Volume 21 Issue 6
Jun.  2023
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CHEN Xinxia, HE Fei, CHEN Mengyi, FENG Hong. Effect of ladder nursing mode on medication compliance and social function of patients with bipolar disorder[J]. Chinese Journal of General Practice, 2023, 21(6): 1077-1080. doi: 10.16766/j.cnki.issn.1674-4152.003053
Citation: CHEN Xinxia, HE Fei, CHEN Mengyi, FENG Hong. Effect of ladder nursing mode on medication compliance and social function of patients with bipolar disorder[J]. Chinese Journal of General Practice, 2023, 21(6): 1077-1080. doi: 10.16766/j.cnki.issn.1674-4152.003053

Effect of ladder nursing mode on medication compliance and social function of patients with bipolar disorder

doi: 10.16766/j.cnki.issn.1674-4152.003053
Funds:

 2022RC279

  • Received Date: 2023-01-13
    Available Online: 2023-08-26
  •   Objective  To analyze the application effect of ladder nursing mode in patients with bipolar disorder, as well as its impact on medication compliance and social function, providing new ideas for clinical nursing.  Methods  A total of 110 patients with bipolar disorder admitted in Shaoxing Seventh People ' s Hospital from January 2020 to January 2022 were selected as the study subjects. According to random number table method, they were divided into control group and observation group with 55 cases each. The patients in the control group were treated with routine nursing, while the patients in the observation group were treated with ladder nursing mode on the basis of the control group. The clinical symptoms, medication compliance and social function of patients in the two groups were compared using Hamilton depression scale (HAMD), hypomania self-rating scale (HCL-32), Morisky drug compliance scale and social function deficiency screening scale (SDSS) before and after intervention.  Results  After intervention, the HAMD and HCL-32 scores of the observation group patients were (14.04?.54) points and (5.02?.16) points, respectively, which were lower than the (16.81?.21) and (6.88?.83) points of the control group (P < 0.05). The compliance rate of patients in the observation group was 90.9% (50/55), higher than 76.4% (42/55) in the control group (P < 0.05). The total score of the SDSS scale in the observation group was (8.18?.20) points, which was lower than the control group [(9.71?.34) points], P < 0.05.  Conclusion  The ladder nursing model can improve the psychological status of patients with bipolar disorder, improve the compliance of patients with medication, and promote the recovery of social function.

     

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  • [1]
    孙世帮, 朱春燕, 夏泳. 双相情感障碍抑郁发作患者自杀行为危险因素分析[J]. 中华全科医学, 2022, 20(8): 1319-1322. doi: 10.16766/j.cnki.issn.1674-4152.002586

    SUN S B, ZHU C Y, XIA Y. Risk factors for suicidal behaviour in patients with depressive episodes of bipolar disorder[J]. Chinese Journal of General Practice, 2022, 20(8): 1319-1322. doi: 10.16766/j.cnki.issn.1674-4152.002586
    [2]
    TONDO L, VÁZQUEZ G H, BALDESSARINI R J. Prevention of suicidal behavior in bipolar disorder[J]. Bipolar Disord, 2021, 23(1): 14-23. doi: 10.1111/bdi.13017
    [3]
    BONNÍN C D M, REINARES M, MARTÍNEZ-ARÁN A, et al. Improving functioning, quality of life, and well-being in patients with bipolar disorder[J]. Int J Neuropsychopharmacol, 2019 22(8): 467-477.
    [4]
    IRONSIDE M L, JOHNSON S L, CARVER C S. Identity in bipolar disorder: self-worth and achievement[J]. J Pers, 2020, 88(1): 45-58. doi: 10.1111/jopy.12461
    [5]
    杨科, 张灵芝, 厉丹阳, 等. 基于计划行为理论的健康教育联合阶梯式护理模式对肺癌化疗患者的应用效果[J]. 中国实用护理杂志, 2022, 38(35): 2735-2741.

    YANG K, ZHANG L Z, LI D Y, et al. Effect of health education based on theory of planned behavior combined with stepped care model on patients with lung cancer undergoing chemotherapy[J]. Chinese Journal of Practical Nursing, 2022, 38(35): 2735-2741.
    [6]
    黄晶晶, 赵敏, 肖泽萍, 等. ICD-11精神与行为障碍(草案)诊断类别与标准修订进展[J]. 中华精神科杂志, 2017, 50(5): 340-344. doi: 10.3760/cma.j.issn.1006-7884.2017.05.005

    HUANG J J, ZHAO M, XIAO Z P, et al. Progress in the revision of diagnostic categories and standards for ICD-11 mental and behavioral disorders (draft)[J]. Chinese Journal of Psychiatry, 2017, 50(5): 340-344. doi: 10.3760/cma.j.issn.1006-7884.2017.05.005
    [7]
    武佩佩, 强万敏, 王盈. 乳腺癌并发抑郁患者阶梯式护理模式的构建[J]. 护士进修杂志, 2019, 34(21): 1946-1950. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201921007.htm

    WU P P, QIANG W M, WANG Y. Development of a stepped-care model for breast cancer patient with depression[J]. Journal of Nurses Training, 2019, 34(21): 1946-1950. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201921007.htm
    [8]
    王纯, 楚艳民, 张亚林, 等. 汉密尔顿焦虑量表的因素结构研究[J]. 临床精神医学杂志, 2011, 21(5): 299-301. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201105009.htm

    WANG C, CHU Y M, ZHANG Y L, et al. Factorial structure of the Hamilton anxiety scale[J]. Journal of Clinical Psychiatry, 2011, 21(5): 299-301. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201105009.htm
    [9]
    刘艳红, 陈林, 司天梅, 等. 32项轻躁狂症状清单和心境障碍问卷筛查双相障碍或抑郁症自杀风险可行性分析[J]. 中华精神科杂志, 2013, 46(6): 334-338.

