综合个性化护理干预在双向情感障碍抑郁发作中的应用

Application of comprehensive individual nursing intervention on bipolar of depressive episode affective disorder

目的探究综合个性化护理干预在双相情感障碍抑郁发作中的应用效果,从而更好地为双向情感障碍抑郁的患者提供优质的护理服务。方法选取绍兴市第七人民医院于2014—2015年收治的60名双向情感障碍患者,将其随机分为对照组和观察组,各30例,其中对照组患者采取常规药物治疗及普通护理措施,观察组患者在常规治疗的同时进行综合个性化的护理干预。2组患者的治疗周期均为5周。5周后分别对2组患者治疗前后的简易智能量表(MMSE)和汉密尔顿抑郁量表(HAMD)得分情况进行观察和对比,并且评估患者对于护理质量的满意率。结果干预前2组患者的MMSE和HAMD量表评分差异无统计学意义(P>0.05),干预后观察组MMSE量表得分显著高于对照组(P<0.05),HAMD的量表评分低于对照组(P<0.05)。观察组的护理质量达标率为86.67%,明显高于对照组的50.00%。结论综合化个性化的护理干预在控制双向情感障碍抑郁发作中的作用效果显著,可以有效控制抑郁程度和提高患者认知能力,综合个性化的护理也能提高患者的治疗依从性从而获得更好的医疗体验提高护理满意率,可以在未来的临床工作中不断推广和完善。

Objective To investigate the effects of comprehensive individual nursing intervention on bipolar of depressive episode affective disorder. And we can use it to provide higher quality nursing service to patients. Methods Altogether60 cases patients received by our hospital from 2014 to 2015 with bipolar of depressive episode affective disorder were randomly divided into control group and observation group,with 30 cases in each case. The control group was treated with normal treatment. On the basis of normal treatment,the observation group was treated with comprehensive individual nursing. The treatment cycle is five weeks. After five weeks we evaluated the grade of MMSE and HAMD of the patients before and after treatments. And we compared the satisfaction rate after experiment. Results Before our intervention,the MMSE and HAMD scores of two groups have no significant difference（ P〈0. 05）. After the intervention,the score of MMSE in observation group was higher than that in the control group（ P〈0. 05）. The grade of HAMD of observation group was lower than that in the control group（ P〈0. 05）. The nursing quality success rate of observation group is 86. 67% which is obviously higher than the 50. 00% of control group. Conclusion The comprehensive individual nursing intervention can have an obviously well effect on bipolar of depressive episode affective disorder. It can steadily control the depression and improve the cognitive ability of the parents. The comprehensive individual nursing intervention can also improve the compliance of patients who can enjoy more comfortable nursing process and the satisfaction rate of nursing improved obviously. Comprehensive individual nursing intervention should be promoted in clinical work.