摘要
目的:调查双相情感障碍病人攻击行为的发生现状,并分析可能导致病人发生攻击行为的因素。方法:选取医院2021年5月—2022年5月收治的100例双相情感障碍病人为研究对象,采用外显攻击行为量表(MOAS)测评,并根据病人有无攻击行为分为发生组(MOAS总加权分≥4分)与未发生组(MOAS总加权分<4分),比较两组病人基线资料,分析可能导致病人发生攻击行为的影响因素。结果:入组100例双相情感障碍病人经MOAS量表评估结果显示,存在攻击行为的病人60例,占60.00%(60/100),MOAS量表得分(30.52±5.48)分;未发生攻击行为的病人40例,占40.00%(40/100),MOAS量表得分(2.50±0.35)分。发生组社会支持中低水平、住院频次≥3次、独居、皮质醇>660 nmol/L、疾病感知度差的病人占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,社会支持(中低水平)、住院频次(≥3次)、独居(是)、皮质醇(>660 nmol/L)、疾病感知度(差)均是病人发生攻击行为的影响因素(OR>1,P<0.05)。结论:社会支持、住院频次、是否独居、皮质醇水平、疾病感知度均与双相情感障碍病人攻击行为的发生相关,针对社会支持处于中低水平、住院频次高、独居、皮质醇高表达、疾病感知度差的高危人群,应积极采取应对策略,减少病人攻击行为的发生。
Objective:To investigate the current situation of aggressive behavior in patients with bipolar disorder and analyze the factors that may lead to aggressive behaviors.Methods:A total of 100 patients with bipolar disorder admitted to the hospital from May 2021 to May 2022 were selected as the study objects,evaluated by the Manifest Aggression Behavior Scale(MOAS),and divided into the occurrence group(MOAS total weighted score≥4 points)and the non-occurrence group(MOAS total weighted score<4 points)according to whether the patients had aggressive behavior.The baseline data of the two groups were compared.The factors that may lead to aggressive behavior of patients were analyzed.Results:A total of 100 patients with bipolar disorder were evaluated by MOAS scale.The results showed that 60 patients had aggressive behavior,accounting for 60.00%(60/100),and the score of MOAS scale was(30.52±5.48).There were 40 patients without aggressive behavior,accounting for 40.00%(40/100),and the MOAS score was(2.50±0.35).The proportion of patients with low level of social support,frequency of hospitalization≥3 times,living alone,cortisol>660 nmol/L and poor disease perception in the occurrence group was higher than that in the non-occurrence group,with statistical significance(P<0.05).Logistic regression analysis showed that social support(medium and low level),frequency of hospitalization(≥3 times),solitude(yes),cortisol(>660 nmol/L),and disease perception(poor)were all influencing factors for aggressive behavior(OR>1,P<0.05).Conclusions:Social support,frequency of hospitalization,whether or not people live alone,cortisol level and disease perception are all correlated with the occurrence of aggressive behavior in patients with bipolar disorder.For high-risk groups with medium to low level of social support,high frequency of hospitalization,living alone,high cortisol expression and poor disease perception,coping strategies should be actively adopted to reduce the occurrence of aggressive behavior in patients.
作者
万娜萍
朱芳珍
熊玲燕
WAN Naping;ZHU Fangzhen;XIONG Lingyan(Jiangxi Provincial Psychiatric Hospital,Jiangxi 330029 China)
出处
《全科护理》
2023年第19期2693-2696,共4页
Chinese General Practice Nursing
基金
江西省卫生健康委科技计划项目,编号:202311303。
关键词
双相情感障碍
攻击行为
影响因素
bipolar disorder
aggressive behavior
influencing factors
