Abstract: Objective Objective To investigate the effect of nursing with solution focused approach in advanced schistosomiasis pa? tients. Methods Methods Fifty three patients with advanced schistosomiasis in the Liujiahu Hospital for Schistosomiasis Control of Yiyang City were randomized selected and separated into an intervention group and a control group. The patients of the interven? tion group received the conventional nursing plus solution focused approach，while the patients of the control group received on? ly the conventional nursing. The effectiveness of nursing and treatment was evaluated in the two groups comparatively. Results Results The knowledge of self?care skills，medical compliance behaviors and services satisfaction degree in the intervention group were higher than those in the control group（c2 = 3.78，2.87，4.09 respectively，all P < 0.05） . The occurrence rate of upper gastroin? testinal bleeding in the intervention group was significantly lower than that in the control group（c2 = 4.894，P < 0.05） . The aver? age hospitalization duration of the intervention group was shorter than that of the control group（t = 4.17，P < 0.05） . Conclu Conclu? ? sions sions The solution focused approach is a feasible and effective method in course of nursing of advanced schistosomiasis pa? tients. It enhances the confidence of the patients and the trustiness of the patients to the health care providers. The complications and the hospitalization duration of the patients are reduced.

Key words: Advanced schistosomiasis, Solution focused approach, Nursing intervention, Life quality

摘要： 目的 目的 探讨聚焦解决模式在晚期血吸虫病患者护理中的效果。 方法 方法 选择2013年1月至2014年12月于益阳 市刘家湖血防院住院的53例晚期血吸虫病患者， 随机分为对照组和干预组， 对照组患者接受常规的护理指导， 干预组在 常规护理指导的基础上应用聚焦解决模式护理干预措施。出院时对两组患者的护理效果进行评价。 结果 结果 干预组患 者的自我护理技巧、 遵医行为和病人满意度均明显优于对照组 （c2 = 3.78、 2.87、 4.09， P均< 0.05）， 上消化道出血并发症发 生率低于对照组 （c2 = 4.894， P < 0.05）； 干预组平均住院天数少于对照组 （t = 4.17， P < 0.05）。 结论 结论 聚焦解决模式在晚 期血吸虫病患者护理中是有效的。以此模式为依据的护理干预策略可以增强晚期血吸虫病患者治愈疾病的自信心， 明 显改善医患关系， 减少并发症和住院时间， 提高生活质量。

关键词: 晚期血吸虫病, 聚焦解决模式, 护理干预, 生活质量