Effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea

Abstract

Objective To explore the effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea. Methods Totally 86 patients with hepatogenic diarrhea admitted in the First Affiliated Hospital of Zhengzhou University from January to December 2018 were selected using convenient sampling and divided into control (n=39) and observation (n=47) groups according to the time of admission. Patients in the control group received conventional nursing care, while patients in the observation group received 5-step intervention based on solution-focused approach. Self-Anxiety Scale (SAS) , Self-Depression Scale (SDS) and Gastrointestinal Symptom Rating Scale (GSRS) were used to assess the effects of intervention. Results After intervention, the SAS, SDS and GSRS scores of the observation were lower than those of the control group, and there were statistically significant differences between the two groups (P<0.05) . The top 5 gastrointestinal symptoms in both groups were stomachache, poor stool output, frequent defecation, loose stools and fecal urgency. The incidence of sour regurgitation, abdominal pain, flatulence, poor stool output and frequent defecation, loose stools and fecal urgency was reduced after intervention in the observation group, and there were statistically significant differences between the two groups (P<0.05) . Conclusions Solution-focused approach can ameliorate negative emotions such as anxiety and depression as well as gastrointestinal symptoms in patients with hepatogenic diarrhea, which is worthy promoting in clinical practice. Key words: Anxiety; Depression; Hepatogenic diarrhea; Gastrointestinal; Solution-focused approach