叙事干预技巧对双向情感障碍患者负性情绪及生活质量的影响  

Effects of narrative intervention model on negative emotions and quality of life in patients with bipolar disorder

作　　者：齐佳悦 赵颖逾 何叶亭 赵艳名 魏昆岭 朱慧颖[1] 陈宏美[1] 王丽娜[2] QI Jiayue;ZHAO Yingyu;HE Yeting(Jiulongshan Hospital of Qinhuangdao,Hebei,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市九龙山医院,066000 [2]河北省精神卫生中心护理部

出　　处：《河北医药》2023年第3期478-480,共3页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:20200139)。

摘　　要：目的探讨叙事干预技巧对双向情感障碍患者负性情绪、生活质量的影响价值。方法选取2020年1月至2021年1月收治确诊存在双向情感障碍患者76例为分析对象,遵循随机盲目原则分为观察组和对照组,每组38例,对照组接受常规护理,观察组接受联合叙事护理技巧干预。对2组患者护理前后焦虑[汉密尔顿焦虑量表(HAMA)]、抑郁[汉密尔顿抑郁量表(HAMD)]等负性情绪以及生活质量变化进行比较。结果护理前2组患者HAMA、HAMD差异无统计学意义(P>0.05),护理后2组患者焦虑、抑郁情绪评分数有所下降(P<0.05),观察组患者分数低于对照组(P<0.05)。2组干预后患者自尊水平较干预前均有显著提升,差异有统计学意义(P<0.05),且观察组患者干预后的自尊水平中,行为自尊、社会自尊、外表自尊水平明显高于对照组(P<0.05)。2组患者术干预前生理、心理、社会、环境等生活质量项目评数差异无统计学意义(P>0.05),干预后观察组评分显著高于对照组(P<0.05)。结论对存在双向情感障碍患者在进行护理过程中配合叙事干预技巧能更好的构建护患的有效沟通渠道,缓解患者负性情绪,其机制更有利于患者回归正常社会生活中,值得推广并逐渐完善。Objective Objective To explore the effects and value of narrative intervention model on negative emotion and quality-of-life of patients with bipolar disorder(BD).Methods Totally 76 patients confirmed BD in our hospital were enrolled as the subjects from January 2020 to January 2021,and the patients were divided into two groups according to the principle of randomness and blindness,the control group(n=38)received routine nursing,and the observation group(n=38)received narrative intervention.The aiming was to compare the changes of negative emotions,including Hamilton Anxiety Rating Scale(HAM-A),Hamilton Depression Rating Scale(HAMD),and quality-of-life between groups before and after nursing.Results No differences were statistically significant in HAMA and HAMD between groups before intervention(P>0.05);while HAMA and HAMD in groups significantly decreased after intervention(P<0.05),and which were significantly lower in the observation group than the control group(P<0.05).The self-esteem levels in groups after intervention were significantly improved compared with before intervention(P<0.05);the behavioral self-esteem,social self-esteem and appearance self-esteem levels in the observation group were significantly higher than those in the control group after intervention(P<0.05).No difference in quality-of-life scores(the physical,psychological,social and environmental items)in groups were statistically significant before intervention(P>0.05),and the quality-of-life scores was significantly higher in the observation group than the control group after intervention(P<0.05).Conclusion For BD patients,the narrative intervention model can construct effective communication channels between nurses and patients during the process,which can alleviate patients’negative emotions as a better manner.Its mechanism contributed to the return to normal social life,being worthy of promotion and gradual improvement.

关 键 词：叙事护理技巧 双向情感障碍 负性情绪 生活质量 

分 类 号：R473.74[医药卫生—护理学]