基于康复平台的网络心理健康教育对双相障碍缓解期患者的干预效果  

Intervention effect of network mental health education based rehabilitation platform on patients with bipolar disorder in remission stage

作　　者：张歆钰 西英俊[1] 马辛[1] 姚怡明 邵啸 潘伟刚[1] 廉思源 田璐[1] 任艳萍[1] 罗炯[1] Zhang Xinyu;Xi Yingjun;Ma Xin;Yao Yiming;Shao Xiao;Pan Weigang;Lian Siyuan;Tian Lu;Ren Yanping;Luo Jiong(Clinical Psychological Center,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院临床心理中心,北京100088

出　　处：《中华健康管理学杂志》2023年第4期296-300,共5页Chinese Journal of Health Management

基　　金：北京市科技计划首都健康保障培育研究(Z181100001618009)。

摘　　要：目的分析基于康复平台的网络心理健康教育对双相障碍(BD)缓解期患者的干预效果。方法本研究为随机对照研究,采用随机数字表法选取2021年7—8月在北京市西城区社区卫生中心就诊的91例BD缓解期患者,按照1∶1的比例随机分为试验组(46例)和对照组(45例)。收集两组基线资料,对照组接受常规药物治疗和社区电话随访,试验组在此基础上以微信订阅号形式开展网络心理健康教育,包括BD心理健康教育课程推送(2次/周)和疾病自我管理(每日记录情绪、睡眠、服药、运动情况及感恩日记),两组干预时间均为6个月。干预过程中,试验组1例患者因精神疾病加重入院而终止试验,最终共90例患者纳入研究。分别于基线、干预3个月和6个月后评估两组患者药物依从性评价量表(MARS)、汉密尔顿抑郁量表(HAMD)、杨氏躁狂状态评定量表(YMRS)、Link贬低-歧视感知量表(PDD)得分,采用两独立样本t检验和χ^(2)检验比较两组基线资料差异,采用重复测量方差分析比较两组干预前后MARS、HAMD、YMRS、PDD评分差异,分析基于康复平台的网络心理健康教育对BD缓解期患者的干预效果。结果干预6个月后,试验组MARS评分显著高于对照组[(8.47±1.75)分比(7.47±1.85)分],且显著高于基线[(7.36±2.13)分]及干预3个月后[(8.04±1.68)分](均P<0.05)。试验组YMRS、PDD评分在干预3个月和6个月后均显著低于基线[YMRS,2.0(1.0,4.0)分、2.0(0,3.0)分比3.0(1.0,5.5)分;PDD,(31.18±4.65)分、(30.13±4.76)分比(32.51±4.51)分](均P<0.05);对照组干预前后YMRS、PDD评分差异均无统计学意义(均P>0.05)。两组干预前后HAMD评分差异均无统计学意义(均P>0.05)。结论在常规药物治疗和社区管理基础上联合基于康复平台的心理健康教育可显著提高BD缓解期患者的服药依从性,并改善其躁狂症状,降低病耻感。Objective To analyze the intervention effect of rehabilitation platform-based online psycho-education on patients with bipolar disorder(BD)in remission stage.Methods In this randomized controlled study,91 patients with BD in remission stage who attended the community health center in Xicheng District,Beijing from July to August 2021 were randomly divided into a test group(46 cases)and a control group(45 cases)according to a 1∶1 ratio using the random number table.Baseline data were collected from both groups,and the control group received conventional medication and community telephone follow-up,while the test group was given online mental health education in the form of a WeChat subscription number on this basis,including BD mental health education course push(twice a week)and disease self-management(daily recording of mood,sleep,medication,exercise and gratitude diary),and the intervention period was 6 months in both groups.During the intervention,one patient in the test group was admitted to hospital due to exacerbation of mental illness and the trial was terminated.A total of 90 cases were included in the study.The scores of Medication Adherence Rating Scale(MARS),Hamilton Depression Scale(HAMD),Young Mania Rating Scale(YMRS)and Perceived Devaluation-Discrimination Scale(PDD)were assessed at baseline,after 3 months and 6 months of intervention in both groups,respectively.And the differences in baseline data between the two groups were compared using two independent samples t test andχ^(2)test,and the repeated-measures ANOVA was used to compare the differences in MARS,HAMD,YMRS,and PDD scores between the two groups before and after the intervention,and to analyze the intervention effects of network mental health education based on the rehabilitation platform on patients in remission stage of BD.Results After 6 months of intervention,MARS scores in the test group was significantly higher than that in the control group[(8.47±1.75)vs(7.47±1.85)],and was significantly higher than that at baseline(7.36±2.13)a

关 键 词：双相障碍 缓解期 康复平台 健康教育 心理学 

分 类 号：R473.74[医药卫生—护理学]