中医情志护理联合常规医护措施干预双相情感障碍临床研究
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R749.4;R248

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Clinical Study on Chinese Medicine Emotional Nursing Combined with Conventional Medical Nursing Measures for Bipolar Disorder
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    摘要:

    目的:观察中医情志护理联合常规医护措施干预双相情感障碍的临床效果。方法:将 80 例双相情感障碍患者按随机数字表法分为对照组和观察组各 40 例。2 组中的非典型者口服奥氮平片,典型者服用丙戊酸镁片,并给予饮食护理、心理护理、康复护理等综合护理措施。观察组针对患者的特点给予顺情从欲法、移情易性法、以情胜情法、安神静志法等中医情志护理。药物连续服用,护理措施根据情况每周开展 2~4 次,连续观察 8 周。治疗前、治疗 8 周后评定汉密尔顿抑郁量表(HAMD)、抑郁自评量表 (SDS)、焦虑自评量表 (SAS) 和躁狂量表 (BRMS) 评分。患者于出院当天评价对护理工作的满意度。结果:治疗后,2 组 HAMD 评分、BRMS 评分、SDS 评分及 SAS 评分均较治疗前降低(P<0.01),观察组 4 项评分均低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规医护措施基础上加用中医情志护理干预双相情感障碍患者,可进一步改善患者的心理健康状况,减轻抑郁、焦虑,从而减轻抑郁程度和躁狂症状。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Chinese medicine emotional nursing combined with conventional medical nursing measures on the intervention of bipolar disorder. Methods:Eighty patients with bipolar disorder were divided into the control group and the observation group according to the random number table method,40 cases in each group. The atypical patients in both groups took olanzapine tablets orally,while the typical patients took magnesium valproate tablets and were given comprehensive nursing measures such as diet nursing, psychological nursing and rehabilitation nursing. Patients in the observation group were adopted with Chinese medicine emotional nursing based on the different characteristics of each patient,including the psychotherapy of complying with emotional and psychological needs, the psychotherapy of changing emotions,the psychotherapy of one emotion suppressing another and the psychotherapy of tranquilizing and sedating the mind. Both groups took medicine continuously,and the nursing measures were carried out two to four times a week according to the situation,and were observed for eight weeks. The score of Hamilton Depression Scale (HAMD), Self- rating Depression Scale(SDS), Self- Rating Anxiety Scale(SAS) and Bech- Rafaelsdn Mania Rating Scale (BRMS) were assessed before and after eight-week treatment. The nursing satisfaction was evaluated on the day of discharge. Results:After treatment,the scores of HAMD,BRMS,SDS and SAS in the two groups were all decreased when compared with those before treatment(P<0.01),and the above four scores in the observation group were lower than those in the control group(P<0.01). The score of nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion: Based on the treatment of conventional medical nursing measures, the additional application of Chinese medicine emotional nursing can further improve the mental health of patients with bipolar disorder, reduce depression,anxiety,and thus reduce the degree of depression and manic symptoms.

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余燕芬,叶丽,陈丽艳.中医情志护理联合常规医护措施干预双相情感障碍临床研究[J].新中医,2020,52(23):149-152

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  • 在线发布日期: 2020-12-09
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