Clinical values of solution- focused brief therapy for caregivers of children with type 1 diabetes / 中国实用护理杂志

ABSTRACT

Objective To investigate the effect of solution-focused brief therapy on the care burden, depression and anxiety emotions in the primary caregivers of children with type I diabetes. Methods Totally126 children with type 1 diabetes and 126 primary caregivers were randomly divided into two groups,control group(n=63 pairs)and intervention group(n=63 pairs)using random number table method.And the two groups were given conventional nursing care.For the intervention group,the primary caregivers accepted the solution-focused brief therapy.The Caregiver Burden Inventory(CBI),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)before and after interventions were compared between the two groups. Results Before intervention,CBI,SAS and SDS were similar between the two groups (P> 0.05). After intervention the CBI total score and five sessions, ie, time-dependent load, development-limited load, physiological load, social load, and emotional load of the intervention group were (42.78 ± 11.44), (15.74 ± 3.97), (10.76 ± 2.14), (6.85 ± 1.09), (6.15 ± 0.95), (3.28 ± 0.56), respectively,which were significantly lower than those of the control group(51.87 ± 12.20),(17.67 ± 4.76), (12.74 ± 2.58),(8.73 ± 1.13),(7.98 ± 1.26),(4.75 ± 0.75)(t=2.47-12.47,P<0.05).After intervention,the SAS (35.43 ± 9.34) and SDS (42.54 ± 10.24) were significantly reduced for the intervention group compared with the control group (46.52 ± 11.42) and (50.06 ± 12.07) (t =5.66, 4.01, P<0.05). Conclusions Solution-focused brief therapy can effectively decrease the care burden of primary caregivers of children with type 1 diabetes and alleviate their anxiety and depression emotions.