多学科团队协作护理干预在双相情感障碍缓解期患者中的应用

目的:探讨多学科团队协作护理干预在双相情感障碍缓解患者中的应用效果。方法:选取2018年1月1日~2019年10月31日接受治疗的双相情感障碍缓解期女性患者110例作为研究对象,按照随机编号法分为对照组和观察组各55例,对照组给予常规护理干预,观察组给予多学科团队协作护理干预;比较两组干预前后抑郁[采用汉密顿抑郁量表(HAMD)]、躁狂程度[采用杨氏躁狂量表(YMRS)]、社会功能缺陷[采用社会功能缺陷量表(SDSS)]、遵医行为、自我病耻感量表(SSMIS)评分、生活质量[采用健康调查简表(SF-36)]。结果:干预后,观察组HAMD、YMRS及SDSS评分均低于对照组(P<0.01);干预后,观察组饮食控制、按时按量服药、坚持锻炼、自我管理的遵医行为评分均高于对照组(P<0.01);干预后,观察组SSMIS中疏远、刻板印象的认可、社会回避、歧视经历评分均低于对照组(P<0.01),对抗病耻感评分高于对照组(P<0.01);干预后,观察组SF-36中心理健康、情感角色、躯体功能、社会功能、健康状态、生活力、肌体疼痛、躯体角色生活质量评分均高于对照组(P<0.01)。结论:在双相情感障碍缓解期患者中应用多学科团队协作护理干预,可改善患者的抑郁、躁狂症状,减轻其社会缺陷程度、病耻感,提高其依从性和生活质量。

Application of Multidisciplinary Team Collaborative Nursing Intervention in Patients with Bipolar Disorder in Remission

Objective:To explore the effect of multidisciplinary team nursing intervention in patients with bipolar disorder in remission.Methods:A total of 110 female patients with bipolar disorder in remission who received treatment from January 1,2018 to October 31,2019 were selected as the study objects.According to the random number method,they were divided into the control group and the observation group with 55 cases in each group.The control group was given routine nursing intervention,and the observation group was given multidisciplinary team cooperative nursing intervention.The depression[the Hamilton Depression Scale(HAMD)],degree of manic[the Young′s Manic Rrating Scale(YMRS)],social disability[Social Disability Screening Schedule(SDSS)],medical compliance,self-stigma score[Self-Stigma of Mental Illness Scale(SSMIS)],and quality of life[the MOS item short from health survey(SF-36)]were compared between the two groups before and after the intervention.Results:After intervention,the HAMD,YMRS and SDSS scores of the observation group were lower than those of the control group(P<0.01).After intervention,the score of compliance behavior in diet control,taking medicine on time,exercise,self-management of the observation group was higher than that of the control group(P<0.01).After intervention,the scores of alienation and stereotype recognition,social avoidance and discrimination experience in the observation group were lower than those in the control group(P<0.01),and the score of stigma resistance was higher than those in the control group(P<0.01).After intervention,the scores of mental health,emotional role,physical function,social function,health status,life force,body pain and life quality of body role in the observation group of SF-36 were higher than those in the control group(P<0.01).Conclusion:The application of multidisciplinary team collaborative nursing intervention in the remission stage of bipolar disorder can improve the symptoms of depression and mania,reduce the degree of social disability and stigma,and enhance their compliance and quality of life.