Department of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China.
J Healthc Eng. 2022 Mar 19;2022:9951374. doi: 10.1155/2022/9951374. eCollection 2022.
To explore the effect of the solution-focused approach combined with family involvement in the WeChat platform management on inpatients with intracerebral hemorrhage (ICH).
A total of 80 ICH patients hospitalized in our hospital from June 2018 to June 2021 were split into the control group (CG) and the study group (SG) according to the clinical nursing modes, with 40 cases in each group. Both groups received routine intervention, while SG additionally received the solution-focused approach combined with family involvement in the WeChat platform management to compare the self-care ability, psychological status, and hope levels between the two groups after intervention.
No significant differences in general data were observed between the two groups ( > 0.05). The SAS and SDS scores before intervention showed mild depression and anxiety in both groups, which improved after intervention. In addition, the SAS and SDS scores after intervention were remarkably lower in SG than in CG ( < 0.05). After intervention, the scores of ICH-related knowledge, self-care skills, self-care responsibility, and rehabilitation knowledge in SG were notably higher compared with CG ( < 0.05). After intervention, the Herth scores of both groups increased, with a higher score in SG than in CG ( < 0.05). After intervention, SG had higher quality of life (QOL) scores in general health, physiological function, physiological role, body pain, vitality, social function, emotional role, and physiological health than CG ( < 0.05).
The implementation of the solution-focused approach combined with family involvement in the WeChat platform management for ICH inpatients can effectively improve their psychological status, enhance their self-care ability and hope levels, promote body recovery, and improve their QOL after intervention.
探讨基于微信平台管理的聚焦解决模式联合家庭参与对脑出血（ICH）患者的影响。
选取 2018 年 6 月至 2021 年 6 月我院收治的 80 例 ICH 患者，根据临床护理模式分为对照组（CG）和研究组（SG），各 40 例。两组均给予常规干预，SG 组在此基础上联合基于微信平台管理的聚焦解决模式联合家庭参与，比较两组干预后的自我护理能力、心理状态和希望水平。
两组一般资料比较，差异无统计学意义（>0.05）。干预前两组 SAS、SDS 评分均显示轻度抑郁和焦虑，干预后均有所改善，且 SG 组干预后 SAS、SDS 评分显著低于 CG 组（<0.05）。干预后，SG 组 ICH 相关知识、自我护理技能、自我护理责任感、康复知识评分均显著高于 CG 组（<0.05）。干预后，两组 Herth 评分均升高，且 SG 组高于 CG 组（<0.05）。干预后，SG 组一般健康、生理功能、生理角色、躯体疼痛、活力、社会功能、情绪角色、生理健康维度的生活质量（QOL）评分均显著高于 CG 组（<0.05）。
对 ICH 患者实施基于微信平台管理的聚焦解决模式联合家庭参与，可有效改善其心理状态，提高自我护理能力和希望水平，促进身体康复，提高干预后的 QOL。
