系统护理干预在双相情感障碍躁狂发作治疗中的效果探讨

The Effect of Systemic Nursing Intervention in the Treatment of Manic Episodes of Bipolar Disorder

目的探讨在双相情感障碍躁狂发作治疗中应用系统护理干预的效果。方法从2017年5月—2020年1月简单随机择取90例双相情感障碍躁狂发作患儿,将其随机分组研究,对照组(45例)患儿实施常规护理,研究组(45例)患儿实施系统护理干预,对照分析两组临床效果。结果从BRMS评分来看,护理干预前组间对比差异无统计学意义(P>0.05),护理干预后研究组评分(7.38±3.18)分低于对照组(13.54±4.66)分,差异有统计学意义(t=7.325,P<0.001)。从WMS评分来看,护理干预前组间对比差异无统计学意义(P>0.05),护理干预后研究组长时记忆评分(41.49±6.64)分、短期记忆评分(59.84±11.48)分、瞬间记忆评分(14.55±4.68)分、记忆商数评分(104.49±19.36)分均高于对照组(37.98±5.96)分、(54.27±11.33)分、(12.37±5.50)分、(92.77±19.63)分,差异有统计学意义(t=2.639、2.317、2.025、2.852,P=0.010、0.023、0.046、0.005);从WAIS-RC评分来看,护理干预前组间对比差异无统计学意义(P>0.05),护理干预后研究组智商评分(109.33±15.37)分、操作智商评分(110.26±13.38)分、言语智商评分(109.46±15.79)分均高于对照组(103.26±14.53)分、(102.75±15.26)分、(102.14±16.37)分,差异有统计学意义(t=2.062、2.482、2.159,P=0.042、0.015、0.034)。结论在双相情感障碍躁狂发作治疗中应用系统护理干预可以使躁狂症状得到改善,提高认知功能,利于智商发展,临床价值显著。

Objective To explore the effect of systemic nursing intervention in the treatment of manic episodes of bipolar disorder.Methods From May 2017 to January 2020,90 patients with bipolar disorder with manic episodes were simply random selected and randomly divided into groups for study.The control group(45 cases)received routine care and the study group(45 cases)received routine care and systemic nursing intervention,comparative analysis of the clinical effects of the two groups.Results From the perspective of BRMS score,there was no statistical difference between the groups before nursing intervention(P>0.05).The score of the study group after nursing intervention(7.38±3.18)points was lower than that of the control group(13.54±4.66)points,the difference was statistically significant(t=7.325,P<0.001).From the perspective of WMS score,there was no statistical difference between the groups before nursing intervention(P>0.05).After nursing intervention,the study group had long-term memory score(41.49±6.64)points,short-term memory score(59.84±11.48)points,and instant memory score(14.55±4.68)points,memory quotient score(104.49±19.36)points were higher than the control group(37.98±5.96)points,(54.27±11.33)points,(12.37±5.50)points,(92.77±19.63)points,the difference was statistically significant(t=2.639,2.317,2.025,2.852,P=0.010,0.023,0.046,0.005);from the WAIS-RC score,there was no statistical difference between the groups before nursing intervention(P>0.05),and the study after nursing intervention of the IQ score(109.33±15.37)points,the operational IQ score(110.26±13.38)points,and the speech IQ score(109.46±15.79)points were higher than those of the control group(103.26±14.53)points and(102.75±15.26)points,(102.14±16.37)points,the difference was statistically significant(t=2.062,2.482,2.159,P=0.042,0.015,0.034).Conclusion The application of systematic nursing intervention in the treatment of manic episodes of bipolar disorder can improve the symptoms of mania,improve cognitive function,and benefit the development of IQ,with significant clinical value.