首页|渐进式引导护理对双相情感障碍患者认知功能及遵医行为的影响

渐进式引导护理对双相情感障碍患者认知功能及遵医行为的影响

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目的 观察渐进式引导护理对双相情感障碍患者认知功能及遵医行为的影响.方法 选取2019年3月-2022年1月在我院诊治的82例双相情感障碍患者为研究对象,采用随机数字表法分为对照组和观察组,各41例.对照组采用常规护理,观察组在对照组基础上给予渐进式引导护理干预,比较两组遵医行为、韦氏成人记忆评分、韦氏成人智力评分、生活质量评分(WHOQOL-BREF)及复发率.结果 观察组遵医行为各维度(饮食、用药、锻炼、自我管理)评分均高于对照组(P<0.05);观察组长时、短时、即刻记忆以及记忆商数评分均高于对照组(P<0.05);两组干预后智商评分均高于干预前,且观察组高于对照组(P<0.05);两组干预后 WHOQOL-BREF评分均高于干预前,且观察组高于对照组(P<0.05);随访2个月,观察组复发率为9.76%,低于对照组的21.95%(P<0.05).结论 渐进式引导护理可提高双相情感障碍患者认知功能水平、遵医行为,促进患者生活质量水平提升,降低复发率.
Effect of Progressive Guidance Nursing on Cognitive Function and Compliance Behavior of Patients with Bipolar Disorder
Objective To observe the effect of progressive guided nursing on cognitive function and compliance behavior of patients with bipolar disorder.Methods A total of 82 patients with bipolar disorder diagnosed and treated in our hospital from March 2019 to January 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 41 patients in each group.The control group was given routine nursing,and the observation group was given progressive guided nursing intervention on the basis of the control group.The compliance behavior,Wechsler adult memory score,Wechsler adult intelligence score,quality of life score(WHOQOL-BREF)and recurrence rate were compared between the two groups.Results The scores of each dimension of compliance behavior(diet,medication,exercise,self-management)in the observation group were higher than those in the control group(P<0.05).The scores of long-term,short-term,immediate memory and memory quotient in the observation group were higher than those in the control group(P<0.05).The IQ score of the two groups after intervention was higher than that before intervention,and that in the observation group was higher than that in the control group(P<0.05).The WHOQOL-BREF score of the two groups after intervention was higher than that before intervention,and that in the observation group was higher than that in the control group(P<0.05).After 2 months of follow-up,the recurrence rate of the observation group was 9.76%,which was lower than 21.95%of the control group(P<0.05).Conclusion Progressive guided nursing can improve the cognitive function level and compliance behavior of patients with bipolar disorder,promote the improvement of patients'quality of life and reduce the recurrence rate.

Progressive guided nursingBipolar disorderCognitive functionCompliance behavior

王士贞、尤坤、郝艳玲

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佳木斯精神病人福利院护理部,黑龙江 佳木斯 154002

佳木斯精神病人福利院精神科,黑龙江 佳木斯 154002

渐进式引导护理 双相情感障碍 认知功能 遵医行为

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(8)
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