渐进式引导护理与高级共情护理技术对双向情感障碍躁狂发作患者的效果分析

Application of progressive guided nursing and advanced empathic nursing techniques in patients with bipolar disorder and manic episode

目的探究渐进式引导护理与高级共情护理技术对双向情感障碍躁狂发作患者的应用价值。方法选取2017年10月至2020年10月期间在聊城市第四人民医院治疗的96例双向情感障碍躁狂发作患者作为本次研究对象,根据患者入院先后顺序分为对照组和观察组,每组48例。对照组男23例,女25例,年龄(41.65±4.65)岁;观察组男26例,女22例,年龄(42.65±5.01)岁。对照组实施常规干预,观察组在对照组基础上实施渐进式引导护理结合高级共情护理技术。采用杨氏躁狂量表(YMRS)、韦氏成人记忆量表(WMS-Ⅳ)、韦氏成人智力量表(WAIS-RS)评价患者的躁狂程度、记忆能力以及智力水平。结果实施干预后,观察组患者的活动精力增加、心境高涨、易激惹、性兴趣、语言思维形式障碍评分分别为(2.58±0.46)分、(3.12±0.27)分、(5.93±0.39)分、(2.21±0.41)分、(2.67±0.54)分,均显著低于对照组,两组比较差异均有统计学意义(均P<0.001)。实施干预后,观察组的听觉记忆、视觉记忆、视觉工作记忆、即时记忆、延迟记忆评分(3.13±0.42)分、(3.45±0.29)分、(2.87±0.63)分、(3.27±0.40)分、(3.81±0.55)分,均显著高于对照组,差异均有统计学意义(均P<0.001)。实施干预后,观察组操作智商、言语智商以及智商评分分别为(82.89±7.17)分、(83.27±6.34)分、(81.59±6.01)分,均显著高于对照组,两组比较差异均有统计学意义(均P<0.001)。结论渐进式引导配合高级共情可有效减轻双向情感障碍躁狂发作患者的躁狂程度,提高记忆能力与智商水平,利于患者病情的恢复,临床应用价值较高。

Objective To explore the application value of progressive guided nursing and advanced empathic nursing techniques for patients with bipolar disorder and manic episode.Methods In this study,96 patients with bipolar disorder and manic episode in Liaocheng Fourth People's Hospital from October 2017 to October 2020 were divided into a control group and an observation group according to the order of admission,with 48 cases in each group.There were 23 males and 25 females in the control group,with an age of(41.65±4.65)years old;there were 26 males and 22 females in the observation group,with an age of(42.65±5.01)years old.The control group was given routine intervention and the observation group was given progressive guided nursing and advanced empathic nursing techniques on the basis.The degree ofmania,memory ability,and intelligence of the patients were evaluated by the Young Manic Rating Scale(YMRS),Wechsler Adult Memory Scale(WMSⅣ),and Wechsler Adult Intelligence Scale(WAIS-RS).Results After the intervention,the scores of increased activity energy,elevated mood,irritable interest,and language thinking disorder in the observation group were(2.58±0.46)points,(3.12±0.27)points,(5.93±0.39)points,(2.21±0.41)points,and(2.67±0.54)points,respectively,which were significantly lower than those in the control group,with statistically significant differences between the two groups(all P<0.001).After the intervention,the scores of auditory memory,visual memory,visual working memory,immediate memory,and delayed memory in the observation group were(3.13±0.42)points,(3.45±0.29)points,(2.87±0.63)points,(3.27±0.40)points,and(3.81±0.55)points,which were significantly higher than those in the control group,with statistically significant differences(all P<0.001).After the intervention,the operational IQ,verbal IQ,and IQ scores of the observation group were(82.89±7.17)points,(83.27±6.34)points,and(81.59±6.01)points,respectively,which were significantly higher than those of the control group,with statistically significant differences between the two groups(all P<0.001).Conclusion Progressive guidance combined with advanced empathy can effectively reduce the manic degree in bipolar disorder patients with manic episode,improve their memory ability and IQ level,is conducive to the recovery of the patients'conditions,and has high clinical application value.