情境式交往训练对双相情感障碍缓解期患者应对方式、社会及认知功能的影响

Effects of Situational Communication Training on Coping Style,Social and Cognitive Function in Patients with Bipo⁃lar Disorder in Remission

目的:探讨情境式交往训练对双相情感障碍(BD)缓解期患者应对方式、社会及认知功能的影响。方法:选取2019年2月—2020年11月上饶市第三人民医院就诊的60例BD缓解期患者作为研究对象,将其随机分为对照组和观察组,每组各30例。对照组患者采用常规诊疗护理措施,观察组患者在常规诊疗护理基础上另行情境式交往训练。观察两组患者干预前及干预4周后病情严重程度[双相情感障碍自评量表(BSQ)]、自我效能感[自我效能感量表(GSES)]、心理弹性[心理弹性量表(CD-RISC)]、应对方式[特质应对方式问卷(TCSQ)]、认知水平[简易智力状态检查量表(MMSE)]及社会功能[社会功能缺陷筛选量表(SDSS)]变化。结果:干预4周后,两组患者BSQ评分、TCSQ消极应对得分及SDSS评分均较干预前显著降低,且观察组患者明显低于对照组患者,差异有统计学意义(t=2.563、2.556、2.429,P<0.05);两组患者GSES评分、CD-RISC评分、TCSQ积极应对评分以及MMSE评分较干预前显著上升,且观察组患者明显高于对照组患者,差异有统计学意义(t=2.465、2.757、2.403、2.402,P<0.05)。结论:将情境式交往训练用于BD缓解期患者康复过程中可有效缓解其病情,提高患者自我效能感及心理弹性,促进患者积极应对,改善认知功能并提高其社会适应水平,有利于其预后康复。

Objective:To investigate the effect of situational communication training on coping style,social and cognitive function in patients with bipolar disorder(BD)in remission.Methods:A total of 60 patients with BD in remission from the hospital from February 2019 to November 2020 were selected as the research objects,and they were randomly divided into the control group and the observation group,with 30 cases in each group.The patients in the control group were given routine diagnosis and treatment nursing measures,and the patients in the observation group were given additional situational communication training on this basis.The change of the severity of illness(Bipolar Self-Rating Scale[BSQ])before and 4 weeks after intervention,self-efficacy(Self-efficacy Scale[GSES]),and resilience(Resilience Scale[CD-RISC]),coping style(Trait Coping Style Questionnaire[TCSQ]),cognitive level(Minimized Mental State Examination[MMSE]),and social functioning(Social Deficiency Screening Scale[SDSS])were compared between the two groups.Results:After 4 weeks of intervention,the BSQ score,TCSQ negative coping score and SDSS score of the two groups of patients were significantly lower than those before the intervention,and the observation group was significantly lower than the control group,the difference was statistically significant(t=2.563,2.556,2.429,P<0.05).The GSES score,CD-RISC score,TCSQ positive coping score and MMSE score of the two groups of patients were significantly higher than those before the intervention,and the observation group was significantly higher than the control group,the difference was statistically significant(t=2.465,2.757,2.403,2.402,P<0.05).Conclusion:The use of situational communication training in the rehabilitation process of patients with BD in remission can effectively alleviate their disease,improve patients’self-efficacy and psychological resilience,promote patients’active coping,improve cognitive function and improve their social adaptation level,which is beneficial to their prognosis and rehabilitation.