摘要
目的探讨陪伴式情感管理模式对甲亢所致精神障碍患者的功能、精神状态及心理弹性的影响。方法选取2017年9月~2020年9月期间我院收治的180例甲亢致精神障碍患者作为研究对象。根据随机数字表法分组。对照组90例患者给予常规护理,观察组90例患者给予陪伴式情感管理模式干预。观察比较两组患者干预前后的家庭功能量表(APGAR)评分、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分和心理弹性量表(CD-RISC)评分,并记录两组患者的疾病复发率。结果干预后观察组患者的HAMD和HAMA评分低于对照组,APGAR评分、CD-RISC总分及各维度评分高于对照组(P<0.05);观察组患者复发率为1.11%低于对照组患者复发率13.33%(P<0.05)。结论陪伴式情感管理模式干预可优化甲亢所致精神障碍患者与陪伴者关系,改善其精神状态,提高心理弹性水平,降低复发率,值得临床推广应用。
Objective To explore the influence of companionship emotional management mode on chaperone function,mental state and mental resilience in patients with mental disorder caused by hyperthyroidism.Methods A total of 180 patients with mental disorders caused by hyperthyroidism admitted to our hospital from September 2017 to September 2020 were selected and randomly divided into two groups:the control group(90 cases)were given routine nursing,and the observation group(90 cases)were given companionship emotion management mode intervention.The family function scale(APGAR)score,Hamilton depression scale(HAMD)score,Hamilton anxiety scale(HAMA)score and Mental Resilience scale(CD-RISC)score before and after intervention between the two groups were compared,and the disease recurrence rate between the two groups were recorded.Results After intervention,HAMD and HAMA scores in the observation group were lower than those in the control group,and APGAR score,total CD-RISC score and scores in all dimensions were higher than those in the control group(P<0.05).The recurrence rate of 1.11%in the observation group was lower than that of 13.33%in the control group(P<0.05).Conclusion The companionship emotional management mode intervention can optimize the relationship between patients with mental disorders caused by hyperthyroidism and their chaperones,improve their mental state,improve their mental resilience,and reduce the recurrence rate,which is worthy of clinical promotion and application.
作者
李利梅
李建华
李利文
王美
邱新光
LI Limei;LI Jianhua;LI Liwen(Department of Thyroid Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《国际精神病学杂志》
2021年第5期915-918,共4页
Journal Of International Psychiatry
基金
河南省医学科技攻关计划项目(编号:SB201902003)。
关键词
陪伴式情感管理模式
甲亢
精神障碍
精神状态
心理弹性
Companionship emotional management model
Hyperthyroidism
Mental disorder
Mental resilience
