聚焦解决模式下肝胆脾胰围手术期患者临床护理交流技巧探讨∗

摘要

Objective:To conduct clinical psychological intervention for the perioperative patients through solu-tion focused approach, excavate potential and improve the adaptation ability. Methods: On the basis of establis-hing a good nurse-patient relationship, the application of the solution focused approach was conducted in the peri-operative patients ( description of the problem, the construction of specific aims, and discussion on the exception, giving feedback, and evaluation of progress) . Results:After the intervention of solution focused approach, the pa-tients′negative emotion such as nervousness, anxiety, fear and depression decreased significantly (P <0. 05). Conclusion:Psychological intervention could effectively eliminate the negative mood of patients, improve the doc-tor-patient relationship, dissolve the contradiction between doctors and patients, reduce the incidence of medical disputes, and thereby enhance mutual understanding, trust and respect between doctors and patients, which makes the doctor-patient relationship more harmonious.%目的：通过聚焦解决模式对围手术患者进行临床心理干预，挖掘潜能，提升适应能力。方法在建立良好护患关系的基础上对围手术期患者应用聚焦解决模式进行干预(描述问题、构建具体目标、探讨例外、给予反馈、评价进步)。结果通过聚焦解决模式心理干预后，患者紧张、焦虑、恐惧、抑郁等不良情绪明显减轻(P<0.05)。结论通过心理干预，消除患者不良情绪，改善医患关系，化解医患矛盾，降低医疗纠纷发生率，进而增强医患双方相互理解、信任和尊重，使医患关系更加和谐。