The Effect Of Solution Focused Approach On The Self-perceived Burden And Family Care Of Patients With Chronic Obstructive Pulmonary Disease

Objective1.To understand the status of self-perceived burden and family care of COPD patients.2.To analyze the correlation between different demographic characteristics,their self-perceived burden and family care in COPD patients.3.To explore the correlation between the status of self-perceived burden and family care in COPD patients in order that we can provide scientific basis for further intervention in COPD patients.4.The study focuses on the effect of solution focused approach to improve patients’ self-perceived burden and improve the degree of family care and provides the practical guidance for clinical care.MethodsIn the first part of the descriptive study,by using convenient sampling method,a total of110 COPD patients who received treatment and come from the respiratory department A and B of a tertiary hospital in Inner Mongolia from January 2019 to September 2019 were selected as study objects according to inclusion and exclusion criteria.The general information questionnaire,self-perceived burden scale and family APGAR Index were used.Questionnaires were conducted on the day of admission.The patients’ self-perceived burden and family care degree were statistically described to understand the current situation.To analyze the correlation between different demographic characteristics,their self-perceived burden and family care in COPD patients.To further explore the correlation betweenself-perceived burden and family care in COPD patients and provide a basis for nursing intervention in the next step.In the second part of the experimental study,through the convenience sampling method,80 COPD patients in the preliminary descriptive study were selected as the intervention objects according to the inclusion and exclusion criteria.In order to avoid environmental interference,department A and B were divided into the intervention group and the control group according to the picking method,there were 40 patients in each group.The control group carried out the intervention with the traditional responsibility nursing model,while the intervention group carried out intervention with the traditional responsibility nursing model and solution focused approach.During the hospitalization,each patient received 2-3 times of intervention,and 1-3months after discharge(the first week,the forth week,the sixth week,the eighth week,the tenth week,the twelfth week),a total of 6 times.On the day of admission and at the end of 3months after discharge,the self-perceived burden scale and the family APGAR Index were issued to compare the score changes of the two groups before and after the intervention.ResultsIn the first part of the descriptive study1、Status of self-perceived burden and family care in COPD patients In the preliminary descriptive study,a total of 110 questionnaires were issued and 110 were effectively recovered.The total score of self-perceived burden was 33.71±6.25,there were 31 cases with mild,59 cases with moderate and 20 cases with severe self-perceived burden,the percentages were 28.2%,53.6% and 18.2%;The scores which were from item 1 to item 10 were respectively 3.69±0.82、3.29±0.95、4.05±0.82、3.07±1.09、2.93±0.86、3.68±0.73、3.30±0.94、3.35±0.98、2.74±1.11、3.62±0.77;the scores of economic,emotional and physical dimensions were 4.05±0.82 、13.12±4.08 、16.55±4.7;the median of the total score and the interval between the quartiles of family care were 6(4.75,7.25),there were 39 cases with good family function,68 cases with moderate disorder and 3 cases with severe disorder,the percentages were 35.5% 、61.8% 、2.7%;the median score and the quartile spacing of each item were 2(1,2)、1(1,2)、1(1,2)、1(1,2)、1(0,1).2 、 The correlation between different demographic characteristics,their self-perceivedburden and family care in COPD patients.In different demographic characteristics of COPD patients,the patient’s age,marital status,duration of illness,number of hospitalizations,severity of illness,presence or absence of complications,caregiver’s age,caregiver’s work status,caregiver’s time and caregiver’s health status were positively correlated with self-perceived burden;disease awareness was negatively correlated with self-perceived burden.In different demographic characteristics of COPD patients,the patient’s age,duration of illness,number of hospitalizations,disease severity,caregiver’s age and caregiver’s working condition were negatively correlated with family care.3、The correlation analysis between the self-perceived burden and family care in COPD patients showed that the self-perceived burden of patients was negatively correlated with the degree of family care.In the second part of the experimental researchThe effect of solution focused approach on the self-perceived burden and family care of patients with chronic obstructive pulmonary disease.1、During the intervention,1 person automatically withdrew and 3 people were lost to follow-up.Finally,a total of 76 people completed nursing intervention,including 37 in the intervention group and 39 in the control group.There was no statistically significant difference in general information between the intervention group and the control group before intervention(p>0.05),and there was no statistically significant difference in self-perceived burden and family care score between the two groups(p> 0.05),they were comparable.2、After the intervention,the self-perceived burden score of the intervention group which compared with the control group decreased,and the family care score which compared with the control group increased,the difference was statistically significant(p < 0.01).Conclusion1.COPD patients generally have the psychology of aggravating self-perceived burden.The self-perceived burden is related to the patient’s age,marital status,hospitalization times,disease knowledge and other influencing factors.In addition,the degree of self-perceived burden is closely related to the degree of family care.Therefore,clinician should payattention to the self-perceived burden and family care in COPD patients,and coordinate the relationship between the self-perceived burden and family care.2.The solution focused approach has positive significance in reducing self-perceived burden and improving the degree of family care.In the future,medical staff should use the solution focused approach to stimulate the strengths and potential of patients and relieve the self-perceived burden.At the same time,the role of family support should be given full play to provide reference for alleviating the self-perceived burden of COPD patients from improving the degree of family care.