Keywords
Negative emotions
Solution-focused approach
Psychological nursing
Self-efficacy
Submitted : 2026-03-23
Accepted : 2026-04-07
Published : 2026-04-22
Abstract
Objective: To evaluate the intervention effect of the Solution-Focused Approach (SFA) on negative emotions, emotional self-management ability, and self-efficacy in patients with first-episode acute ischemic stroke (AIS). Methods: A quasi-experimental study design was adopted. A total of 64 first-episode AIS patients with negative emotions were randomly divided into a control group and an intervention group. The control group received routine psychological nursing, while the intervention group received structured psychological intervention based on SFA in addition to routine nursing. Before the intervention and after the last intervention, the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Emotional Self-Management Behavior Scale, and Stroke Self-Efficacy Questionnaire (SSEQ) were used for effect evaluation. Results: After the intervention, the decrease in anxiety and depression scores, as well as the increase in emotional self-management behavior and self-efficacy scores in the intervention group, were significantly better than those in the control group (p < 0.05). Conclusion: SFA can effectively alleviate anxiety and depression symptoms in patients with first-episode AIS, improve their emotional self-management ability and self-efficacy, and is a clinically valuable empowering psychological intervention method.
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