The Effects Of Solution-Focused Brief Therapy On The Self-Perceived Burden In Patients With Stroke

Objective:This study chose stroke patients as research objects,constructed psychological nursing intervention program by the theory of Solution-Focused Brief Therapy according to the level of Self-perceived Burden of these patients,and compared the intervention effects of two kinds of methods.The purpose is to strengthen the medical staff to understand and pay attention to the Self-Perceived Burden and broaden the field of Solution-Focused Brief Therapy and Solution-Focused Group Therapy.Meanwhile,providing theoretical and empirical basis to help the clinical medical staff formulate and implement psychological nursing intervention.Method:This study used the convenience sampling method and on the basis of informed consent collected 90 stroke patients as the research objects,who were evaluated by Self-Perceived Burden Scale(SPBS),Memorial University of Newfoundland Scale of Happiness(MUNSH)and the Medical Outcomes Study 36-item Short Form Health Survey(SF-36),in the department of rehabilitation of a hospital in Chengde City from January to May 2016.90 stroke patients were divided into control group,Solution-Focused Individual cases and Solution-Focused group by table of random number method,each with 30 cases.The control group was treated by routine nursing care and rehabilitation.The Solution-Focused Individual cases increased Solution-Focused Brief Therapy,including describing the problem,developing wen-formed goals,exploring for exceptions,end of session feedback and evaluating progress,3 times a week,30~45 minutes each time,6 times in total.Solution-Focused Group increased Solution-Focused Group Therapy,3 times a week,50~60 minutes each time,6 times in total.Statistical analysis using SPSS20.0 statistical software package for the analysis of the data.Numeric data was represented by mean ± standard deviation(x ±s).The comparison between the two groups were compared using independent sample t test.The comparison in one group before and after the intervention using paired samples t test.The comparison among the groups using F test.The count data were analyzed by ?2 test.P<0.05 means that the difference was statistically significant.Results:1.Before the intervention,there was no significant difference in the data,regardless of type of diagnosis,gender,age,the level of education,occupation,residence,marital status,the income of family,payment method of medical expenses,caregivers and caregiver's physical condition [?2=(0.356~8.708),P=(0.191~0.986)],or the Self-Perceived Burden Scale(SPBS),Memorial University of Newfoundland Scale of Happiness(MUNSH)and the MOS item short from health survey(SF-36),among 3 groups of subjects(P > 0.05).2.Before and after the intervention,there were significant differences in the main effect and interaction of the intervention factors and time factors in the total points of SPBS,MSNUN and SF-36 [F=(33.419~1516.891),P=0.000](P<0.05).3.Before and after the intervention,there were significant differences in the scores of SPBS [(39.17±4.80)VS(35.30±2.63),t=3.678,P=0.001],MSNUN [(3.67±3.79)VS(19.67±3.64),t=-15.459,P=0.000] and SF-36 [(19.90±2.84)VS(37.27±7.44),t=-11.049,P=0.000] in the control group(P< 0.05).There were significant differences in the scores of SPBS [(39.27±5.83)VS(22.40±4.03),t=16.248,P=0.000],MSNUN [(4.20±4.50)VS(31.10±3.66),t=-24.136,P=0.000] and SF-36 [(21.04±4.61)VS(54.04±5.72),t=-20.937,P=0.000] in the Solution-Focused Individual cases(P<0.05).There were significant differences in the scores of SPBS [(39.57±1.57)VS(22.23±2.47),t=30.302,P=0.000],MSNUN [(5.63±2.24)VS(30.60±4.05),t=-29.363,P=0.000] and SF-36 [(20.46±3.95)VS(53.08±3.48),t=-34.686,P=0.000] in the Solution-Focused Group(P<0.05).4.After the intervention,the differences were statistically significant(P<0.05)in the scores of SPBS[(35.30±2.63)VS(22.40±4.03)VS(22.23±2.47),F=172.785,P=0.000],MSNUN [(19.67±3.64)VS(31.10±3.66)VS(30.60±4.05),F=87.277,P=0.000] and SF-36 [(37.27±7.44)VS(54.04±5.72)VS(53.08±3.48),F=79.651,P=0.000] among 3 groups.This study made further comparisons to each other and found that,the differences were statistically significant(P<0.05)in the scores of SPBS,MSNUN and SF-36 between control group and Solution-Focused Individual cases,as well as control group and Solution-Focused Group [MD=(-16.765~13.067),P=0.000](P<0.05).There was no significant difference(P>0.05)in the scores of SPBS [MD=0.167,P=0.979],MSNUN [MD=0.500,P=0.878] and SF-36 [MD=0.962,P=0.813] between Solution-Focused Individual cases and Solution-Focused Group.Conclusions:1.Solution-Focused Brief Therapy can effectively relieve the Self-Perceived Burden of stroke patients and improve their subjective well-being and quality of life.Then promote the patients' physical and mental health.2.There was no significant difference in the effects of Solution-Focused Brief Therapy in the Self-Perceived Burden,subjective well-being and quality of life of stroke patients of Solution-Focused Individual cases and Solution-Focused group.