基于时效性激励理念的心理护理对躁狂症患者激越行为及社交技能的影响  

The impact of psychological nursing based on the concept of timely incentives on agitation behavior and social skills in patients with mania

作　　者：杨留华 刘瑞莉 王杰 YANG Liuhua;LIU Ruili;WANG jie(Ward 13,Department 6 of Psychiatry,Department of Psychiatry,Daizhuang Hospital of ShandongProvince,Jining272000,China;Ward 2,Department 1 of Psychiatry,Department of Psychiatry,Daizhuang Hospital of ShandongProvince,Jining272000,China;Psychiatry Ward 7,Department of Psychiatry,Daizhuang Hospital of ShandongProvince,Jining272000,China)

机构地区：[1]山东省戴庄医院精神六科13病区,山东济宁272000 [2]山东省戴庄医院精神一科2病区,山东济宁272000 [3]山东省戴庄医院精神六科心理7病区,山东济宁272000

出　　处：《心理月刊》2025年第4期176-178,共3页

摘　　要：目的分析躁狂症患者接受基于时效性激励理念的心理护理后激越行为、社交技能的改善情况。方法研究选取山东省戴庄医院2021年9月~2023年9月收治的90例躁狂症患者,通过双盲法将其均分为两组,对照组(常规护理)与观察组(常规护理联合基于时效性激励理念的心理护理)各45例患者。比较两组患者躁狂症表现[倍克-拉范森躁狂量表(BRMS)评分]、激越行为[柯恩曼斯菲尔德激越情绪行为量表(CMAI)评分]、社交技能[社交技能评定目录(SSC)评分]以及心理弹性[康纳-戴维森心理弹性量表(CD-RISC)评分]。计数资料以x2检验,正态计量资料以t检验。结果干预前两组患者BRMS评分无显著差异(P>0.05),干预后观察组各个时间点BRMS评分均显著低于对照组(P<0.05);干预前两组患者CMAI评分无显著差异(P>0.05),干预后观察组各项CMAI评分均显著低于对照组(P<0.05);干预前两组患者SSC评分无显著差异(P>0.05),干预后观察组各项SSC评分均显著低于对照组(P<0.05);干预前两组患者CD-RISC评分无显著差异(P>0.05),干预后观察组各项CD-RISC评分均显著高于对照组(P<0.05)。结论基于时效性激励理念的心理护理模式可帮助躁狂症患者更好地控制病情,同时也可对其激越行为、社交技能以及心理弹性的改善起到促进作用。Objective To analyze the improvement of agitation behavior and social skills in patients with mania after receiving psychological care based on the concept of time-sensitive motivation.Methods A total of 90 patients with mania admitted to Daizhuang Hospital of Shandong Province from September 2021 to September 2023 were selected for the study.They were randomly divided into two groups using a double-blind method,with 45patients in the control group(routine care)and 45 patients in the observation group(routine care combined psychological care based on the concept of time-sensitive incentives).The manifestations of mania[(Bech-Rafaelsen mania rating scale)score],agitation[(Cohen-Mansfield agitation inventory)score],social skills[(social skills checklist)score],and resilience[(Connor-Davidson resilience scale)score]were compared between the two groups.The count data were analyzed by x~2 test,and the normal measurement data were analyzed by t test.Results There was no significant difference in BRMS scores between the two groups before intervention(P>0.05),and the BRMS scores in the observation group were significantly lower than those in the control group at all time points after intervention(P<0.05).There was no significant difference in CMAI scores between the two groups before intervention(P>0.05),and the CMAI scores in the observation group were significantly lower than those in the control group after intervention(P<0.05).There was no significant difference in SSC scores between the two groups before intervention(P>0.05),and the SSC scores in the observation group were significantly lower than those in the control group after intervention(P<0.05).There was no significant difference in CD-RISC scores between the two groups before intervention(P>0.05),but after intervention,the CD-RISC scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The psychological nursing model based on the concept of timely motivation can help patients with mania better control their

关 键 词：心理护理 时效性激励理念 躁狂症 激越行为 社交技能 心理弹性 

分 类 号：R47[医药卫生—护理学]