Application of the solution-focused model in the treatment of negative emotions in patients undergoing pulmonary tuberculosis surgery
聚焦解决模式在肺结核手术患者负性情绪中的应用

摘要

目的 本研究以聚焦解决模式为基础，探讨该模式对肺结核手术患者焦虑、抑郁、医学应对方式及生活质量的影响。方法 取2023年7月1日-2024年12月31日在广西胸科医院拟行择期手术的肺结核患者80名为研究对象，采用简单随机分组法分为对照组和干预组，对照组实施常规护理，干预组在常规护理基础上增加聚焦解决模式进行干预，判定护理效果。结果 SAS、SDS评分对比，护理前两组无差异性（P＞0.05），护理后研究组数据低于参照组（P＜0.05）；MCMQ评分对比，面对得分研究组高于参照组（P＜0.05），回避及屈服得分研究组低于参照组（P＜0.05）；心理功能、生理功能、社会关系、环境领域各维度WHOQOL-BREF评分研究组高于参照（P＜0.05）。结论 聚焦解决模式在肺结核手术患者负性情绪中的应用能够更有效地缓解患者的焦虑、抑郁症状，促使患者采取更积极的应对方式，并显著提高患者的生活质量，效果理想，具有广泛应用价值。

Abstract

Objective This study was based on focused resolution model to explore the effects of this model on anxiety, depression, medical coping style and quality of life of patients undergoing tuberculosis surgery.
Methods From July 1, 2023 to June 30, 2024, a total of 80 pulmonary tuberculosis patients who were scheduled to undergo elective surgery in Guangxi Chest Hospital were selected as study subjects, and they were divided into control group and intervention group by simple randomization method. The control group received routine nursing, while the intervention group added focused solution mode on the basis of routine nursing to evaluate the nursing effect.
Results There was no difference in SAS and SDS scores between the two groups before nursing (P > 0.05), and the score of the study group after nursing was lower than that of the reference group (P < 0.05). The MCMQ score of the study group was higher than that of the reference group (P < 0.05), and that of the avoidance and submission study group was lower than that of the reference group (P < 0.05). The WHOQOL-BREF scores of psychological function, physiological function, social relationship and environment were higher in the study group than in the reference group (P < 0.05).
Conclusion   The application of focused solution mode in the negative emotion of patients undergoing tuberculosis surgery can more effectively alleviate the anxiety and depression symptoms of patients, promote patients to adopt more positive coping styles, and significantly improve the quality of life of patients. The effect is ideal, and has wide application value.