系统性护理在双相情感障碍躁狂发作患者中的应用及其对治疗依从性和生活质量的影响。

Application of systematic nursing in patients with maniac access of bipolar disorder and its impact on treatment compliance and quality of life.

作者信息

Wang Xin, Yu Yueyang

机构信息

C19 Ward, The First Department of General Psychiatry, Tianjin Anding Hospital Tianjin, China.

Department of Rehabilitation Medicine, Tianjin Anding Hospital Tianjin, China.

出版信息

Am J Transl Res. 2021 Jun 15;13(6):6929-6936. eCollection 2021.

PMID:34306445

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8290772/

Abstract

OBJECTIVE

To explore the application of systematic nursing in patients with maniac access of bipolar disorder and its impact on treatment compliance and quality of life.

METHODS

Using a random number table method, 91 patients with manic episodes of bipolar disorder were divided into a control group (n=46, received conventional nursing) and an observation group (n=45, combined with systematic care including health education, ward environment, mental health nursing, and rehabilitation training, mental state assessment and family and social support). The treatment compliance of Morisky Medication Adherence Scale (MMAS), the manic state of Bech-Rafaelsdn Mania Rating Scale (BRMS), the mental state of Hamilton Depression Scale (HAMA) and Hamilton Depression Scale (HAMD), the quality of life of Generic Quality of Life Inventory-74 (GQOLI-74), the self-efficacy of Strategies Used by Patients to Promote Health (SUPPH), and the cognitive function of the Chinese Version of the Wechsler Adult Intelligence Scale Revised (WAIS-RC) before and 3 months after intervention were compared.

RESULTS

After intervention, the BRMS scores of the patients in both groups were significantly decreased, and those in the observation group were lower than those in the control group (all P<0.05). After intervention, the MMAS scores of patients in the observation group were significantly higher than those in the control group (P<0.05). After intervention, the scores of GQOLI-74, SUPPH and WAIS-RC in the observation group were significantly higher than those in the control group (all P<0.05). After intervention, the scores of HAMA and HAMD in both groups decreased, and those in the observation group were lower than those in the control group (all P<0.05).

CONCLUSION

Systematic nursing for patients with maniac access of bipolar disorder can clearly relieve their bad moods, control their manic state, and improve their self-efficacy, quality of life and treatment compliance.

摘要

目的

探讨系统护理在双相情感障碍躁狂发作患者中的应用及其对治疗依从性和生活质量的影响。

方法

采用随机数字表法，将91例双相情感障碍躁狂发作患者分为对照组（n = 46，接受常规护理）和观察组（n = 45，联合系统护理，包括健康教育、病房环境、心理健康护理、康复训练、心理状态评估以及家庭和社会支持）。比较干预前及干预3个月后两组患者的Morisky药物治疗依从性量表（MMAS）的治疗依从性、Bech-Rafaelsdn躁狂量表（BRMS）的躁狂状态、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）的心理状态、一般生活质量量表-74（GQOLI-74）的生活质量、患者促进健康策略自我效能量表（SUPPH）的自我效能以及中文版韦氏成人智力量表修订版（WAIS-RC）的认知功能。

结果

干预后，两组患者的BRMS评分均显著降低，且观察组低于对照组（均P < 0.05）。干预后，观察组患者的MMAS评分显著高于对照组（P < 0.05）。干预后，观察组GQOLI-74、SUPPH和WAIS-RC评分均显著高于对照组（均P < 0.05）。干预后，两组HAMA和HAMD评分均降低，且观察组低于对照组（均P < 0.05）。