Effects of situational communication training combined with caring follow-up on psychological fluctuation, executive function and cognitive function in patients with bipolar disorder and manic episode
情境式交往训练结合关爱随访对双相情感障碍狂躁症发作患者心理波动、执行功能及认知功能的影响

摘要

目的 探究情境式交往训练结合关爱随访对双相情感障碍狂躁症发作患者心理波动、执行功能及认知功能的影响。方法 选取我院115例双相情感障碍狂躁症发作患者为研究对象，按照随机化分组法分为对照组和观察组，对照组（n=57）予以精神科疾病常规训练及随访护理，联合组（n=58）在其基础上加以情境式交往训练及关爱随访护理，比较干预3个月后两组心理波动、执行功能、认知功能、及生活质量变化。结果 干预3个月后，两组抑郁评估量表（HAMS）、杨氏狂躁量表（YMRS）评分均显著升高（P＜0.05），两组疾病知识掌握、按时服药、社交训练评分显著升高（P＜0.05），韦氏记忆量表（WMS-IV）及韦氏成人智力量表（WAIS-RC）各指标评分均显著升高（P＜0.05），世界卫生组织生存质量测定量表（WHOQOL）各指标评分均显著增加（P＜0.05），且干预后组间对比差异显著（P＜0.05）。结论 情境式交往训练结合关爱随访可有效改善双相情感障碍狂躁症发作患者的心理波动情况，提高患者的执行能力，改善认知水平及生活质量。

Abstract

Objective To explore the effects of situational communication training combined with caring follow-up on psychological fluctuation, executive function and cognitive function of patients with bipolar disorder and manic episode.
Methods 115 patients with bipolar disorder and manic episode in our hospital were selected as the research subjects, and they were divided into control group and observation group according to the randomized grouping method. Control group (n=57) received routine psychiatric disease training and follow-up nursing, and combined group (n=58) was given situational communication training and caring follow-up nursing on this basis. The changes of psychological fluctuation, executive function, cognitive function and quality of life were compared between the two groups after 3 months of intervention.
Results After 3 months of intervention, the scores of Hamilton Depression Rating Scale (HAMS) and Young Manic Rating Scale (YMRS) of the two groups were increased significantly (P<0.05), and the scores of disease knowledge mastery, medication on time and social training were increased significantly (P<0.05), and the scores of Wechsler Memory Scale-IV (WMS-IV) and Wechsler Adult Intelligence Scale-Revised in China (WAIS-RC) were significantly improved (P<0.05), and the scores of World Health Organization Quality of Life Scale (WHOQOL) were increased significantly (P<0.05), and there were significant differences between the groups after intervention (P<0.05).
Conclusion   Situational communication training combined with caring follow-up can effectively improve the psychological fluctuation, enhance the executive ability, and promote the cognition level and quality of life of patients with bipolar disorder and manic episode.