Effect Of Solution-focused Approach Research Articles

Effect of Solution-Focused Approach on Insight and Phsychological Emotion of Patients with Nephrotic Syndrome: A Retrospective Study from the Hospital.

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 (p > 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 (p < 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 (p < 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 p < 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.

Effect of solution-focused approach on anxiety and depression in patients with rheumatoid arthritis: A quasi-experimental study.

Anxiety and depression are common psychological problems in rheumatoid arthritis (RA) patients. However, few effective nursing intervention models have been designed specifically to improve anxiety and depression in RA patients. Solution-focused approach (SFA) is an effective intervention method for psychosocial issues. There have been no studies involving SFA yet in RA patients. This study investigated the effects of SFA-based nursing intervention on anxiety and depression in RA patients. A quasi-experimental study using a convenience sampling of RA patients was conducted. The 48 RA patients were divided into the control group (n = 24) and the experimental group (n = 24). The control group received routine nursing intervention, while the experimental group received SFA-based nursing intervention. The scores on the self-rating anxiety scale (SAS), self-rating depression scale (SDS), arthritis self-efficacy scale-8 (ASES-8), and questionnaire on patient satisfaction with nursing care were collected before and after nursing interventions. Between-Group Comparison: Before the nursing intervention, there was no statistically significant difference in the SDS, SAS, and ASES-8 scores between the two groups (p > 0.05). However, after the nursing intervention, the SDS and SAS scores of the experimental group were statistically significantly lower than those of the control group (p < 0.05). In contrast, the ASES-8 score of the experimental group was statistically significantly higher than that of the control group (p < 0.05). In addition, patient satisfaction with nursing care of the experimental group was better than that of the control group (p > 0.05). Within-Group Comparison: There was no statistically significant difference in the SDS, SAS, and ASES-8 scores in the control group before and after routine nursing intervention (p > 0.05). However, in the experimental group, the SDS and SAS scores before SFA-based nursing intervention were statistically significantly higher than those after SFA nursing intervention (p < 0.05), and the ASES-8 score before SFA-based nursing intervention was considerably lower than that after SFA nursing intervention (p < 0.05). SFA-based nursing intervention can effectively improve anxiety, depression, and arthritis self-efficacy of RA patients. This study broadens clinical psychological nursing intervention models for RA patients. SFA may be an effective nursing model for various psychosocial problems in the current medical context.

Observation on the Effect of Solution-Focused Approach Combined with Family Involvement in WeChat Platform Management on Inpatients with Intracerebral Hemorrhage.

Objective To explore the effect of the solution-focused approach combined with family involvement in the WeChat platform management on inpatients with intracerebral hemorrhage (ICH). Methods 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. Results No significant differences in general data were observed between the two groups (P > 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 (P < 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 (P < 0.05). After intervention, the Herth scores of both groups increased, with a higher score in SG than in CG (P < 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 (P < 0.05). Conclusion 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.

The Effect of Solution-Focused Approach to Support Decision Making for Persons with Disabilities

The purpose of this study is to examine the significance of applying solution-focused approach (referred to as “SFA”) to people with limited expression, to compare SFA with problem-oriented approach based on Bradshaw’s Taxonomy of Need. One case supported by social worker of the home nursing support office was the subject of analysis. Excerpts from the supporting records that used SFA were used to describe specifically how the questions were asked and how the cases responded. In this study, we show that SFA has a certain effect on the voluntary decision making of them, even for the persons with the constraint of the will expression.

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

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

Effect of solution-focused approach on anxiety and depression in patients with peritoneal dialysis

目的 探讨聚焦解决模式干预对腹膜透析患者焦虑抑郁情绪的影响。 方法 选取49例腹膜透析患者，对患者实施聚焦解决模式干预的心理护理，分别在入院时、出院时及出院后3个月随访时，采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者进行焦虑、抑郁评分，评估患者心理状况。 结果 入选患者出院时SAS评分为(52.73±4.93)分、SDS评分为(55.20±4.37)分，低于入院时(t＝11.68、13.62，均P<0.05)；入选患者出院时SAS评分为(49.48±3.46)分、SDS评分为(50.95±3.65)分，低于入院时(t＝6.82、7.40，均P<0.05)。 结论 以聚焦解决模式为基础的心理干预措施能降低腹膜透析患者的焦虑自评得分及抑郁自评得分，为患者提供有效的心理护理。

A study on the influence of the solution focused approach on the job burnout of nursing interns

