团队生活技能训练在双相情感障碍缓解期患者居家护理中的应用  

Application Effect of Team SST in the Home Care of Patients with Bipolar Disorder During Remission Stage

作　　者：李静[1] 严芳[2] LI Jing;YAN Fang(Third Department of Psychiatry,the Second Affiliated Hospital of Xinxiang Medical College,Xinxiang 453002,China;Department of Nursing,the Second Affiliated Hospital of Xinxiang Medical College,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院精神三科,河南新乡453002 [2]新乡医学院第二附属医院护理部,河南新乡453002

出　　处：《河南医学研究》2023年第7期1314-1318,共5页Henan Medical Research

基　　金：河南省医学科技攻关计划软科学项目(RKX202202038)。

摘　　要：目的探究团队生活技能训练(SST)在双相情感障碍缓解期患者院外居家护理中的应用及对生活质量、自我接纳度的影响。方法选取新乡医学院第二附属医院2021年1月至2022年6月收治的112例双相情感障碍缓解期患者为研究对象,按照随机化分组法分为干预组和对照组,各56例,对照组接受常规家庭护理干预,观察组在其基础上接受团队SST模式干预。比较干预2个月后两组患者心理弹性、负性情绪及认知功能、自我接纳度、社会功能和生活质量变化。结果干预2个月后,两组心理弹性量表(CD-RISC)评分中自信、坚韧、乐观及总分均提高(P<0.05),杨氏躁狂量表(YMRS)、抑郁自评量表(SDS)、认知融合问卷(CFQ)评分均降低(P<0.05),自我接纳问卷(SAQ)评分中自我评价、自我接纳及SAQ总分均升高(P<0.05),社会功能缺陷量表(SDSS)、生活质量综合评定量表-74(GQOL-74)各指标评分均下降(P<0.05),且干预后各量表组间对比差异有统计学意义(P<0.05)。结论团队SST模式护理可有效提高双相情感障碍缓解期患者的心理弹性,改善不良情绪及认知融合,提高患者的自我接纳度及社会功能,改善患者生活质量。Objective To explore the application of team social skills training(SST)model in the out-of-hospital home care of patients with bipolar disorder during remission stage and its effects on quality of life and self-acceptance.Methods A total of 112 patients with bipolar disorder during remission stage in the Second Affiliated Hospital of Xinxiang Medical College between January 2021 and June 2022 were selected as the research subjects,and they were divided into intervention group and control group according to the random grouping method,with 56 cases in each group.Control group was given routine family nursing intervention,and intervention group received team SST model management on this basis.The changes in psychological resilience,negative emotions and cognitive function,self-acceptance,social function and quality of life were compared between the two groups after 2 months of intervention.Results After 2 months of intervention,the scores of self-confidence,tenacity and optimism and total score of Connor-Davidson psychological resilience scale(CD-RISC)were improved in the two groups(P<0.05),while the scores of Young manic rating scale(YMRS),self-rating depression scale(SDS)and cognitive fusion questionnaire(CFQ)were reduced(P<0.05),and the scores of self-evaluation and self-acceptance and total score of self-acceptance questionnaire(SAQ)were increased(P<0.05),while the scores of social disability screening scale(SDSS)and the scores of generic quality of life inventory-74(GQOL-74)were decreased(P<0.05),and there were statistical differences in the scores of scales after intervention between the groups(P<0.05).Conclusion Team SST model nursing can effectively enhance the psychological resilience,improve adverse reactions and cognitive fusion,increase the self-acceptance and social function,and promote the quality of life of patients with bipolar disorder during remission stage.

关 键 词：团队SST模式 双相情感障碍 心理弹性 自我接纳度 

分 类 号：R473.74[医药卫生—护理学]