CAJ | 학술논문

目的：探讨聚焦解决模式在男性不育症患者微创取精术中的应用效果。方法以聚焦解决模式为依据，制订干预措施，并应用于65例男性不育微创取精术患者中。干预8~10次，持续3个月，采用自尊心和性关系问卷(泽藻造枣-藻泽贼藻藻皂葬灶凿则藻造葬-贼蚤燥灶泽澡蚤责择怎藻泽贼蚤燥灶灶葬蚤则藻，杂耘A砸)和生活定向测验(蕴韵栽-砸)评估患者的心理及行为状况。结果干预后患者的杂耘A砸得分比干预前明显提高，比较差异有统计学意义(孕<0.01)；干预后符合悲观倾向的由58例下降到17例，符合乐观倾向的由7例上升至48例，干预前后生活定向测验(蕴韵栽-砸)得分差异有统计学意义(孕<0.01)。结论以聚焦解决模式为基础的护理干预，能为男性不育微创取精术患者提供有效的心理护理和行为指导。
목적：탐토취초해결모식재남성불육증환자미창취정술중적응용효과。방법이취초해결모식위의거，제정간예조시，병응용우65례남성불육미창취정술환자중。간예8~10차，지속3개월，채용자존심화성관계문권(택조조조-조택적조조조장조착칙조조장-적조조조택조조책택즘조택적조조조조장조칙조，잡운A잡)화생활정향측험(온운재-잡)평고환자적심리급행위상황。결과간예후환자적잡운A잡득분비간예전명현제고，비교차이유통계학의의(잉<0.01)；간예후부합비관경향적유58례하강도17례，부합악관경향적유7례상승지48례，간예전후생활정향측험(온운재-잡)득분차이유통계학의의(잉<0.01)。결론이취초해결모식위기출적호리간예，능위남성불육미창취정술환자제공유효적심리호리화행위지도。
Objective To explore the effect of application of solution focused approach for male infertile patients who underwent microtraumatic sperm extraction. Methods We carried out intervention plans on the basis of solution focused approach and applied these plans in 65 male patients with infertility who underwent microtraumatic sperm extraction. These patients received intervention eight to ten times in three months, and then their psychological and behavioural conditions were assessed by SEAR and LOT-R. Results After the intervention, the patients' SEAR scores were significantly higher than those before the intervention (P <0.01);the number of patients with pessimism declined from 58 to 17, while the number of patients with optimism increased from 7 to 48. The differences in the scores of LOT-R before and after the intervention had statistic significance (P<0.01). Conclusions The nursing intervention based on solution focused approach can provide male patients with infertility who underwent microtraumatic sperm extraction with effective psychological nursing and behavioural instruction.