休养委员会管理模式对双相躁狂患者情绪症状控制的影响

Effects of Management Modes of Recuperation Committee on the Control of Emotional Symptoms in Patients with Bipolar Mania

目的探讨参与休养委员会对尽快控制双相躁狂患者情绪症状的影响。方法方便选取2015年1—12月在该院住院治疗的86例双相障碍躁狂发作的患者随机分为研究组(48例)和对照组(38例),两组均给予精神科治疗和常规护理,研究组在此基础上安排患者参与休养委员会对病房的管理工作。于治疗前、治疗后1个月用倍克-拉范森躁狂量表(BRMS)、临床疗效总评量表(CGI)中的疗效总评(GI)因子及修改版外显攻击行为量表(MOAS)进行病情的评定。结果研究前BRMS量表总分对照组(15.18±2.61)分与研究组(14.90±2.84)分、MOAS分对照组(16.84±3.45)分与研究组(16.85±4.33)分差异无统计学意义(P>0.05),实验结束后BRMS量表总分对照组(11.92±2.56)分与研究组(10.81±2.51)分、GI因子分及MOAS分对照组(13.13±2.83)分与研究组(11.81±2.77)分相比差异有统计学意义(P<0.05)。结论在双相障碍躁狂发作的患者开展休养委员会管理模式有利于患者的早日康复。

Objective This paper tries to explore the impact of participating in the recuperation committee on the emotional symptoms of bipolar manicure as soon as possible. Methods 86 patients with bipolar disorder manic episode from January 2015 to December 2015 in this hospital were convenient selected and randomly divided into the experimental group（n=48）and the control group（n=38）, the two groups were given psychiatric treatment and routine nursing, the experimental group on the basis of arrangements for patients participated in the management committee of recuperation. Before and after treatment for 1 month with Baker-pull rafaelsdn mania rating scale（BRMS）, the clinical global impression scale（CGI） in cgi-gi（GI）factor and modified overt aggression scale（MOAS） assessment of the disease were carried out. Results Before the research,the BRMS scales scores in the control group was（15.18±2.61）point and that in the experimental group was（14.90±2.84）point and MOAS scores in the control group was（16.84±3.45）point and that in the experimental group was（16.85±4.33）point, with no significant difference（P〉0.05）. At the end of the experiment, the total BRMS score in the control group was（11.92±2.56）point and that of the experimental group was（10.81 ±2.51）point, GI factor scores of the two groups were（13.13 ±2.83）point and（11.81±2.77）point, with statistically significant difference（P〈0.05）. Conclusion The management mode of recuperation committee is beneficial to the rehabilitation of patients with manic episode of bipolar disorder.