情境式交往训练在双相情感障碍患者中的应用效果观察

Application effect of situational communication training on patients with bipolar affective disorder

目的分析情境式交往训练对双相情感障碍缓解期患者的治疗效果。方法选择本院2016年12月-2018年6月收治的85例双相情感障碍缓解期患者为研究对象,根据随机数表法将所有患者分为对照组(43例)与观察组(42例)。对照组采用常规护理,观察组在常规护理基础上辅以情境式交往训练,干预前、后分别评估2组患者的躁狂、抑郁以及生存质量状况。结果干预前,2组的生存质量量表、抑郁量表、躁狂量表的评分对比,差异均无统计学意义(P>0.05);干预后,对照组的生存质量评分低于观察组,差异有统计学意义(P<0.05),对照组的躁狂评分(3.57±1.16)、抑郁评分(12.26±3.75),明显高于观察组的(2.77±1.22)分、(9.22±3.16)分,差异有统计学意义(P<0.05)。结论将情境式交往训练应用于双相情感障碍缓解期患者,能有效改善患者的心绪体验与情感表达能力,能提高治疗效果,建议推广。

Objective To evaluate the therapeutic effects of situational communication training on patients with bipolar affective disorder in remission.Methods Eighty-five patients with bipolar affective disorder in remission admitted to a hospital from December 2016 to June 2018 were selected as research objects and they were divided into a control group(43 cases) and a trial group(42 cases) by the random number table method.The control group was given the routine nursing while the trial group was additionally given the situational communication training on the basis of the routine nursing.The status of mania,depression and quality of life of the patients in two groups were evaluated before and after the intervention.Results Before the intervention,there was no significant difference between the two groups in the scores of the quality of life scale,depression scale and mania scale(P>0.05).After the intervention,the score of the quality of life of the control group was lower than that of the trial group(P<0.05),the manic score(3.57±1.16) and depression score(12.26±3.75) of the control group were significantly higher than those(2.77±1.22 and 9.22±3.16) of the trial group(P<0.05).Conclusion The application of situational communication training in the patients with bipolar affective disorder can effectively improve the patient’ s emotional experience and emotional expression ability,and improve the treatment effects.