    LIU Y H, CHEN L, SI T M, et al. The feasibility of screening for suicidal risk with the Hypomania Checklist and Mood Disorder Questionnaire[J]. Chinese Journal of Psychiatry, 2013, 46(6): 334-338.
    [10]
    许卫华, 王奇, 梁伟雄. 慢性疾病患者服药依从性测量量表的编制[J]. 中国慢性病预防与控制, 2008, 16(6): 558-560, 567. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB200806004.htm

    XU W H, WANG Q, LIANG W X. Development of a Medication Compliance Scale in Patients with Chronic Diseases[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2008, 16(6): 558-560, 567. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB200806004.htm
    [11]
    李毅, 胡拾妮, 高欢, 等. 精神障碍患者社会功能缺损评定量表的信效度分析[J]. 中华行为医学与脑科学杂志, 2011, 20(5): 468-470. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-ZJSB201111001755.htm

    LI Y, HU S N, GAO H, et al. The reliability and validity analysis on the scale of social function deficit due to mental disorders[J]. Chinese Journal of Behavioral Medical Science, 2011, 20(5): 468-470. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-ZJSB201111001755.htm
    [12]
    王利敏, 鲁才红, 胡梦云, 等. 阶梯护理模式在精神障碍患者心理干预中的应用进展[J]. 护理学杂志, 2020, 35(21): 109-112. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202021035.htm

    WANG L M, LU C H, HU M Y, et al. Application of stepped care model in psychological intervention for patients with mental disorders: a literature review[J]. Journal of Nursing Science, 2020, 35(21): 109-112. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202021035.htm
    [13]
    KATO T. Current understanding of bipolar disorder: toward integration of biological basis and treatment strategies[J]. Psychiatry Clin Neurosci, 2019, 73(9): 526-540.
    [14]
    展阳妮, 王斌全, 田俊, 等. 阶梯式心理护理对头颈肿瘤患者焦虑抑郁和生活质量的影响[J]. 护理学杂志, 2019, 34(5): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201905002.htm

    ZHAN Y N, WANG B Q, TIAN J, et al. Effect of stepped psychological care on anxiety, depression and quality of life in patients with head and neck cancer[J]. Journal of Nursing Science, 2019, 34(5): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201905002.htm
    [15]
    RANTALA M J, LUOTO S, BORRÁZ-LEÓN J I, et al. Bipolar disorder: an evolutionary psychoneuroimmunological approach[J]. Neurosci Biobehav Rev, 2021, 122: 28-37.
    [16]
    张蓉, 顾丽琴, 吴奕珉. 多家庭团体治疗对康复期双相情感障碍患者社会功能的影响[J]. 上海护理, 2022, 22(10): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202210003.htm

    ZHANG R, GU L Q, WU Y M. Effects of Multi-family Group Therapy on Social Function of Patients with Bipolar Disorder during Rehabilitation[J]. Shanghai Nursing, 2022, 22(10): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-SHHL202210003.htm
    [17]
    邵华, 李立华, 王黎, 等. 自我管理项目对双相障碍患者服药依从性与社会功能的影响[J]. 广东医学, 2020, 41(23): 2422-2425. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202023011.htm

    SHAO H, LI L H, WANG L, et al. Effect of self-management program on medication compliance and social function in patients with bipolar disorder[J]. Guangdong Medical Journal, 2020, 41(23): 2422-2425. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202023011.htm
    [18]
    欧阳灿, 仇灿红, 叶沙. 阶梯式心理护理对妇科恶性肿瘤患者心理痛苦及生活质量的影响[J]. 护理与康复, 2020, 19(10): 57-61. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202010019.htm

    OUYANG C, QIU C H, YE S. The impact of tiered psychological care on the psychological pain and quality of life of gynecological malignant tumor patients[J]. Journal of Nursing and Rehabilitation, 2020, 19(10): 57-61. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202010019.htm
    [19]
    MIKLOWITZ D J, SCHNECK C D, WALSHAW P D, et al. Effects of family-focused therapy vs enhanced usual care for symptomatic youths at high risk for bipolar disorder: a randomized clinical trial[J]. JAMA Psychiatry, 2020, 77(5): 455-463.
    [20]
    迟巍, 刘静, 万佳彬, 等. 阶梯式护理联合全程优化护理模式在细菌性脑膜炎患儿中的应用[J]. 护理研究, 2018, 32(24): 3938-3940. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201824034.htm

    CHI W, LIU J, WAN J B, et al. Application of stepwise nursing combined with whole-course optimal nursing model in children with bacterial meningitis[J]. Chinese Nursing Research, 2018, 32(24): 3938-3940. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201824034.htm
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