双相抑郁负性情绪管理策略的实施及效果观察

Implementation of negative emotion management strategy on bipolar depression and its effect observation

[目的]探讨负性情绪管理策略对双相抑郁病人情绪状态及社会功能康复的影响,建立双相抑郁负性情绪管理策略。[方法]将在医院住院的70例缓解期双相抑郁病人按随机数字表法分为观察组及对照组各35例,对照组病人给予精神科疾病常规护理,观察组病人在精神科疾病常规护理基础上实施情绪管理策略方案。干预前及干预8周末、出院后3个月应用汉密尔顿(HAMD-17)抑郁量表、正负性情绪量表、特质应对方式问卷(TCSQ)、社会功能缺陷量表(SDSS)评价两组病人康复情况。[结果]干预8周两组病人HAMD-17总分、负性情绪、消极应对评分均下降(P<0.01),正性情绪、积极应对评分均升高(P<0.01),两组比较观察组优于对照组(P<0.01);干预8周后两组病人SDSS总分均下降(P<0.05),随访3个月后观察组病人低于对照组(P<0.01)。[结论]负性情绪管理策略可以明显改善双相抑郁病人的负性情绪及消极应对态度,有效改善病人社会功能,促进病人康复,验证了负性情绪管理策略的可行性。

Objective:To explore the impact of negative emotion management strategy on the emotional status and social function rehabilitation of patients with bipolar depression,and to establish a negative emotion management strategy for bipolar depression.Methods:Seventy patients with bipolar depression who will be hospitalized in our hospital in remission period were divided into observation group and control group,with 35 cases in each,according to the random number table method.Patients in the control group received routine care for psychiatric disease.Based on the routine nursing,the patients in observation group received emotional management strategy plan.Before the intervention and at the 8th weekend and 3 months after discharge,the Hamilton Depression Scale(HAMD-17),Positive and Negative Emotion Scale(NES),Trait Coping Style Questionnaire(TCSQ),Social Function Defect Scale(SDSS),and other indicators were applied to evaluate the rehabilitation of the two groups.Results:After 8 weeks of the intervention,the total score of HAMD-17,negative emotion,and negative coping decreased(P<0.01);positive emotion and positive coping increased(P<0.01)in the two groups;that in the observation group was better than that in the control group(P<0.01).After 8 weeks of the intervention,the total score of SDSS in both groups decreased(P<0.05);after 3 months of follow-up,the score in observation group was lower than that in the control group(P<0.01).Conclusions:Negative emotion management strategy could significantly improve the negative emotion and negative coping attitudes of patients with bipolar depression,and the social function of patients,and promote the patients′recovery,and verify the feasibility of negative emotion management strategy.