首页|家庭核心化延续护理支持联合日记式心理教育对双相情感障碍患者情绪、病耻感及生活质量的影响

家庭核心化延续护理支持联合日记式心理教育对双相情感障碍患者情绪、病耻感及生活质量的影响

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目的 探讨家庭核心化延续护理支持联合日记式心理教育对双相情感障碍(BD)患者情绪、病耻感及生活质量的影响.方法 选取2021年10月—2023年9月泰安市精神病医院精神科收治的87例BD患者为研究对象,按随机数字表法将其分为对照组与观察组.对照组(n=44)采用常规护理干预,观察组(n=43)采用家庭核心化延续护理支持联合日记式心理教育干预,两组均持续干预3个月.比较两组情绪状态、病耻感及生活质量.结果 干预前,两组情绪状态、病耻感及生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组汉密尔顿焦虑量表、汉密尔顿抑郁量表及Link病耻感量表评分均低于对照组,世界卫生组织生活质量量表评分为(320.77±29.14)分,高于对照组的(286.01±26.75)分,组间差异有统计学意义(P<0.05).结论 对BD患者实施家庭核心化延续护理支持联合日记式心理教育的效果显著,能调节其心理状态,减轻患者负性情绪及病耻感,提高其生活质量.
Impact of Family Centered Continuing Nursing Support Combined with Diary Style Psychological Education on Emotions, Shame and Quality of Life of Patients with Bipolar Disorder
Objective To explore the effects of family centered continuing nursing support combined with diary style psychological education on emotions, shame and quality of life of patients with bipolar disorder (BD).Methods A total of 87 BD patients admitted to the Psychiatric Department of Tai'an Psychiatric Hospital from October 2021 to September 2023 were selected as the study objects, and were divided into a control group and an observation group according to random number table method.The control group (n=44) was treated with routine nursing intervention, and the observation group (n=43) was treated with family centered continuous nursing support combined with diary psychological education.Both groups continued the intervention for 3 months.The emotional state, stigma and quality of life of the two groups were compared.Results Before intervention, there were no significant differences in emotional state, stigma and quality of life between the two groups (P>0.05);after intervention, the scores of the Hamilton Anxiety Scale, Hamilton Depression Scale and Link Stigma Scale in the observation group were lower than those in the control group, and the scores of the World Health Organization quality of life scale was (320.77±29.14) points, higher than (286.01±26.75) points in the control group, the differences between the groups were statistical significant (P<0.05).Conclusion The implementation of family centered continuing nursing support combined with diary style psychological education has a significant effect on BD patients, which can regulate their psychological state, reduce negative emotions and shame, and improve their quality of life.

Bipolar disorderFamily centered continuing nursing supportDiary style psychological educationStigmaQuality of life

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泰安市精神病医院精神科,山东泰安 271000

双相情感障碍 家庭核心化延续护理支持 日记式心理教育 病耻感 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(15)
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