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| Application and Effect of Solution-Focused Model Intervention in Patients with Arrhythmia |
| YANG Yanan, LI Ting, HAN Yuanli |
| Kaifeng Central Hospital, Kaifeng Henan 475000 |
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Abstract 【Objective】To investigate the application effect of solution-focused mode intervention in patients with arrhythmia. 【Methods】A total of 102 patients with arrhythmia admitted to Kaifeng Central Hospital from October 2024 to December 2025 were selected. They were divided into a control group (receiving routine nursing intervention) and an observation group (receiving solution-focused mode intervention) by the random number table method, with 51 patients in each group. The cardiac function indicators [left ventricular end-diastolic diameter (LVEDD), ratio of peak early diastolic mitral flow velocity to peak atrial systolic flow velocity (E/A), left ventricular ejection fraction (LVEF), left ventricular end-systolic volume index (LVESVI)], coping styles [Coping Style Questionnaire (CSQ) scores], self-care ability [Exercise of Self-Care Agency Scale (ESCA) scores], and quality of life [China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases (CQQC) scores] were compared between the two groups before and after intervention. 【Results】After 3 months of intervention, LVEF in both groups was higher than that before intervention, while LVEDD, E/A, and LVESVI were lower than those before intervention. LVEF in the observation group was higher than that in the control group, while LVEDD, E/A, and LVESVI were lower than those in the control group, with statistically significant differences (all P<0.05). The scores of self-blame, fantasy, and retreat in both groups were lower than those before intervention, while the scores of help-seeking, problem-solving, and rationalization were higher than those before intervention; the scores of self-blame, fantasy, and retreat in the observation group were lower than those in the control group, while the scores of help-seeking, problem-solving, and rationalization were higher than those in the control group, with statistically significant differences (all P<0.05). The scores of health knowledge, self-care skills, self-concept, and self-responsibility in both groups were higher than those before intervention, and the above scores in the observation group were higher than those in the control group, with statistically significant differences (all P<0.05). The scores of medical condition, disease condition, physical strength, general life, psychosocial status, and work status in both groups were higher than those before intervention, and the above scores in the observation group were higher than those in the control group, with statistically significant differences (all P<0.05). 【Conclusion】 Solution-focused mode intervention is helpful to improve cardiac function, enhance self-care ability and quality of life, and promote positive coping styles in patients with arrhythmia.
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Received: 10 April 2026
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