聚焦解决模式对肾穿刺活检术围手术期患者焦虑抑郁的影响

目的探讨应用聚焦解决模式实施心理护理对肾穿刺活检术围手术期患者焦虑、抑郁的影响。方法将60例行肾穿刺活检术患者随机分为对照组和实验组各30例，对照组给予常规的健康教育，实验组在此基础上，从术前1d到术后3d应用聚焦解决模式实施心理干预，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）分别于术前1d及术后3d对患者进行评估，比较两组患者SAS、SDS评分。结果肾穿刺活检术术前患者总体焦虑、抑郁发生率分别为63．3％、66．7％；干预前两组患者SAS、SDS评分比较，差异无统计学意义（P〉0．05）；干预后实验组患者SAS、SDS评分分别为（42．60±6．95），（46．80±7．73）分，均低于对照组的（50．53±8．63），（53．53±10．93）分，差异均有统计学意义（t分别为3．92，0．28；P〈0．05）。结论以聚焦解决模式为基础的心理干预，可降低肾穿刺活检术围手术期患者焦虑、抑郁程度，提高护理质量。

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.