摘要
目的探讨聚焦解决模式在膀胱疼痛综合征/间质性膀胱炎（painful bladder syndrome/interstitial cystitis,PBS/IC）患者护理中的应用效果。方法选择2009年1月至2010年4月在杭州第三人民医院就诊的54例PBS/IC患者作为研究对象,按患者住院号单双数将其分为观察组（n=26）和对照组（n=28）。观察组应用聚焦解决模式对患者进行护理,对照组按常规方法进行护理。采用健康状况问卷（short form 36 health survey questionnaire,SF-36）及综合性医院焦虑抑郁量表（hospital anxiety anddepression scale,HADS）分别于入院治疗第1~2天、治疗6个月对两组患者生活质量和焦虑抑郁症状进行调查。结果入院治疗时,两组PBS/IC患者SF-36量表得分差异无统计学意义（均P〉0.05）;干预6个月后,两组患者的生活质量均有提高,与入院时比较差异有统计学意义（P〈0.05）。干预6个月后观察组患者SF-36量表得分较对照组显著提高（均P〈0.05）。入院时两组PBS/IC患者HAD评分的差异无统计学意义（均P〉0.05）;干预6个月后,观察组患者HAD得分较对照组明显降低（P〈0.05）。结论采用聚焦解决模式,能改善PBS/IC患者的症状,缓解其焦虑和抑郁情绪,从而提高患者的生活质量。
Objective To investigate the effect of focused approach in the nursing intervention of patients with painful bladder syndrome/interstitial cystitis（PBS/IC）.Methods From January 2009 through April 2010,54 PBS/IC patients were randomly divided into observation group（n=26） to undergo focused approach and control group（n=28） to undergo the routine nursing.The quality of life and anxiety depression symptoms were compared using short form 36 health survey questionnaire（SF-36）and hospital anxiety and depression scale（HADS） at intervals of 1 ~ 2 days after admission and 6 months after treatment between the two groups.Results No significant difference was observed in the SF-36 scores at admission between the two groups of PBS/IC patients（P0.05）.After six months＇ treatment,the quality of life was in the improved two group which were significantly superior to those at admission（P0.05）;the SF-36 scores in the observation group were significantly higher than those in the control group（P0.05）.No significant difference was observed in HADS scores of PBS/IC patients at admission（P0.05）.After six months＇ treatment,the HADS scores in the in the observation group were significantly lower than those in the control group（P0.05）.Conclusion The focused approach can improve the symptoms in PBS/IC patients,alleviate anxiety depression symptom and improve their quality of life.
出处
《解放军护理杂志》
2011年第2期12-14,20,共4页
Nursing Journal of Chinese People's Liberation Army
基金
杭州市医药卫生科技计划项目(No.2008B0041)
