运动疗法联合积极心理干预对双相情感障碍的影响
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摘要
目的探讨运动疗法联合积极心理干预方案在双相情感障碍患者治疗中的临床效果。方法将2016年1月—2017年6月我院收治的128例双相情感障碍患者作为研究对象,将其按照治疗方案的不同随机分成观察组(n=68)与对照组(n=60),对照组患者采用单一运动疗法,观察组患者在对照组患者治疗基础上给予积极心理干预,观察对比两组的心理状态、生活质量。结果干预前两组患者的SAS、SDS、BMRS、MMSE评分对比差异无统计学意义(P> 0.05)。干预后观察组患者的SAS、SDS、BMRS评分明显低于对照组,MMSE评分明显高于对照组,差异有统计学意义(P <0.05);干预前两组患者的社会功能、情感角色、心理健康、躯体功能、躯体角色、机体疼痛、生命力、总体健康评分对比差异无统计学意义(P> 0.05),干预后观察组患者的社会功能、情感角色、心理健康、躯体功能、躯体角色、机体疼痛、生命力、总体健康评分均明显高于对照组患者,差异有统计学意义(P<0.05)。结论运动疗法联合积极心理干预方案能改善双相情感障碍患者的心理状态、提高生活质量。
Objective To investigate the clinical effect of exercise therapy combined with positive psychological intervention in the treatment of patients with bipolar disorder. Methods 128 patients with bipolar disorder who were admitted to our hospital from January 2016 to June 2017 were randomly divided into observation group(n=68) and control group(n=60).The patients in the two groups were given routine care. The patients in the control group were given exercise therapy on the basis of routine nursing.The patients in the observation group were given positive psychological intervention on the basis of the treatment of the control group. The psychological status and quality of life of the two groups were observed and compared. Results There was no significant difference in SAS, SDS,BMRS and MMSE scores between the two groups before intervention(P >0.05). The scores of SAS, SDS and BMRS in the observation group were significantly lower than those in the control group, and the scores of MMSE in the observation group were significantly higher than those in the control group(P < 0.05). There was no significant difference in social function,emotional role, mental health, physical function, physical role, body pain,vitality and overall health score between the two groups before intervention(P > 0.05). After intervention, the scores of social function, emotional role,mental health, physical function, physical role, body pain, vitality and overall health of the patients in the observation group were significantly higher than those in the control group(P < 0.05). Conclusion Exercise therapy combined with positive psychological intervention can improve the psychological state and improve the quality of life of patients with bipolar disorder, which is worthy of clinical promotion.
Objective To investigate the clinical effect of exercise therapy combined with positive psychological intervention in the treatment of patients with bipolar disorder. Methods 128 patients with bipolar disorder who were admitted to our hospital from January 2016 to June 2017 were randomly divided into observation group(n=68) and control group(n=60).The patients in the two groups were given routine care. The patients in the control group were given exercise therapy on the basis of routine nursing.The patients in the observation group were given positive psychological intervention on the basis of the treatment of the control group. The psychological status and quality of life of the two groups were observed and compared. Results There was no significant difference in SAS, SDS,BMRS and MMSE scores between the two groups before intervention(P >0.05). The scores of SAS, SDS and BMRS in the observation group were significantly lower than those in the control group, and the scores of MMSE in the observation group were significantly higher than those in the control group(P < 0.05). There was no significant difference in social function,emotional role, mental health, physical function, physical role, body pain,vitality and overall health score between the two groups before intervention(P > 0.05). After intervention, the scores of social function, emotional role,mental health, physical function, physical role, body pain, vitality and overall health of the patients in the observation group were significantly higher than those in the control group(P < 0.05). Conclusion Exercise therapy combined with positive psychological intervention can improve the psychological state and improve the quality of life of patients with bipolar disorder, which is worthy of clinical promotion.
引文
[1]陆沈艳,覃金荣,罗隽,等.双相情感障碍患者的临床护理研究进展[J].实用临床护理学电子杂志,2018,3(20):157-158.
[2]雷铭,田晴,王传跃,等.精神疾病前脉冲抑制研究[J].中华行为医学与脑科学杂志,2017,26(2):188-192.
[3]戴晓燕. G-CBT对双相情感障碍患者的治疗效果[J].西南国防医药,2018,28(3):242-244.
[4]王媛,钟海平,吴桂红.低强度运动疗法在双相情感障碍患者中的应用效果[J].中国农村卫生事业管理,2017,37(7):853-855.
[5]叶嘉恩,林莲琴,山赟,等.缓解期双相情感障碍患者社会功能的相关研究[J].中国现代医生,2018,56(1):88-91.
[6]张晶,徐茜,杨紫君,等.抑郁症患者认知功能评估方法的研究进展[J].中国老年学杂志,2018,38(15):3810-3813.
[7]李华,顾艳虹.单相抑郁与双相抑郁患者人格及应对方式的对照研究[J].中华现代护理杂志,2017,23(8):1126-1129.
[8]吴丹萍,苑成梅,孙霞,等.治疗师角度下双相障碍强化门诊干预项目的疗效相关因素分析[J].中华精神科杂志,2018,51(4):254-259.
[9]武伟敏,邹韶红.有攻击行为的双相障碍Ⅱ型患者认知功能特点[J].神经疾病与精神卫生,2017,17(1):18-20.
[10]沈婷,应时辉,David Mellor,等.双相障碍抑郁发作患者静息态脑功能特征[J].中华精神科杂志,2018,51(4):242-246.
[11]马瑞晨.精神分裂症和双相情感障碍神经心理学比较研究进展[J].临床医药文献电子杂志,2017,4(40):7901,7904.
[12]阿依奴尔·吾买尔.运动疗法结合积极心理干预用于治疗双相情感障碍患者的临床影响[J].心理医生,2017,23(8):110-111.
[2]雷铭,田晴,王传跃,等.精神疾病前脉冲抑制研究[J].中华行为医学与脑科学杂志,2017,26(2):188-192.
[3]戴晓燕. G-CBT对双相情感障碍患者的治疗效果[J].西南国防医药,2018,28(3):242-244.
[4]王媛,钟海平,吴桂红.低强度运动疗法在双相情感障碍患者中的应用效果[J].中国农村卫生事业管理,2017,37(7):853-855.
[5]叶嘉恩,林莲琴,山赟,等.缓解期双相情感障碍患者社会功能的相关研究[J].中国现代医生,2018,56(1):88-91.
[6]张晶,徐茜,杨紫君,等.抑郁症患者认知功能评估方法的研究进展[J].中国老年学杂志,2018,38(15):3810-3813.
[7]李华,顾艳虹.单相抑郁与双相抑郁患者人格及应对方式的对照研究[J].中华现代护理杂志,2017,23(8):1126-1129.
[8]吴丹萍,苑成梅,孙霞,等.治疗师角度下双相障碍强化门诊干预项目的疗效相关因素分析[J].中华精神科杂志,2018,51(4):254-259.
[9]武伟敏,邹韶红.有攻击行为的双相障碍Ⅱ型患者认知功能特点[J].神经疾病与精神卫生,2017,17(1):18-20.
[10]沈婷,应时辉,David Mellor,等.双相障碍抑郁发作患者静息态脑功能特征[J].中华精神科杂志,2018,51(4):242-246.
[11]马瑞晨.精神分裂症和双相情感障碍神经心理学比较研究进展[J].临床医药文献电子杂志,2017,4(40):7901,7904.
[12]阿依奴尔·吾买尔.运动疗法结合积极心理干预用于治疗双相情感障碍患者的临床影响[J].心理医生,2017,23(8):110-111.