情感技能训练联合多方联动精细化护理对双相情感障碍患者的影响  

The effect of emotional skill training combined with multi-party intensive nursing on patients with bipolar disorder

作　　者：谈艳苹 黄赛赛 何娟娟 陈洁 王云 TAN Yanping;HUANG Saisai;HE Juanjuan;CHEN Jie;WANG Yun(Department of Military Psychiatry,Chinese People's Liberation Army Joint Logistics Support Force 904 Hospital,Changzhou 213000,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇四医院常州医疗区军事精神医学科,江苏常州213000

出　　处：《心理月刊》2025年第6期190-192,共3页

摘　　要：目的研究情感技能训练与多主体协作的细致护理对患有双相情感障碍患者的疗效及影响。方法选取2020年1月~2024年8月本院接收的90名双相情感障碍患者作为样本。采用随机数字分配法,将患者均等分为两组,分别为对照组(45人)和观察组(45人)。对照组接受常规护理措施,观察组接受情感技能训练联合多方联动精细化护理。对比两组患者在护理干预前后的症状评估、认知能力评估、生活品质评估以及整体幸福感评估的差异。结果干预前,两组在双相情感障碍自评量表(BSQ)、Bech-Rafaelsen狂躁量表(BRMS)、汉密顿抑郁量表(HAMD)、韦氏成人智力量表(WAIS-RC)、世界卫生组织生活质量评定量表简表(WHOQOL-BREF)以及总体幸福感量表(GWB)评分上无显著差异(P>0.05)。干预后,两组的BSQ、BRMS、HAMD评分均有显著下降(P<0.001);同时,两组的WAISRC、WHOQOL-BREF和GWB评分均显著提升(P<0.001)。进一步分析显示,干预后观察组的BSQ、BRMS、HAMD评分显著低于对照组(P<0.001),WAIS-RC、WHOQOL-BREF和GWB评分则显著高于对照组(P<0.001)。结论情感技能训练联合多维度精细化护理能有效缓解双相情感障碍患者的情绪症状,提升其认知能力,减少复发可能性,并显著提高患者的生活质量及主观幸福感,为患者带来更佳的康复效果。Objective To explore the therapeutic effect and impact of emotional skill training and multi-party collaboration in meticulous nursing care for patients with bipolar disorder.Methods From January 2020 to August 2024,our hospital received 90 patients with bipolar disorder as samples.Using random number allocation method,patients were evenly divided into two groups,namely the control group(45 people)and the observation group(45 people).The control group received routine nursing measures,while the observation group received emotional skill training combined with multi-party linkage refined nursing.Compare the differences in symptom assessment,cognitive ability assessment,quality of life assessment,and overall well-being assessment between two groups of patients before and after nursing intervention.Results Before intervention,there was no significant difference(P>0.05)in the scores of the bipolar disorder self rating scale(BSQ),Bech Rafaelsen mania scale(BRMS),Hamilton depression scale(HAMD),Wechsler adult intelligence scale(WAIS-RC),World Health Organization quality of life rating scale brief(WHOQOL-BREF),and global well being scale(GWB)between the two groups.After intervention,the BSQ,BRMS,and HAMD scores of both groups significantly decreased(P<0.001).At the same time,the WAIS-RC,WHOQOL-BREF,and GWB scores of both groups were significantly improved(P<0.001).Further analysis showed that after intervention,the BSQ,BRMS,and HAMD scores of the observation group were significantly lower than those of the control group(P<0.001),while the WAIS-RC,WHOQOL-BREF,and GWB scores were significantly higher than those of the control group(P<0.001).Conclusion Emotional skill training combined with multidimensional refined nursing can effectively alleviate the emotional symptoms of patients with bipolar disorder,improve their cognitive ability,reduce the possibility of recurrence,and significantly improve their quality of life and subjective well-being,bringing better rehabilitation effects to patients.

关 键 词：情感技能训练 精细化护理 双相情感障碍 症状 生活质量 

分 类 号：R47[医药卫生—护理学]