Effect of solution-focused approach on self perceived burden and negative emotion in elderly patients with coronary heart disease complicated with type 2 diabetes

Abstract

Objective To explore the effect of solution-focused approach on self perceived burden, anxiety and depression in elderly patients with coronary heart disease complicated with type 2 diabetes. Methods From January to June 2016, 76 elderly patients with coronary heart disease complicated with type 2 diabetes from inpatients department of Wuxi Second People's Hospital were selected as the research objects by convenience sampling method. The patients were divided into control group and observation group by random number table, each with 38 cases. Patients in the control group were given routine nursing and patients of the observation group were given solution-focused approach intervention on the basis of routine nursing. Self-perceived burden scale, self-rating anxiety scale and self-rating depression scale were used to evaluate the effect of intervention. Results Compared with the score before intervention, there was statistical difference in the self-perceived burden score after intervention in two groups (P 0.05) . After 3-month intervention, the self perceived burden score of the observation group was lower than that of the control group (P 0.05) . After 3-month intervention, the score of anxiety and depression in the intervention group was significantly lower than that in the control group (P<0.05) . Conclusions Solution focused approach can reduce the self-perceived burden of the elderly coronary heart disease patients with type 2 diabetes and alleviate the patients' negative emotions effectively. Key words: Anxiety; Depression; Aged; Coronary heart disease; Diabetes mellitus, type 2; Solution focused approach; Self-perceived burden