摘要
目的探讨心理干预结合微信视频探视模式在新冠疫情期间住院精神障碍患者中的应用效果。方法回顾性分析2020年1月至2022年7月在上海市宝山区精神卫生中心住院治疗的95例精神障碍患者的临床资料,按照护理方式分为单纯心理干预组(n=47)和联合视频探视组(n=48),单纯心理干预组患者仅进行心理干预,联合视频探视组患者在心理干预的基础上增加微信视频探视模式,干预时间6个月,比较两组患者干预前后的疾病状态[简明精神病量表(BPRS)]、药物依从性[服药依从性量表(MMAS-8)]、负性情绪[汉密尔顿焦虑量表(HAMA)、自杀量表(NGCARS)、狂躁量表(BRMS)]、心理弹性[心理弹性量表(CD—RISC)]、家庭关怀[家庭关怀指数量表(APGAR)]。结果联合视频探视组患者的焦虑抑郁、活力缺乏、思维障碍分、敌视猜疑分及激惹性评分分别为(3.07±0.35)分、(4.32±0.65)分、(3.05±0.28)分、(2.64±0.42)分及(2.45±0.53)分,明显低于单纯心理干预组的(5.21±0.34)分、(5.72±1.13)分、(4.57±0.66)分、(4.31±1.02)分及(4.46±0.52)分,差异均有统计学意义(P<0.05);联合视频探视组患者的药物依从行为、服药态度及不良反应负面情绪评分分别为(3.32±0.21)分、(1.81±0.15)分及(1.37±0.22)分,明显高于单纯心理干预组的(3.02±0.27)分、(1.62±0.14)分及(1.21±0.15)分,差异均有统计学意义(P<0.05);干预后,联合视频探视患者的HAMA、NGCARS及BRMS的评分分别为(7.25±1.36)分、(5.21±1.41)分及(12.23±2.25)分,明显低于单纯心理干预组的(12.23±1.12)分、(6.32±1.24)分及(16.23±2.88)分,差异均有统计学意义(P<0.05);干预后,联合视频探视组患者的乐观、自强及坚韧与控制评分分别为(13.42±1.24)分、(29.44±2.09)分及(45.34±4.05)分,明显高于单纯心理干预组的(9.61±1.35)分、(21.48±2.11)分、(31.04±3.23)分,差异均有统计学意义(P<0.05);联合视频探视组患者的适应度、合作度、情感度�
Objective To explore the application effect of psychological intervention combined with WeChat video visitation mode in inpatients with mental disorders during COVID-19 pandemic.Methods A retrospective analysis was performed on the clinical data of 95 inpatients with mental disorders in Shanghai Baoshan District Mental Health Center between January 2020 and July 2022.According to different nursing methods,they were divided into simple psychological intervention group(n=47,psychological intervention)and combined video visitation group(n=48,psychological intervention combined with WeChat video visitation mode).All the patients were intervened for 6 months.Before and after intervention,disease status[brief psychiatric rating scale(BPRS)],medication compliance[Medication Adherence Rating Scale(MMAS-8)],negative emotions[Hamilton Anxiety Scale(HAMA),Nurses'Global Assessment of Suicide Risk(NGCARS),BechRafaelsen mania rating scale(BRMS)],psychological resilience[ConnorDavidson Resilience Scale(CDRISC)],and family care[Adaptation,Partnership,Growth,Affection and Resolve(APGAR)]were compared between the two groups.Results The scores of anxiety and depression,lack of vitality,thought disorder,hostility and suspicion,and irritability in the combined video visitation group were(3.07±0.35)points,(4.32±0.65)points,(3.05±0.28)points,(2.64±0.42)points,and(2.45±0.53)points,respectively,significantly lower than(5.21±0.34)points,(5.72±1.13)points,(4.57±0.66)points,(4.31±1.02)points,and(4.46±0.52)points in the simple psychological intervention group(P<0.05).The scores of drug compliance behavior,medication attitude,and negative emotions related to adverse reactions in the combined video visitation group were(3.32±0.21)points,(1.81±0.15)points,and(1.37±0.22)points,respectively,significantly higher than(3.02±0.27)points,(1.62±0.14)points,and(1.21±0.15)points of the simple psychological intervention group(P<0.05).After intervention,the scores of HAMA,NGCARS,and BRMS in the combined video visitation group were(7.25±1.3
作者
周敏
李玉华
周争轶
ZHOU Min;LI Yu-hua;ZHOU Zheng-yi(Department of Nursing,Shanghai Baoshan District Mental Health Center,Shanghai 201900,CHINA;Department of Rehabilitation,Shanghai Baoshan District Mental Health Center,Shanghai 201900,CHINA)
出处
《海南医学》
CAS
2023年第21期3162-3167,共6页
Hainan Medical Journal
基金
上海市宝山区科技创新项目(编号:19-E-21)。
关键词
精神障碍病
心理干预
微信视频探视模式
药物依从性
家庭关怀
Mental disorder
Psychological intervention
WeChat video visitation mode
Medication compliance
Family care
