Solution-focused approach

以解决方案为中心的方法
  • 文章类型: Journal Article
    从家庭住宅到疗养院的过渡对老年人来说可能是一种情绪紧张的经历。本研究旨在研究叙事疗法结合解决焦点(NTCSF)计划对心理调节的可行性和效果,抑郁症,疗养院居民的自我效能感。在福建省开展非随机并行对照试验,中国涉及来自四个独立疗养院的81名参与者(干预=41,比较=40)。对照组接受常规机构护理,而干预组除了接受常规护理外,还接受了为期3周的NTCSF计划。在方差分析中,在“心理调节”(T=4.007,P<0.001)和“自我效能感”(T=3.204,P=0.002)方面存在显着差异,与对照组相比。在基线时,两组之间的“抑郁”没有显着差异(t=-1.550,P=0.125),但实验组干预后抑郁显著降低(t=-2.204,P=0.033)。发现NTCSF计划可有效改善养老院居民的心理调节。试验注册本研究在中国临床试验注册中心注册(注册号:ChiCTR-2100042767)。
    The transition from the family home to a nursing home can be an emotionally stressful experience for older adults. This study aimed to examine the feasibility and effects of a narrative therapy combined with a solution focus (NTCSF) program on the psychological adjustment, depression, and self-efficacy of nursing home residents. A non-random concurrent controlled trial was conducted in Fujian, China that involved 81 participants (intervention = 41, comparison = 40) from four separate nursing homes. The control group received routine institutional care, while the intervention group underwent a three-week NTCSF program in addition to receiving routine care. In the variance analyses, significant differences were found in \"psychological adjustment\" (T = 4.007, P < 0.001) and \"self-efficacy\" (T = 3.204, P = 0.002), compared to the control group. There was no significant difference in \"depression\" (t = -1.550, P = 0.125) between the groups at the baseline, but the experimental group showed a significant decrease in depression (t = -2.204, P = 0.033) after the intervention. The NTCSF program was found to be effective in improving the psychological adjustment of nursing home residents. Trial registration This study was registered on the Chinese Clinical Trial Registry (Registration No: ChiCTR-2100042767).
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  • 文章类型: Journal Article
    目的:本研究旨在探讨聚焦解决方法对肾病综合征(NS)患者自知力和心理情绪的影响。
    方法:选取2020年12月至2022年12月青岛市市立医院185例NS患者的临床资料进行回顾性分析。根据不同的护理模式,将患者分为对照组(CG,常规护理,n=90)和研究组(SG,常规护理+解决方法,n=95)。采用医院焦虑和抑郁量表(HADS)评估患者的焦虑和抑郁水平,采用自知力和治疗态度问卷(ITAQ)对其自知力进行评价。短表36健康调查(SF-36)用于评估患者的生活质量。分析了患者的焦虑和抑郁水平与他们的洞察力的关系。
    结果:性别无统计学差异,年龄,身体质量指数,教育水平,疾病类型,高血压,高脂血症,水肿,两组患者家庭人均月收入和居住指标比较(p>0.05)。干预后SG的HADS-A和HADS-D评分明显低于CG,ITAQ评分明显高于CG(p<0.001)。干预后,生理功能,生理作用,活力,社会功能,身体疼痛,一般健康,SG的情感角色和心理健康得分明显高于CG(p<0.05)。Pearson分析结果表明,焦虑和抑郁评分与自知力评分呈负相关(r=-0.265,-0.255;均p<0.001)。
    结论:在NS患者中应用聚焦解决方法可以提高患者的自知力和焦虑抑郁水平,具有一定的临床应用价值。为NS的后续治疗提供更多方向。
    OBJECTIVE: This study aims to explore the effect of the solution-focused approach on the insight and psychological emotion of patients with nephrotic syndrome (NS).
    METHODS: The clinical data of 185 Qingdao Municipal Hospital patients with NS from December 2020 to December 2022 were selected for retrospective analysis. According to different nursing modes, the patients were divided into the control group (CG, conventional nursing, n = 90) and the study group (SG, conventional nursing + solution-focused approach, n = 95). The Hospital Anxiety and Depression Scale (HADS) was used to assess the anxiety and depression levels of the patients, and the insight and treatment attitudes questionnaire (ITAQ) was adopted to evaluate their insight. The short form-36 health survey (SF-36) was used to evaluate the patients\' quality of life. The relationship of patients\' anxiety and depression levels with their insight was analysed.
