Effect of psychological intervention based on solution-focused model on negative emotions, sleep quality and social behavior in patients with chronic obstructive pulmonary disease
QI Hongsong1, GUO Junhua2, WANG Hongyan1, SU Xing1, CHEN Gaoying1
1. The First Affiliated Hospital of Henan University, Kaifeng, Henan 475000, China; 2. Xinjiang Production and Construction Corps Hospital, Urumqi, Xinjiang 830002, China
Abstract：Objective To investigate the application of psychological interventions based on solution-focused model in patients with chronic obstructive pulmonary disease (COPD) and their effects on negative mood, sleep quality, and social and behavioral competence. Methods One hundred and twenty patients with COPD hospitalized in the First Affiliated Hospital of HenanUniversity in January-May 2022 were selected, and then divided into two groups by random number table method. 60 cases in the control group received 3-month conventional interventions, and 60 cases in the observation group were given conventionalinterventions as well as psychological interventions based on solution-focused model, with an intervention period of 3 months. The dyspnea index (modified Medical Research Council, mMRC), negative emotional feelings (depression(Self-Rating Depression Scale, SDS), anxiety(Self-Rating Anxiety Scale,SAS)), social behavior skills (Social Disability Screening Schedule, SDSS) and sleep quality (Pittsburgh Sleep Quality Index, PSQI) were compared between the two groups before and after the interventions. Results After the 3-month interventions, the degree of dyspnea was lower in the observation group than in the control group (χ2=10.376, P<0.05). After the 1- and 3-month of interventions, the scores of SDS and SAS were significantly lower in the observation group ((53.75±3.36) points, (32.12±3.06) points), (42.62±4.29) points, (28.31±3.74) points) than in the control group ((61.36±3.28) points, (39.43±3.26) points), ((53.58±4.74) points, (36.19±4.10) points), with statistically significant differences (all P<0.05). After the 1- and 3-month of interventions, the scores of PSQI in the observation group were all lower than those in the control group (all P<0.05), and SDSS scores in the observation group ((10.38±2.10) points, (7.62±1.48) points) were significantly lower than those in the control group ((13.49±3.62) points, (10.85±2.10) points), showing statistically significant differences (both P<0.05). Conclusion The psychological intervention model based on solution-focused model applied to the patients with COPD can effectively alleviate the patients’ negative emotions, improve sleep quality, reduce the degree of dyspnea and enhance social behavior skills, and it may play a role in improving the quality of public health prevention and control and promoting the development of physical and mental health of the patients with COPD.
齐红松, 郭俊华, 王红燕, 苏醒, 陈高瑛. 基于焦点解决模式的心理干预对COPD患者消极情绪、睡眠质量及社会行为的影响[J]. 实用预防医学, 2023, 30(8): 913-917.
QI Hongsong, GUO Junhua, WANG Hongyan, SU Xing, CHEN Gaoying. Effect of psychological intervention based on solution-focused model on negative emotions, sleep quality and social behavior in patients with chronic obstructive pulmonary disease. , 2023, 30(8): 913-917.
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2023, Vol. 30 