Objective To explore the effect of solution focused approach on the job burnout of nursing interns, and provide theoretical and practical basis for the post-intervention practices. Methods From September 2014 to May 2016 in a level three class A general hospital of Beijing, fresh nursing graduates who interned in hospital were selected as study objects. A total of 40 nursing interns were divided into control group from June 2014 to March 2015, using the nursing core competency-based education model for teaching, while 42 students were selected to the observation group from June 2015 to March 2016, based on control group teaching model added solution focused approach. Before and after the internship, nursing burnout scale, turnover intention scale, graduation comprehensive skills assessment scores were used to evaluated all interns in two groups. Results The differences had no statistical significance in gender, age, educational background, job burnout, intention of turnover, scores of theory and skill operation before internship (P>0.05). After internship, the job burnout and turnover intention of observation group was lower than that of control group, but the students comprehensive examination scores was higher than that of control group (P<0.05). Conclusions Solution focused approach as a model of psychological intervention can reduce the job burnout and turnover intention and improve the quality of intern practice. Key words: Nursing intern; Solution focused approach; Job burnout; Turnover intention

Effect of solution-focused approach combined with auricular acupressure on anxiety and pain of patients with postmenopausal cervical cancer during afterloading brachytherapy

Objective To observe the effect of solution-focused approach combined with auricular acupressure on relieving the anxiety and pain of patients with postmenopausal cervical cancer during afterloading brachytherapy .Methods One hundred and twenty patients who treated with uterine cavity for the first time were randomly divided into the observation group （ n =60 ） and the control group （ n =60 ） .The control group received the conventional nursing , and the observation group received the solution-focused approach nursing combined with auricular acupressure on the basis of the conventional nursing .The self-rating anxiety scale （ SAS ） was used before the intervention and one week after the intervention （ once again before afterloading brachytherapy ） , and the score of pain and the satisfaction of patients were evaluated during the afterloading brachytherapy .Results No difference was not found in the score of SAS before the intervention between two groups （P〉0.05）.The score of SAS was （42.3 ±44.46） in the observation group one week after the＆nbsp;intervention , and was significantly lower than （ 49 .76 ±4 .57 ） in the control group , and the difference was statistically significant （t=-9.00, P〈0.05）.The cases of the grade Ⅰof pain were 15 cases （25%）, gradeⅡwere 42 cases （70%）, grade Ⅲ were 2 cases （3.33%）, grade Ⅳ were 1 case （1.67%） in the observation group during operation , and were respectively 2 cases （3.33%）, 28 cases （46.67%）, 27 cases （45%）, 3 cases （5%） in the control group, and the degree of pain in the observation group during operation was significantly better than the control group , and the difference was statistically significant （Z=-5.74, P〈0.001）.The satisfaction of patients in the observation group during operation （4.89 ±0.10） was better than （3.87 ±0.51） in the control group and the difference was statistically significant （t =15.21, P〈0.05）. Conclusions The solution-focused approach combined with auricular acupressure during afterloading brachytherapy can reduce the anxiety , pain, and improve the satisfaction of patient . Key words: Solution-focused approach; Auricular acupressure; Cervical cancer; Intracavitary radiotherapy; Intrauterine device insertion; Pain

Effect of solution-focused approach nursing on the perioperative anxiety and depression of patients with percutaneous renal needle biopsy

Objective To explore the effect of solution-focused approach nursing on the perioperative anxiety and depression of patients with percutaneous renal needle biopsy.Methods Totals of 60 cases who underwent renal biopsy were randomly divided into control group and experimental group with 30 cases each group.Two groups were received regular health education,while the experimental group from 1 day before surgery to 3 days after surgery received the nursing intervention on the solution-focus approach.Before and after surgery,self-rating anxiety scale (SAS),self-rating depression scale (SDS) were used to investigated the patients and compared.Results The incidence of anxiety and depression among all patients was 63.3％ and 66.7％,and no significant difference was found in the score of SAS and before received the percutaneous renal needle biopsy between two groups( P ＞0.05 ).After intervention,the score of SAS and SDS score of experimental group were ( 42.60 ± 6.95 ) and ( 46.80 ± 7.73 ),respectively,and that of control group were ( 50.53 ± 8.63 ),(53.53 ± 10.93 ),and the differences were statistically significant ( P ＜ 0.05 ).Conclusions The intervention solution-focused approach nursing can reduce renal biopsy perioperative patients' degree of anxiety and depression,and improve the quality of nursing. Key words: Anxiety ; Depression; Percutaneous renal needle biopsy; Solution-focused approach

The effect of solution-focused approach in career counseling using e-mail

The effect of solution-focused approach in career counseling using e-mail