    RESULTS: No statistical difference in the gender, age, body mass index, education level, disease types, hypertension, hyperlipidaemia, oedema, monthly family per capita income and residence indicators of the patients in the two groups (p > 0.05) was found. The SG had distinctly lower HADS-A and HADS-D scores and a significantly higher ITAQ score than the CG after intervention (p < 0.001). After intervention, the physiological function, physiological role, vitality, social function, physical pain, general health, emotional role and mental health scores of the SG were overtly higher than those of the CG (p < 0.05). Results of the Pearson analysis show that the anxiety and depression scores are negatively correlated with the insight scores (r = -0.265, -0.255; All p < 0.001).
    CONCLUSIONS: The application of the solution-focused approach to NS patients can improve their insight and anxiety and depression levels with certain clinical application value, providing more directions for the follow-up treatment of NS.
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  • 文章类型: Journal Article
    长期失业,社会工作者面临的挑战之一,产生各种非货币和社会后果。帮助专业人员了解,对失业客户的干预不仅涵盖了他们失业的纯粹事实,还需要对客户的生活状况采取整体方法。本文旨在促进福祉,同时在社会工作实践中与失业客户合作时实施以解决方案为重点的指导。重新命名指导模型由两个详细的案例研究支持,这些案例研究描述了重新命名过程中涵盖的三个关键领域。在这两种情况下,与客户合作有助于客户心理健康的各种要素:积极情绪,订婚,关系,意思是,和成就。Reteaming教练模型可以有效地用作一种合适的结构化方法,主要用于实力型社会工作。
    Long-term unemployment, one of the challenges social workers face, produces a variety of non-monetary and social consequences. The helping professionals understand that interventions towards unemployed clients do not cover just the pure fact of their unemployment but that a holistic approach to the clients\' living situations is needed. This paper aims to promote well-being while implementing solution-focused coaching in working with unemployed clients in social work practice. The Reteaming coaching model is supported by two detailed case studies describing three key areas covered in the Reteaming process. Working with clients in both cases contributed to various elements of the client\'s psychological well-being: positive emotions, engagement, relationships, meaning, and achievement. The Reteaming coaching model can be used effectively as a suitable structured approach, mainly used in strength-based social work.
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  • 文章类型: Journal Article
    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: 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.
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  • 文章类型: Journal Article
    背景:有问题的互联网使用会对青少年的健康行为和学校成功产生负面影响。
    目的:这项研究评估了以解决方案为中心的方法(SFA)对青少年有问题的互联网使用的影响,健康行为,和感知的学术成功。
    方法:采用前-后试验的随机对照试验设计。样本包括128名中学生,干预组64人,对照组64人。数据是使用信息表格收集的,Young的网络成瘾测试,营养-运动行为量表,和营养运动态度量表。干预组参加了六个SFA小组会议。
    结果:\"干预组,测试前和测试后的平均网络成瘾得分分别为35.65±4.43和17.07±5.01。在平均网络成瘾的测试后组间差异有统计学意义(p<0.05),总营养-运动态度,以及总的营养-运动行为和子维度(常规膳食除外)得分和感知的学业成功。
    结论:SFA可以防止学生不受控制的互联网使用,帮助他们获得积极的健康行为,并增加感知的学术成功。学校的护士,另一方面,可以支持青少年和他们的家庭与解决方案为重点的面试策略。
    BACKGROUND: Problematic internet use negatively affects adolescents\' health behaviors and school success.
    OBJECTIVE: This study evaluated the effects of a solution-focused approach (SFA) on adolescents\' problematic internet use, health behaviors, and perceived academic success.
    METHODS: A randomized controlled experimental design was used with pre-test-post-test. The sample comprised 128 middle school students, with 64 in the intervention group and 64 in the control group. Data were collected using an information form, Young\'s Internet Addiction Test, the Nutrition-Exercise Behavior Scale, and the Nutrition-Exercise Attitude Scale. The intervention group attended six SFA group meetings.
    RESULTS: \"The intervention group\'s, mean pre- and post-test internet addiction scores were 35.65 ± 4.43 and 17.07 ± 5.01, respectively. There were statistically significant differences between the post test groups (p < 0.05) for mean internet addiction, total nutrition-exercise attitude, and total nutrition-exercise behavior and subdimension (except regular meals) scores and perceived academic success.
    CONCLUSIONS: SFA may prevent students\' uncontrolled internet use, help them gain positive health behaviors, and increase perceived academic success. The school nurse, on the other hand, may support the adolescent and their families with solution-focused interview strategies.
