PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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).
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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).
UNASSIGNED: 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.
摘要：
未经证实：焦虑和抑郁是类风湿性关节炎（RA）患者常见的心理问题。然而,很少有专门设计的有效护理干预模式来改善RA患者的焦虑和抑郁。以解决方案为中心的方法（SFA）是一种有效的心理社会问题干预方法。在RA患者中还没有涉及SFA的研究。本研究探讨基于SFA的护理干预对RA患者焦虑抑郁情绪的影响。
UNASSIGNED：使用RA患者的方便采样进行了准实验研究。将48例RA患者分为对照组(n=24)和实验组(n=24)。对照组给予常规护理干预,实验组采用基于SFA的护理干预。焦虑自评量表(SAS)得分,抑郁自评量表（SDS），关节炎自我效能量表-8（ASES-8），收集护理干预前后患者护理满意度调查表。
UNASSIGNED：组间比较：护理干预前，SDS没有统计学上的显著差异,SAS,两组间ASES-8评分比较(p>0.05)。然而,护理干预后,实验组的SDS、SAS评分低于对照组,差异有统计学意义(p<0.05)。相比之下,实验组的ASES-8评分高于对照组(p<0.05)。此外,实验组患者对护理的满意度优于对照组(p>0.05)。组内比较：SDS无统计学差异，SAS,对照组常规护理干预前后ASES-8评分比较(p>0.05)。然而,在实验组中，基于SFA的护理干预前的SDS和SAS评分明显高于SFA护理干预后(p<0.05),基于SFA的护理干预前ASES-8评分明显低于SFA护理干预后(p<0.05)。
UNASSIGNED：基于SFA的护理干预可有效改善焦虑，抑郁症,RA患者的关节炎自我效能感。本研究拓宽了RA患者的临床心理护理干预模式。SFA可能是当前医学背景下各种心理社会问题的有效护理模式。
UNASSIGNED：使用RA患者的方便采样进行了准实验研究。将48例RA患者分为对照组(n=24)和实验组(n=24)。对照组给予常规护理干预,实验组采用基于SFA的护理干预。焦虑自评量表(SAS)得分,抑郁自评量表（SDS），关节炎自我效能量表-8（ASES-8），收集护理干预前后患者护理满意度调查表。
UNASSIGNED：组间比较：护理干预前，SDS没有统计学上的显著差异,SAS,两组间ASES-8评分比较(p>0.05)。然而,护理干预后,实验组的SDS、SAS评分低于对照组,差异有统计学意义(p<0.05)。相比之下,实验组的ASES-8评分高于对照组(p<0.05)。此外,实验组患者对护理的满意度优于对照组(p>0.05)。组内比较：SDS无统计学差异，SAS,对照组常规护理干预前后ASES-8评分比较(p>0.05)。然而,在实验组中，基于SFA的护理干预前的SDS和SAS评分明显高于SFA护理干预后(p<0.05),基于SFA的护理干预前ASES-8评分明显低于SFA护理干预后(p<0.05)。
UNASSIGNED：基于SFA的护理干预可有效改善焦虑，抑郁症,RA患者的关节炎自我效能感。本研究拓宽了RA患者的临床心理护理干预模式。SFA可能是当前医学背景下各种心理社会问题的有效护理模式。
