系统护理对双相情感障碍躁狂发作病人认知功能及康复的影响
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摘要
目的:通过对双相情感障碍躁狂发作患者实施不同的护理干预,观察其认知功能及康复情况,探究各种护理干预的临床效果与特点。方法:从2015年1月至2018年6月来本院诊治的双相情感障碍躁狂发作患者中随机抽取72例,随机分为对照组36例,实施常规护理;观察组36例,实施常规护理+系统护理。比较两组患者护理干预后的认知功能和康复情况。结果:观察组经系统护理干预后记忆商数为(104.47±19.35)分,长时记忆为(41.48±6.63)分,瞬间记忆为(14.47±4.63)分,短期记忆为(57.83±11.47)分,均高于对照组(P<0.05);观察组干预后智商为(109.32±15.36)分,操作智商为(110.25±13.37)分,言语智商为(106.45±15.78)分,均高于对照组(P<0.05);观察组干预后BRMS评分为(7.37±3.17)分,低于对照组(P<0.05)。结论:系统护理可有效提高双相情感障碍躁狂发作患者的认知功能,改善患者的生活质量。
Objective:To observe the cognitive function and rehabilitation of patients with bipolar affective disorder manic episode through different nursing interventions, and explore the clinical effects of various nursing interventions. Methods:Seventy-two patients with bipolar manic disorder from January 2015 to June 2018 were randomly divided into control group(36 cases) with implementing routine nursing care and observation group(36 cases) with implementing routine nursing care+systematic nursing. The cognitive function and rehabilitation of two groups of patients after nursing intervention were compared.Results:After the systemic nursing intervention, the memory quotient was(104.47±19.35), the long-term memory was(41.48±6.63), the instantaneous memory was(14.47±4.63), and the short-term memory was(57.83±11.47), which were higher than the control group(P < 0.05).The IQ of the observation group was(109.32±15.36), the operation IQ was(110.25±13.37), the speech IQ was(106.45±15.78), which were higher than the control group(P < 0.05). The BRMS score of the observation group was(7.37±3.17), lower than the control group(P < 0.05). Conclusion:Systemic nursing can effectively improve the cognitive function of patients with bipolar disorder and manic episodes and improve their quality of life.
Objective:To observe the cognitive function and rehabilitation of patients with bipolar affective disorder manic episode through different nursing interventions, and explore the clinical effects of various nursing interventions. Methods:Seventy-two patients with bipolar manic disorder from January 2015 to June 2018 were randomly divided into control group(36 cases) with implementing routine nursing care and observation group(36 cases) with implementing routine nursing care+systematic nursing. The cognitive function and rehabilitation of two groups of patients after nursing intervention were compared.Results:After the systemic nursing intervention, the memory quotient was(104.47±19.35), the long-term memory was(41.48±6.63), the instantaneous memory was(14.47±4.63), and the short-term memory was(57.83±11.47), which were higher than the control group(P < 0.05).The IQ of the observation group was(109.32±15.36), the operation IQ was(110.25±13.37), the speech IQ was(106.45±15.78), which were higher than the control group(P < 0.05). The BRMS score of the observation group was(7.37±3.17), lower than the control group(P < 0.05). Conclusion:Systemic nursing can effectively improve the cognitive function of patients with bipolar disorder and manic episodes and improve their quality of life.
引文
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[2] 刘英洁,张华,牛琪惠,等.团体社交技能训练对已婚双相情感障碍患者婚姻质量的影响[J].中华现代护理杂志,2016,22(08):1107-1109.
[3] 肖霖,林小玲,王庆研,等.蒙特利尔认知评估量表在稳定期双相情感障碍患者中应用的初步研究[J].中国全科医学,2015,01(25):3100-3103.
[4] 陆峥,蔡军,江开达,等.典型和非典型抗精神病药合并碳酸锂治疗双相情感障碍躁狂发作的对照研究[J].上海精神医学,2013,19(03):142-144.
[5] 余金鸣,李水洪,牛亚辉,等.双心境稳定剂联合喹硫平治疗双相情感障碍躁狂发作的效果[J].实用临床医学,2015,05(01):1-3.
[6] 王林利,费建惠,王建女,等.临床护理路径对老年双相情感障碍患者的治疗效果及满意度调查[J].全科医学临床与教育,2015,13(01):105-106.
[7] 安俊芳,郑鸿伟,彭倩.双相情感障碍躁狂发作患者治疗中行系统护理干预的效果[J].中国社区医师,2017,33(02):142.
[8] 李晗.系统护理干预对双相情感障碍躁狂发作患者认知功能的影响[J].中国现代药物应用,2016,10(07):245-246.