Effects of solution-focused brief therapy on self-perceived burden and quality of life in patients with stroke

Abstract

Objective To investigate the effects of solution-focused brief therapy on self-perceived burden and quality of life in patients with stroke. Methods 60 patients with stroke recruited at the department of rehabilitation of a hospital in Chengde city from January to June 2016 were divided into control group (n=30) and experimental group (n=30). Both groups received conventional nursing care and rehabilitation treatment. In addition, the experimental group received psychological intervention of solution-focused brief therapy, 2-3 times a week, 30-45 minutes for each time.The self-perceived burden scale(SPBS), memorial university of Newfoundland scale of happiness(MUNSH) and short from 36 health survey questionaire(SF-36) were used to assess the patients before and after intervention. Results (1)The differences of the scores of SPBS ((39.27±5.83) vs (22.40±4.03), t=16.248, P<0.01) and MUNSH ((4.20±4.50) vs (31.10±3.66), t=-24.136, P<0.01) for the experimental group before and after the intervention were statistically significant. There were statistically significant differences in scores of SPBS ((22.40±4.03) vs (35.30±2.63), t=-14.683, P<0.01) and MUNSH ((31.10±3.66) vs (19.67±3.64), t=12.127, P<0.01) between the experimental group and control group after the intervention.(2)The scores of physiologic functioning, general health, vitality, social functioning, role-emotional and mental health for the experiment group were higher than before(t=-23.427--6.624, all P<0.01). After the intervention, the scores of physiologic functioning, general health, vitality, social functioning, role-emotional and mental health in the experiment group were higher than those in control group(t=5.705-12.806, all P<0.01). Conclusion Solution-focused brief therapy can effectively reduce the self-perceived burden of stroke patients and improve their quality of life. Key words: Solution-focused brief therapy; Stroke; Self-perceived burden; Subjective well-being; Quality of life