信息-动机-行为预见性护理模式在双相情感障碍躁狂症患者中的应用分析

Application of information-motivation-behavior predictive nursing model in patients with bipolar disorder mania

目的 探讨信息-动机-行为预见性护理模式在双相情感障碍躁狂症患者中的应用效果,为未来双相情感障碍躁狂症患者护理方案优化提供参考依据。方法 选取医院2021年9月—2023年2月收治的双相情感障碍躁狂症患者50例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组25例。对照组行常规护理,观察组在常规护理基础上行信息-动机-行为预见性护理,护理周期均为1个月。比较两组患者护理前、护理1个月后精神状况[大体评定量表(GAS)、贝克-拉范森躁狂症量表(BRMS)]、劳动能力[社会功能缺陷筛查(SDSS)]和护理1个月后治疗依从性(自制治疗依从性问卷)及护理满意度(自制护理满意度问卷)。结果 护理干预前,两组患者GAS、BRMS、SDSS评分对比,差异无统计学意义(P>0.05);护理干预1个月后,观察组患者GAS评分高于对照组,BRMS评分低于对照组,SDSS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者护理1个月后自制治疗依从性问卷评分、自制护理满意度问卷评分高于对照组,差异均有统计学意义(P<0.05)。结论 双相情感障碍躁狂症患者采用信息-动机-行为预见性护理具有较好效果,可改善精神状况,提高劳动能力,提升治疗依从性与满意度,考虑未来可将其作为双相情感障碍躁狂症患者主要护理干预方案之一,以期改善患者康复效果。

Objective To explore the application effect of information-motivation-behavior predictive nursing model in patients with bipolar disorder and provide reference for future nursing plan optimization for patients with bipolar disorder and mania.Methods Fifty patients with bipolar disorder and mania admitted to the hospital from September 2021 to February 2023 were divided into control group(25 cases)and observation group(25 cases)according to the principle of comparability of general data between groups.The control group received routine nursing,and the observation group received predictive nursing based on routine nursing information-motivation-behavior predictive nursing,and the nursing cycle was 1 month.The two groups were compared in terms of psychiatric status[Gross Assessment Scale(GAS),Beck-Lavanson Mania Scale(BRMS)]before care and after 1 month of care,labour capacity[Screening for Social Deficits in Social Functioning(SDSS)]before care and after 1 month of care,adherence to treatment(self-administered questionnaire on adherence to treatment)and satisfaction with care(self-administered questionnaire on satisfaction with care)after 1 month of care.Results There was no significant difference in GAS and BRMS scores between the two groups before nursing(P>0.05).GAS score increased and BRMS score decreased in both groups after 1 month of nursing,but GAS score in observation group was higher than control group,BRMS score was lower than control group,the differences were statistically significant(P<0.05).There was no significant difference in SDSS scores between the two groups before nursing(P>0.05).The SDSS score of both groups after 1 month of nursing was decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After 1 month of nursing,the scores of self-made treatment compliance questionnaire and self-made nursing satisfaction questionnaire in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion The use of information-motivation-behavioural anticipatory care for bipolar disorder mania patients has a good effect on improving mental status,labour capacity,treatment compliance and satisfaction,and it is considered to be one of the main nursing interventions for bipolar disorder mania patients in the future,with a view to improving the recovery of the patients.