摘要
目的 探究个案管理对出院双相障碍患者病耻感和应对方式的影响.方法 选取2012年10月—2015年10月收治的双相障碍患者116例,采用随机数表法分为对照组和观察组,各58例.两组患者均给予出院常规护理,观察组患者在此基础上加用个案管理.比较两组患者干预前后的病耻感评分、应对方式（CSQ）评分、生活质量评分.结果 干预后观察组患者病耻感量表的社交、能力、治疗3个因子评分分别为（12.75±3.05）分、（9.53±2.28）分和（11.13±2.45）分,均低于对照组,差异有统计学意义（t值分别为2.396、2.504、2.559,P＜0.05）.干预后观察组患者应对方式问卷的解决问题、自责、求助、幻想、回避、合理化6个因子评分分别为（8.02±3.06）分、（3.11±2.16）分、（6.13±2.62）分、（3.05±2.24）分、（4.09±2.06）分和（6.61±3.28）分,均低于对照组,差异有统计学意义（t值分别为2.573、2.537、2.186、2.389、1.996、2.557,P＜0.05）.干预后观察组患者生活质量总体健康评分（56.87±17.13）分,对照组（53.83±16.46）分,差异有统计学意义（t=2.279,P＜0.05）.结论 个案管理能够降低出院双相障碍患者的病耻感,改善应对方式,提高生活质量,可进一步推广和使用.
Objective To explore the effects of case management on the stigma and coping style of discharged patients with bipolar disorder.Methods During October 2012 to October 2015, 116 cases of patients with bipolar disorder in our hospital were selected as the research object. Patients were randomly di-vided into the control group and the observation group, with 58 cases in each group. Patients in two groups were given routine nursing care, and patients in the observation group also received case management. The scores of stigma, coping style and quality of life （QOL） of patients between two groups before and after intervention were compared.Results After intervention, the scores of social contact, ability and treatment of stigma scale in the observation group were （12.75±3.05）, （9.53±2.28） and （11.13±2.45）, and they were all significantly lower than the control group （t=2.396,2.504,2.559;P〈0.05）. After intervention, the scores of solving problems, self-accusation, seeking help, fantasy, avoidance and rationalization of coping style scale in the observation were （8.02±3.06）, （3.11±2.16）, （6.13±2.62）, （3.05±2.24）, （4.09±2.06） and （6.61±3.28）, and they were significantly better than those in the control group （t=2.573,2.537,2.186,2.389,1.996,2.557;P〈0.05）. After intervention, the total QOL health score of patients in the observation （56.87±17.13） was significantly better than （53.83±16.46） in the control group （t=2.279,P〈0.05）.Conclusions The case management can significantly reduce the stigma of patients with bipolar disorder, and improve the coping style and QOL of patients, so it can be further promoted and used.
出处
《中华现代护理杂志》
2017年第5期633-637,共5页
Chinese Journal of Modern Nursing
基金
四川省科技项目（67275546）
作者简介
通信作者：王秀珍，Email：dr_zmh@126．com
