自我角色认同护理对住院躁狂患者激越行为、社会交往能力影响研究  

The Application of Self Role Identity Nursing in Intervention of Inpatient Manic Patients

作　　者：黄飞燕 黄鲤瞻 HUANG Feiyan;HUANG Lizhan(Putian Cikang Hospital District 8,Putian 351142,China;Rehabilitation Department of De'an Hospital in Xianyou County,Putian 351200,China)

机构地区：[1]莆田市慈康医院八区,福建莆田351142 [2]莆田市仙游县德安医院康复科,福建莆田351200

出　　处：《中国医药指南》2023年第35期182-185,共4页Guide of China Medicine

摘　　要：目的探讨自我角色认同护理应用在住院躁狂患者中的应用效果。方法选取2020年1月至2022年12月期间在精神科接受治疗的120例住院躁狂患者随机分2组,每组各60例,对照组予以常规护理,观察组予以自我角色认同护理。比较两组干预前后激越行为量表(CMAI)、社会交往能力量表(SSC)、生活质量综合评定问卷(GQOLI-74)及患者满意度。结果对比CMAI评分,两组干预前差异无统计学意义(P>0.05),治疗后,观察组改善效果理想,且CMAI各项评分均低于对照组(均P<0.05);对比SSC评分,两组干预前对比差异无统计学意义(均P>0.05),治疗后,观察组改善效果理想,且观察组SSC各项评分均低于对照组(均P<0.05);对比GQOLI-74评分,两组干预前对比差异无统计学意义(P>0.05),治疗后,观察组生活质量改善效果理想,且观察组GQOLI-74各项评分均高于对照组(均P<0.05);观察组护理总满意度高于对照组(P<0.05)。结论对于住院躁狂患者予以自我角色认同护理,对激越行为具有积极改善作用,提高社会交往能力及生活质量,增加患者满意度。Objective This article aims to study and explore the effectiveness of self role identity nursing in hospitalized manic patients.Methods 120 hospitalized manic patients receiving treatment in the psychiatric department were randomly divided into two groups.The control group received routine care,while the observation group received self role identity care,with 60 patients in each group.The time range was between January 2020 and December 2022.Compare the cohen-mansfield agitatation inventory(CMAI),social skills checklist(SSC),generic quality of life inventory-74(GQOLI-74),and patient satisfaction between the two groups before and after intervention.Results Comparing the CMAI scores,the difference between the two groups before the intervention was not statistically significant(P>0.05),and after the treatment,the observation group improved ideally,and all the CMAI scores were lower than those of the control group(all P<0.05);Comparing the SSC scores,the difference between the two groups before the intervention was not statistically significant(all P>0.05),after the treatment,the improvement of the observation group was ideal,and all the scores of the SSC in the observation group were lower than those of the control group(all P<0.05);Comparing the GQOLI-74 scores,the difference between the two groups before the intervention was not statistically significant(P>0.05),after the treatment,the quality of life of the observation group was improved ideally,and all the scores of the GQOLI-74 of the observation group were higher than those of the control group(all P<0.05);The overall satisfaction with nursing in the observation group was higher than that in the control group(P<0.05).Conclusions Self role identity nursing for hospitalized manic patients has a positive effect on improving agitation behavior,improving social interaction ability and quality of life,and increasing patient satisfaction.

关 键 词：自我角色认同护理 躁狂患者 激越行为 社会交往能力 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]