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  • 文章类型: Randomized Controlled Trial
    这项研究旨在评估以解决方案为中心的方法对青少年愤怒管理和暴力行为的影响。
    该研究是一项实验性和随机对照试验,包括测试前和测试后测量以及对照组。研究的实验组(n=24)和对照组(n=24)的样本由48名学生组成。实验组采用了基于解决方案的7个疗程的愤怒管理和暴力行为预防计划。
    愤怒特征之间没有统计学上的显著差异,愤怒,愤怒出来,干预前实验组和对照组的愤怒控制子维度和VTS评分(p>0.05)。在后期测试和后续测试中,特质愤怒(23.32±2.83)(21.10±3.51),实验组个体的愤怒情绪(14.95±4.16)(15.50±3.49)和VTS平均得分(30.77±4.01)(32.80±4.53)显著降低,而他们的愤怒控制平均得分(24.86±3.62)(23.65±4.44)明显高于对照组。
    精神科护士应使用面向解决方案的方法计划来提供愤怒管理并减少青少年的暴力倾向。
    This study was carried out to evaluate the effect of a solution-focused approach on anger management and violent behavior in adolescents.
    The study was an experimental and randomized controlled trial including pre-test and post-test measurements and control group. The sample of experimental (n = 24) and control groups (n = 24) of the study consisted of 48 students. A 7-session program of anger management and prevention of violent behavior based on a solution focused approach was applied to the experimental group.
    There were no statistically significant differences between trait anger, anger in, anger out, anger control sub-dimensions and VTS scores of the experimental and control groups before the intervention (p > 0.05). In post-test and follow-up test, trait anger (23.32 ± 2.83) (21.10 ± 3.51), anger-out (14.95 ± 4.16) (15.50 ± 3.49) and the mean scores of VTS (30.77 ± 4.01) (32.80 ± 4.53) of the individuals in the experimental group were significantly lower, whereas their mean score of anger control (24.86 ± 3.62) (23.65 ± 4.44) were significantly higher than the control group.
    Solution-oriented approach programs should be used by psychiatric nurses to provide anger management and reduce violence tendencies in adolescents.
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  • 文章类型: Journal Article
    OBJECTIVE: To determine the effect of solution-focused approaches on adolescents\' coping skills with peer bullying.
    METHODS: A quasiexperimental design was used. The sample consisted of 68 adolescents. Using solution- focused approaches group were held with the intervention cohort. These were six sessions focused on improving participants\' ability to cope with bullying. The data on the impact of the solution-focused approaches were collected using the Personal Information Form and the Adolescent Peer Relationship Instrument (APRI).
    RESULTS: After the solution-focused approaches, the scores on components of the APRI (bullying and victimization) were significantly lower in the intervention group (p < .05).
    UNASSIGNED: A solution-focused group approach can be used by nurses to address the issue of peer bullying in schools.
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  • 文章类型: Journal Article
    OBJECTIVE: This study was conducted to determine the effects of group counseling based on the solution-focused approach (SFA) on anxiety and healthy lifestyle behaviors in individuals with eating disorders.
    METHODS: The study was implemented with a pretest-posttest experimental (n:31) randomized controlled (n:45) design. Adults aged 25 and older were included in the study.
    RESULTS: After the intervention, there was a decrease in the trait anxiety inventory scores, while there was an increase in the healthy lifestyle scores and subscale scores. Additionally, the mean weight of the individuals in the experiment group and their body mass indices decreased, and their weekly hours of exercise increased.
    CONCLUSIONS: SFA counseling provided to the individuals with eating disorders decreased the anxiety of the individuals and increased their healthy lifestyle behaviors.
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  • 文章类型: Journal Article
    This study explored Taiwanese military instructors\' perceptions of a training program using a solution-focused approach and its initial application to students with behavior problems. A total of 25 military instructors (16 men, 9 women; M age = 38.6 years, SD = 5.8) and 10 students (three men, seven women; M age = 17.5 years, SD = 0.9) participated in the study through convenience sampling. Grounded theory method was adopted for data analysis. Six prominent categories emerged from the focus group interview, weekly training notes, and the researcher\'s field notes, including reactions to learning solution-focused approach, strengths and weaknesses of using the solution-focused approach, identification of military instructors role function, initial responses to the techniques of the solution-focused approach, a positive attitude to deal with students\' problems, and from assimilation to transformation. In addition, feedback collected from students was grouped into a seventh category. Finally, a modified pattern was developed for military instructors to use when working with students.
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