Volume 20 Issue 10
Oct.  2022
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LI Yong-mei, WANG Jian-nyu. Application of life and social skill training in elderly patients with bipolar disorder in remission stage[J]. Chinese Journal of General Practice, 2022, 20(10): 1724-1727. doi: 10.16766/j.cnki.issn.1674-4152.002689
Citation: LI Yong-mei, WANG Jian-nyu. Application of life and social skill training in elderly patients with bipolar disorder in remission stage[J]. Chinese Journal of General Practice, 2022, 20(10): 1724-1727. doi: 10.16766/j.cnki.issn.1674-4152.002689

Application of life and social skill training in elderly patients with bipolar disorder in remission stage

doi: 10.16766/j.cnki.issn.1674-4152.002689
Funds:

 2020KY745

  • Received Date: 2022-01-18
    Available Online: 2022-11-30
  •   Objective  To investigate the effect of life and social skills training on affective symptoms, overall function, and cognitive function in elderly patients with bipolar disorder in remission stage.  Methods  A total of 106 elderly patients with bipolar disorder in remission stage from January 2018 to January 2021 in Hangzhou Seventh People' s Hospital were selected. They were randomly divided into the study group (life and social skill training + routine-nursing group) and control group (routine-nursing group) by using the random-number-table method, with 53 cases in each group. After 8 weeks, 43 and 52 patients in the study and control groups, respectively, completed the treatment. Before and after treatment, the 17-item Hamilton rating scale for depression (HAMD-17), Young manic rating scale (YMRS), functioning assessment short test (FAST), and Wisconsin card sorting test-modified (WCST) were used to evaluate the affective symptoms, overall function, and cognitive function of the two groups of patients.  Results  After treatment, the HAMD-17 [(3.233±1.280) points] and YMRS [(2.411±0.502) points] scores of the study group were lower than those in the control group [(4.193±1.317) points, (3.119±0.612) points], and the differences were statistically significant (t=3.577, 6.118, all P < 0.05). In terms of overall function, after treatment, the total score of FAST, autonomous life score, and cognitive function score in the study group were lower than the control group' s score, and the differences were statistically significant (all P < 0.05). In terms of cognitive function, after 8 weeks of treatment, compared with the control group, response corrects (Rc) and categories completed (Cc) in the study group were higher, and response errors (Re) and response perseverative errors (Rpe) in the study group were lower, with statistical significance (all P < 0.05).  Conclusion  Life and social skill training can improve the residual affective symptoms of elderly patients with bipolar disorder in remission stage, as well as promote the improvement in overall function and cognitive function.

     

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