Objective To investigate the effects of solution-focused brief therapy on self-perceived burden and quality of life in patients with stroke.methods 60 patients with stroke recruited at the department of rehabilitation of a hospital in Chengde city from January to June 2016 were divided into control group (n=30) and experimental group (n=30).Both groups received conventional nursing care and rehabilitation treatment.In addition,the experimental group received psychological intervention of solution-focused brief therapy,2-3 times a week,30-45 minutes for each time.The self-perceived burden scale(SPBS),memorial university of Newfoundland scale of happiness(MUNSH) and short from 36 health survey questionaire(SF-36) were used to assess the patients before and after intervention.Result s(1)The differences of the scores of SPBS ((39.27±5.83) vs (22.40±4.03),t=16.248,P<0.01) and MUNSH ((4.20±4.50) vs (31.10±3.66),t=-24.136,P<0.01) for the experimental group before and after the intervention were statistically significant.There were statistically significant differences in scores of SPBS ((22.40±4.03) vs (35.30±2.63),t=-14.683,P<0.01) and MUNSH ((31.10±3.66) vs (19.67±3.64),t=12.127,P<0.01) between the experimental group and control group after the intervention.(2)The scores of physiologic functioning,general health,vitality,social functioning,role-emotional and mental health for the experiment group were higher than before(t=-23.427--6.624,all P<0.01).After the intervention,the scores of physiologic functioning,general health,vitality,social functioning,role-emotional and mental health in the experiment group were higher than those in control group(t=5.705-12.806,all P<0.01).Conclusion Solution-focused brief therapy can effectively reduce the self-perceived burden of stroke patients and improve their quality of life.

Objective:To explore the effect of nursing intervention based on transtheoretical model on pregnancy stress in patients with gestational diabetes mellitus (GDM) .Methods:The convenient sampling method was adopted to select GDM patients who underwent routine prenatal examination in the obstetrics clinic of a Class Ⅲ Grade A hospital in Changsha from March 2018 to August 2018 as the research objects. They were divided into the experimental group ( n=43) and the control group ( n=43) according to the random number table method. The control group was given routine nursing, while the experimental group was given pregnancy stress nursing intervention based on transtheoretical model on the basis of routine nursing. Before intervention, after 1 month of intervention and after 3 months of intervention, the effect of intervention was evaluated using Pregnancy Pressure Scale and Behavioral Change Assessment Questionnaire. Results:After 1 month and 3 months of intervention, the Pregnancy Pressure Scale scores of the experimental group were respectively (38.52±4.20) and (31.30±3.93) , which were lower than those of the control group, and the differences were statistically significant ( t=-4.323, -8.403; P< 0.05) . Conclusions:Nursing intervention based on transtheoretical model can effectively reduce the stress level of GDM patients and promote patients to conduct self-management and actively deal with the disease.