作者：韦颖，叶夏兰，黄少泳，韦炫锾，赖海燕

单位：

广西医科大学第一附属医院神经外科

Units：

Department of Neurosurgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China

关键词：

中枢神经系统血管畸形; 脑血管畸形; 血管内介入栓塞治疗; 聚焦解决模式; 自我管理能力; 希望;

Keywords：

　Central nervous system vascular malformations; Brain vascular malformations; Endovascular embolizationtreatment; Focused solution mode; Self-management ability; Hope

CLC：

DOI：

10.12114/j.issn.1008-5971.2023.00.072

Funds：

广西壮族自治区卫生健康委员会自筹经费科研课题（Z20210338）；

摘要：

目的 探讨聚焦解决模式对脑血管畸形患者血管内介入栓塞治疗后自我管理能力及希望水平的影响。方法 选取2021年2月至2022年2月广西医科大学第一附属医院收治的行血管内介入栓塞治疗的脑血管畸形患者80例作为研究对象，根据计算机产生的随机数字将所有患者分为对照组和观察组，每组40例。对照组患者接受常规护理干预；观察组患者在常规护理干预基础上采取聚焦解决模式进行干预，主要内容包括描述问题、建立目标、探查例外、给予反馈及效果评价。采用脑卒中自我管理行为量表评估两组患者干预前及干预1个月后自我管理能力，采用Herth希望量表（HHI）评估两组患者干预前及干预1个月后希望水平，采用Barthel指数（BI）评估两组患者干预前及干预1个月后日常生活活动能力。结果 干预后，对照组患者康复锻炼、情绪管理评分分别高于本组干预前，观察组患者症状管理、康复锻炼、情绪管理、资源利用、日常生活评分分别高于本组干预前（P<0.05）；干预后，观察组患者症状管理、康复锻炼、情绪管理、资源利用、日常生活评分高于对照组（P<0.05）。干预后，两组患者HHI评分、BI评分分别高于本组干预前，且观察组患者高于对照组（P<0.05）。结论 聚焦解决模式可有效提高脑血管畸形患者血管内介入栓塞治疗后的自我管理能力、希望水平及日常生活活动能力，进而促进患者康复。

Abstract：

Objective To explore the effect of focused solution mode on self-management ability and hope levelin patients with cerebrovascular malformation after endovascular embolization treatment. Methods From February 2021 toFebruary 2022, 80 patients with cerebrovascular malformation who underwent endovascular embolization treatment in the FirstAffiliated Hospital of Guangxi Medical University were selected as the research objects. According to the random numbersgenerated by the computer, all patients were divided into control group and observation group, with 40 cases in each group.Patients in the control group received routine nursing intervention, patients in the observation group were intervented with focusedsolution mode on the basis of routine nursing intervention, the main contents included describing problems, establishing object,exploring exceptions, giving feedback and effect evaluation. The Stroke Self-Management Behavior Scale was used to evaluatethe self-management ability of patients of the two groups before intervention and 1 month after intervention. The Herth HopeIndex (HHI) was used to evaluate the hope level of patients of the two groups before intervention and 1 month after intervention.The Barthel Index (BI) was used to evaluate the activities of daily living of the two groups before intervention and 1 month afterintervention. Results After intervention, the scores of rehabilitation exercise and emotional management in the control groupwere higher than those before intervention, respectively, and the scores of symptom management, rehabilitation exercise, emotionalmanagement, resource utilization and daily life in the observation group were higher than those before intervention, respectively(P < 0.05) . After intervention, the scores of symptom management, rehabilitation exercise, emotional management, resourceutilization and daily life in the observation group were higher than those in the control group (P < 0.05) . After intervention, theHHI score and BI score of the two groups were higher than those before intervention, respectively, the HHI score and BI score in the observation group were higher than those in the control group (P < 0.05) . Conclusion The focused solution modelcan effectively improve the self-management ability, hope level and activities of daily living in patients with cerebrovascularmalformation after endovascular embolization treatment, and then promote the rehabilitation of patients.

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