生活与社交技能训练在老年双相障碍缓解期患者中的应用

  目的  探讨生活与社交技能训练对老年双相障碍缓解期患者情感症状、总体功能及认知功能的影响。  方法  选择2018年1月—2021年1月杭州市第七人民医院收治的106例老年双相障碍缓解期患者，采用随机数字表法分为研究组(生活与社交技能训练+常规护理组)和对照组(常规护理组)，各53例。治疗8周，研究组43例、对照组52例患者完成治疗。治疗前后采用汉密尔顿抑郁量表 17项版(HAMD-17)、杨氏躁狂评定量表(YMRS)、功能检测简版(FAST)、威斯康星卡片分类检测(WCST)评估2组患者情感症状、总体功能及认知功能。  结果  治疗后，研究组HAMD-17(3.233±1.280)分]、YMRS(2.411±0.502)分]评分均低于对照组(4.193±1.317)分、(3.119±0.612)分]，差异均有统计学意义(t=3.577、6.118，均P＜0.05)。在总体功能方面，治疗后研究组FAST总分、自主生活评分、认知功能评分均低于对照组，差异均有统计学意义(均P＜0.05)。在认知功能方面，治疗8周后研究组正确应答数目、完成分类数目均较对照组高，研究组错误应答数目以及持续错误数目均少于对照组，差异均有统计学意义(均P＜0.05)。  结论  生活与社交技能训练可改善老年双相情感障碍缓解期患者的残留情感症状，促进总体功能、认知功能的提高。 

Application of life and social skill training in elderly patients with bipolar disorder in remission stage

  Objective  To investigate the effect of life and social skills training on affective symptoms, overall function, and cognitive function in elderly patients with bipolar disorder in remission stage.  Methods  A total of 106 elderly patients with bipolar disorder in remission stage from January 2018 to January 2021 in Hangzhou Seventh People' s Hospital were selected. They were randomly divided into the study group (life and social skill training + routine-nursing group) and control group (routine-nursing group) by using the random-number-table method, with 53 cases in each group. After 8 weeks, 43 and 52 patients in the study and control groups, respectively, completed the treatment. Before and after treatment, the 17-item Hamilton rating scale for depression (HAMD-17), Young manic rating scale (YMRS), functioning assessment short test (FAST), and Wisconsin card sorting test-modified (WCST) were used to evaluate the affective symptoms, overall function, and cognitive function of the two groups of patients.  Results  After treatment, the HAMD-17 (3.233±1.280) points] and YMRS (2.411±0.502) points] scores of the study group were lower than those in the control group (4.193±1.317) points, (3.119±0.612) points], and the differences were statistically significant (t=3.577, 6.118, all P < 0.05). In terms of overall function, after treatment, the total score of FAST, autonomous life score, and cognitive function score in the study group were lower than the control group' s score, and the differences were statistically significant (all P < 0.05). In terms of cognitive function, after 8 weeks of treatment, compared with the control group, response corrects (Rc) and categories completed (Cc) in the study group were higher, and response errors (Re) and response perseverative errors (Rpe) in the study group were lower, with statistical significance (all P < 0.05).  Conclusion  Life and social skill training can improve the residual affective symptoms of elderly patients with bipolar disorder in remission stage, as well as promote the improvement in overall function and cognitive function.