Effects of FOCUS couple intervention on depression and psychological resilience of young and middle-aged stroke patients and their spouses
10.3760/cma.j.cn115682-20201127-06435
- VernacularTitle:FOCUS夫妻干预对中青年脑卒中患者及其配偶抑郁情绪和心理弹性的影响
- Author:
Huili LYU
1
;
Li ZHANG
;
Fuhua LI
;
Wei ZHANG
;
Hui LIU
;
Tiantian SUN
;
Fang ZHONG
Author Information
1. 郑州大学第二附属医院重症医学科，郑州 450000
- Keywords:
Stroke;
Depression;
FOCUS couple intervention;
Young and middle-aged;
Spouses;
Resilience, psychological
- From:
Chinese Journal of Modern Nursing
2021;27(16):2204-2208
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of family involvement, optimistic attitude, coping effectiveness, uncertainty reduction and symptom management (FOCUS) couple intervention on depression and psychological resilience of young and middle-aged stroke patients and their spouses.Methods:From June 2018 to January 2020, convenience sampling was used to select 76 young and middle-aged stroke patients and their spouses in a Class Ⅲ Grade A hospital in Zhengzhou as the research object. According to the order of hospitalization, patients were randomly divided into control group and experimental group, with 38 cases in each group. Control group implemented routine post-stroke nursing, and experimental group conducted the FOCUS couple intervention on the basis of control group. Depression and psychological resilience of patients and their spouses were evaluated with the Hamilton Depression Scale and Connor-Davidson Resilience Scale before and after intervention.Results:Finally, 37 cases in experimental group and 38 cases in control group completed the study. After intervention, the depression scores of patients and their spouses in experimental group were lower than those in control group, and the psychological resilience score and all dimension scores of patients and their spouses in experimental group were higher than those in control group, and the differences were statistically significant ( P<0.05) . Conclusions:The FOCUS couple intervention can reduce the degree of depression of stroke patients and their spouses, and improve the patients' psychological resilience, which has strong clinical significance.
