以护士为主导康复锻炼对于双相情感障碍患者的影响

Effect of nurse-led rehabilitation exercise on bipolar affective disorder

目的探究以护士为主导的康复锻炼在双相情感障碍患者中的应用效果。方法双相情感障碍患者80例随机分成对照组和实验组,所有患者都采用常规药物治疗,对照组采用常规护理方法,实验组在对照组患者护理的基础上增加以护士为主导的康复锻炼干预;护理两个月后比较两组患者治疗前后的简明精神病量表(Brief Psychiatric Rating Scale,BPRS)评分、生命质量评分、健康知识的知晓率、护理满意度。结果护理2个月后,实验组患者的BPRS总得分、敌对猜疑因子评分均显著低于对照组(P<0.05)。干预前,两组患者的SQLS总分、心理社会、动机/精力、症状/不良反应等得分差异不具有统计学意义(P>0.05);干预后,两组患者的上述评分均差异显著(P<0.05)。实验组患者对健康知识的知晓率(95%)高于对照组(75%),护理满意度(95%)高于对照组(82.5%),差异均有统计学意义(P<0.05)。结论以护士为主导的康复锻炼有利于改善患者精神症状,提高患者对健康知识的知晓率和满意度,值得临床推广。

ObjectiveTo determine the effect of nurse led rehabilitation exercise on bipolar affective disorder. Method 80 patients with bipolar disorder were randomly divided into a control group and an experimental group. Both groups were treated with conventional therapy. The control group were given conventional nursing care while the experimental group were given nurse led rehabilitation exercise in addition to that given to the control group. At two months after treatment, the Psychiatric Rating Scale （BriefPsyehiatricRatingScale, BPRS） score, life quality score, the rate of health knowledge and nursing satisfaction of both groups as achieved before and after treatment were compared. Findings After 2 months of nursing, the scores of BPRS and hostile suspicion factor in the experimental group were significantly lower than those in the control group （P〈0.05）. Before the intervention, two groups of patients with SQLS score, psychological motivation, social / energy, symptoms / adverse reaction score. The difference was not statistically significant （P 〉 0.05）. After the intervention, the scores of the two groups were significantly different （P〈0.05）. The awareness rate of health knowledge of the experimental group （95%） was higher than that of the control group （75%） and the nursing satisfaction （95%） was higher than that of the control group （82.5%）. The difference was statistically significant （P〈0.05）. Conclusion Nurse led rehabilitation exercise helps to improve the mental symptoms of the patients and thus improve the awareness of health knowledge and satisfaction of the patients.