Blood Purification Center, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), 266000 Qingdao, Shandong, China.
Department of Cardiology, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), 266000 Qingdao, Shandong, China.
Arch Esp Urol. 2024 Jan;77(1):49-56. doi: 10.56434/j.arch.esp.urol.20247701.7.
This study aims to explore the effect of the solution-focused approach on the insight and psychological emotion of patients with nephrotic syndrome (NS).
The clinical data of 185 Qingdao Municipal Hospital patients with NS from December 2020 to December 2022 were selected for retrospective analysis. According to different nursing modes, the patients were divided into the control group (CG, conventional nursing, n = 90) and the study group (SG, conventional nursing + solution-focused approach, n = 95). The Hospital Anxiety and Depression Scale (HADS) was used to assess the anxiety and depression levels of the patients, and the insight and treatment attitudes questionnaire (ITAQ) was adopted to evaluate their insight. The short form-36 health survey (SF-36) was used to evaluate the patients' quality of life. The relationship of patients' anxiety and depression levels with their insight was analysed.
No statistical difference in the gender, age, body mass index, education level, disease types, hypertension, hyperlipidaemia, oedema, monthly family per capita income and residence indicators of the patients in the two groups ( > 0.05) was found. The SG had distinctly lower HADS-A and HADS-D scores and a significantly higher ITAQ score than the CG after intervention ( < 0.001). After intervention, the physiological function, physiological role, vitality, social function, physical pain, general health, emotional role and mental health scores of the SG were overtly higher than those of the CG ( < 0.05). Results of the Pearson analysis show that the anxiety and depression scores are negatively correlated with the insight scores (r = -0.265, -0.255; All < 0.001).
The application of the solution-focused approach to NS patients can improve their insight and anxiety and depression levels with certain clinical application value, providing more directions for the follow-up treatment of NS.
本研究旨在探讨焦点解决模式对肾病综合征（NS）患者领悟力和心理情绪的影响。
选取 2020 年 12 月至 2022 年 12 月青岛市市立医院收治的 NS 患者 185 例的临床资料进行回顾性分析。根据护理模式的不同将患者分为对照组（CG，常规护理，n=90）和观察组（SG，常规护理+焦点解决模式，n=95）。采用医院焦虑抑郁量表（HADS）评估患者焦虑抑郁水平，采用领悟力和治疗态度问卷（ITAQ）评估患者领悟力，采用健康调查简表（SF-36）评估患者生活质量。分析患者焦虑抑郁水平与领悟力的关系。
两组患者的性别、年龄、体质量指数、文化程度、疾病类型、高血压、高血脂、水肿、月家庭人均收入、居住情况比较，差异无统计学意义（>0.05）。干预后观察组 HADS-A、HADS-D 评分明显低于对照组，ITAQ 评分明显高于对照组（均<0.001）。干预后观察组生理功能、生理职能、活力、社会功能、躯体疼痛、总体健康、情感职能、精神健康评分明显高于对照组（均<0.05）。Pearson 分析结果显示，焦虑抑郁评分与领悟力评分呈负相关（r=-0.265、-0.255；均<0.001）。
将焦点解决模式应用于 NS 患者中可提高其领悟力，改善其焦虑抑郁水平，具有一定的临床应用价值，为 NS 的后续治疗提供更多方向。
