参与型护理联合心理干预模式对双相情感障碍患者暴力行为、抑郁自杀态度及自我接纳的影响

Effect of participatory nursing combined with psychological intervention model on violent behavior,depressive suicidal attitude,and self-acceptance of bipolar disorder patients

目的探讨参与型护理联合心理干预模式对双相情感障碍患者暴力行为、抑郁自杀态度及自我接纳的影响。方法回顾性分析2020年7月至2022年12月上海市宝山区精神卫生中心收治的95例双相情感障碍患者的临床资料,根据干预模式分为常规组44例(常规护理)和观察组51例(参与型护理联合心理干预模式)。干预前后比较两组患者的暴力行为[精神病外显攻击行为量表(MOAS)评分]、抑郁自杀态度[汉密尔顿抑郁量表(HAMD)、自杀态度问卷(QSA)]、自我接纳问卷(SAQ)评分、病情恢复情况[简明双相情感障碍量表(BPRS)、精神护理观察量表(NORS)]。结果干预后,观察组患者的MOAS评分为(31.22±4.20)分,明显低于常规组的(42.88±5.69)分,差异有统计学意义(P<0.05);干预后,观察组患者的HAMD评分为(10.48±3.05)分,明显低于常规组的(17.11±4.78)分,QSA评分为(15.84±4.02)分,明显高于常规组的(10.27±3.33)分,差异均有统计学意义(P<0.05);干预后,观察组患者的自我评价、自我接纳评分分别为(28.05±5.37)分、(26.89±5.06)分,明显高于常规组的(20.68±3.92)分、(19.48±3.69)分,差异均有统计学意义(P<0.05);干预后,观察组患者的BPRS评分为(62.06±12.63)分,明显低于常规组的(86.75±20.47)分,NORS评分为(78.22±10.47)分,明显高于常规组的(65.72±8.59)分,差异均有统计学意义(P<0.05)。结论参与型护理联合心理干预模式可减少双相情感障碍患者暴力行为,有效调节患者抑郁自杀态度,且对自我接纳具有积极影响。

Objective To explore the influence of participatory nursing combined with psychological intervention model on violent behavior,suicidal attitude,and self-acceptance of patients with bipolar disorder.Methods The clinical data of 95 patients with bipolar disorder admitted to Shanghai Baoshan District Mental Health Center from July 2020 to December 2022 were retrospectively analyzed.According to the intervention mode,the patients were divided into the routine group(n=44,conventional nursing)and the observation group(n=51,participatory nursing combined with psychological intervention mode).Before and after the intervention,the violent behavior[Modidied Overtical Aggression Scale(MOAS)score],depression and suicide attitude[Hamilton Depression Scale(HAMD),Suicide Attitude Questionnaire(QSA)],Self-acceptance Questionnaire(SAQ)score,recovery of the disease[Brief Psychiatric Rating Scale(BPRS),Psychiatric Nursing Observation Scale(NORS)]were compared between the two groups.Results After intervention,the MOAS score in the observation group was(31.22±4.20)points,which was significantly lower than(42.88±5.69)points in the routine group(P<0.05).After the intervention,the HAMD score in the observation group was(10.48±3.05)points,which was significantly lower than(17.11±4.78)points in the routine group,and the QSA score in the observation group was(15.84±4.02)points,significantly higher than(10.27±3.33)points in the routine group(P<0.05).After the intervention,the scores of self-evaluation and self-acceptance in the observation group were(28.05±5.37)points and(26.89±5.06)points,respectively,which were significantly higher than(20.68±3.92)points and(19.48±3.69)points in the routine group(P<0.05).After the intervention,the BPRS score of patients in the observation group was(62.06±12.63)points,which was significantly lower than(86.75±20.47)points in the routine group,and the NORS score in the observation group was(78.22±10.47)points,significantly higher than(65.72±8.59)points in the routine group(P<0.05).Conclusion Participatory nursing combined with psychological intervention model can reduce the violent behavior of patients with bipolar disorder,effectively regulate the attitude of depression and suicide,and have a positive impact on self-acceptance.