JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v10i3.14629ArticleIntervention Study of Solution-Focused Approach on Negative Emotions and Self-Management in Patients with First-Episode Acute Ischemic Strokehttps://artdesignp.com/journal/JCNR/10/3/10.26689/jcnr.v10i3.14629LiuXingyue,ChenTingting,SunDongxue,ZhangPeng20261032026-04-22Objective: 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.

Gu P, Ding Y, Ruchi M, et al., 2024, Post-Stroke Dizziness, Depression and Anxiety. Neurological Research, 46(5): 466–478.

Ignacio K, Muir R, Diestro J, et al., 2024, Prevalence of Depression and Anxiety Symptoms After Stroke in Young Adults: Systematic Review and Meta-analysis. Journal of Stroke and Cerebrovascular Diseases, 33(7): 107732.

Zhou H, Wei Y, Xie G, 2024, Research Progress on Post-Stroke Depression. Experimental Neurology, 373: 114660.

Sahin F, Kucuk L, 2024, Effect of Solution-Focused Approach on Attitudes to Violence Against Women in High School Students. Archives of Psychiatric Nursing, 52: 138–146.

Liu M, Ge X, Yan Z, 2024, Effect of Solution-Focused Approach on Insight and Psychological Emotion in Patients with Nephrotic Syndrome. Archivos Españoles de Urología, 77(1): 49–56.

Yu L, Zhang T, Chen W, et al., 2025, Solution-Focused Approach Nursing Intervention on Quality of Life and Negative Emotions in Prostate Cancer Patients. National Journal of Andrology, 31(8): 723–727.

Zhao L, Wang J, Zhang Y, et al., 2025, Solution-Focused Approach Combined with Early Comprehensive Intervention on Postpartum Urinary Retention and Psychological State. Chinese Nursing Research, 39(15): 2631–2634.

Li G, Zhao X, 2024, Interpretation of Chinese Guidelines for Diagnosis and Treatment of Acute Ischemic Stroke 2023. Chinese Journal of Stroke, 19(8): 956–961.

Zhu G, Xu Y, Zou L, et al., 2025, Interdisciplinary Health Education Combined with Personalized Nutrition Intervention on Glycemic and Psychological Outcomes in Gestational Diabetes. Ginekologia Polska, 96(4): 304–307.

Wang Y, Wu Y, Liu X, 2025, Empowerment Theory Combined with Satir Model in Self-management Behaviour Intervention of Elderly Stroke Patients. Chinese Health Care, 43(20): 181–185.

Li H, Zhou J, Zu B, et al., 2025, Influencing Factors and Path Analysis of Rehabilitation Motivation in Middle-aged and Elderly Stroke Patients. Journal of Nursing Science, 40(12): 12–17.

Akgul-Gundogdu N, Selcuk-Tosun A, 2023, Solution-Focused Approach on Problematic Internet Use and Health Behaviours in Schoolchildren. Journal of Pediatric Nursing, 68: e43–e49.

Gao M, Tang Z, Han Y, et al., 2025, Solution-Focused Psychological Nursing in Coronary Heart Disease Patients Undergoing PCI. International Journal of Psychiatry, 52(5): 1661–1663.

Zheng R, Qiu H, Xia X, et al., 2025, Solution-Focused Approach on Emotions and Quality of Life in Pituitary Tumor Surgery Patients. Clinical Research and Practice, 10(29): 137–140.

Ma Q, Luo J, Cao H, et al., 2024, Social Support, Self-efficacy and Anxiety on Physical Activity in Lung Cancer Survivors: Structural Equation Modeling. Journal of Cancer Survivorship, 20: 1–11.

Tariq K, Shakeel S, Qureshi A, et al., 2024, Predicting Oral Hygiene Practices through Health Behaviour, Perceived Stress and Self-efficacy in Dental Students. BMC Oral Health, 24(1): 1031.