030

摘要/Abstract

摘要：

目的　探讨聚焦解决模式联合激励式心理干预对主动脉夹层（AD）患者术后的应用效果。方法　采用前瞻性研究。选取南昌大学第二附属医院2022年2月至2024年1月收治的89例AD患者，按随机数表法分为对照组（45例）和干预组（44例）。对照组：男27例，女18例，年龄（42.68±2.30）岁，行常规干预；干预组：男28例，女16例，年龄（42.81±2.44）岁，行聚焦解决模式联合激励式心理干预。两组均干预1个月。对比两组干预前后心理状态、心理弹性及应对方式。统计学方法采用t检验、χ²检验。结果　干预后，干预组焦虑自评量表（SAS）、抑郁自评量表（SDS）得分均低于对照组［（44.54±3.21）分比（47.54±3.66）分、（45.25±3.64）分比（49.58±3.71）分］，心理弹性量表（CD-RISC）得分高于对照组［（84.54±5.66）分比（78.96±5.17）分］，差异均有统计学意义（t=4.108、5.557、4.853，均P<0.05）；干预组医学应对方式问卷（MCMQ）中的回避、屈服得分均低于对照组［（10.25±1.42）分比（14.50±1.85）分、（8.54±1.16）分比（11.58±1.32）分］，面对得分高于对照组［（25.65±3.50）分比（19.58±3.14）分］，差异均有统计学意义（t=12.138、11.531、8.616，均P<0.05）。结论　聚焦解决模式与激励式心理干预联合应用于AD患者，能够改善患者术后心理状态，增强心理弹性，并优化应对方式。

关键词:

主动脉夹层, 聚焦解决模式, 激励式心理干预, 心理状态, 应对方式

Abstract:

Objective　To explore the application effect of focused solution mode combined with incentive psychological intervention on postoperative patients with aortic dissection ( AD ). Methods　Adopt a prospective research method.A total of 89 AD patients admitted to the Second Affiliated Hospital of Nanchang University from February 2022 to January 2024 were selected and divided into the control group (45 cases) and the intervention group (44 cases) according to the random number table method.Control group: 27 males and 18 females, with an average age of (42.68±2.30) years. They received routine intervention.Intervention group: 28 males and 16 females, with an average age of (42.81±2.44) years. They received the combined intervention of focused problem-solving model and motivational psychological therapy.Both groups were intervened for one month.Compare the psychological states, psychological resilience and coping styles of the two groups before and after the intervention.Statistical methods employed t-test and χ² test. Results　After the intervention, the scores of the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) in the intervention group were lower than those in the control group [(44.54±3.21) points vs. (47.54±3.66) points, (45.25±3.64) points vs. (49.58±3.71) points], and the score of psychological resilience was higher than that in the control group [(84.54±5.66) points vs. (78.96±5.17) points], and the differences were all statistically significant (t=4.108, 5.557,and 4.853, all P<0.05).The scores of avoidance and submission in the MCMQ of the intervention group were lower than those of the control group [(10.25±1.42) points vs. (14.50±1.85) points, (8.54±1.16) points vs. (11.58±1.32) points], while the score of confrontation was higher than that of the control group [(25.65±3.50) points vs. (19.58±3.14) points], and the differences were all statistically significant (t=12.138, 11.531,and 8.616, all P<0.05). Conclusion　For patients with AD, adopting the focused problem-solving model combined with the motivational psychological intervention can improve their postoperative psychological state, enhance psychological resilience, and regulate coping styles.

Key words:

Aortic dissection, Solution focused approach, , Motivational, psychological intervention, Mental statevention, Coping style

邹湘云张朝.

聚焦解决模式联合激励式心理干预应用于主动脉夹层患者术后的效果研究 [J]. 国际医药卫生导报, 2025, 31(19): 3320-3324.

Zou Xiangyun, Zhang Chao.

Study on the application of focused solution mode combined with incentive psychological intervention in patients with aortic dissection after operation [J]. International Medicine and Health Guidance News, 2025, 31(19): 3320-3324.

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