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基于罗伊适应模式的护理干预对双相情感障碍患者的影响OA

Effect of nursing intervention based on Roy's adaptation model on patients with bipolar disorder

中文摘要英文摘要

目的 探讨在双相情感障碍(BD)患者中采取基于罗伊适应模式(RAM)的护理干预的效果.方法 选取2021年6月至2023年6月该院收治的200例BD患者的临床资料,采用随机数字表法分为对照组(采取常规护理干预)和观察组(实施基于RAM的护理干预),每组各100例,护理12周.比较2组护理效果、护理前后贝克-拉范森躁狂量表(BRMS)、汉密顿抑郁量表(HAMD)、社会功能缺陷筛选量表(SDSS)、健康调查简表(SF-36)评分.结果 观察组患者护理干预后BRMS、HAMD、SDSS评分均低于对照组,差异均有统计学意义(P<0.05);观察组护理干预后治疗依从性评分、SF-36评分、护理满意度均高于对照组,差异均有统计学意义(P<0.05).结论 基于RAM的护理干预可降低BD患者躁狂、抑郁程度,有效提升患者治疗依从性和社会功能,促进其生活质量改善,从而提升患者满意度.

Objective To investigate the effect of nursing interventions based on Roy's Adaptation Model(RAM)in patients with Bipolar Disorder(BD).Methods Clinical data from 200 BD patients treated in our hospital from June 2021 to June 2023 were selected.Using a random number table method,patients were divided into a control group(receiving conventional nursing interventions)and an observation group(receiv-ing RAM-based nursing interventions),with 100 patients in each group.Nursing was provided for 12 weeks.The effectiveness of nursing care,as well as scores from the Bech-Rafaelsen Mania Scale(BRMS),Hamilton Depression Scale(HAMD),Social Dysfunction Screening Scale(SDSS),and Short Form Health Survey(SF-36),were compared between the two groups.Results After the nursing intervention,the observation group showed significantly lower scores on the BRMS,HAMD,and SDSS compared to the control group(P<0.05).Additionally,scores for treatment compliance,SF-36,and nursing satisfaction in the observation group were significantly higher after the intervention than the control group(P<0.05).Conclusion Nursing inter-ventions based on Roy's Adaptation Model can reduce the levels of mania and depression in BD patients,effec-tively enhance their treatment compliance and social function,and promote improvements in their quality of life,thereby increasing patient satisfaction.

井荣;刘琰

驻马店市第二人民医院,河南 驻马店 463000

临床医学

双相情感障碍罗伊适应模式护理干预治疗依从性生活质量满意度

Bipolar disorderRoy's adaptation modelNursing interventionTreatment compli-anceQuality of lifeSatisfaction

《现代医药卫生》 2024 (016)

2788-2791 / 4

10.3969/j.issn.1009-5519.2024.16.020

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