郑莉

【摘 要】 目的：分析综合个性化護理对双相情感障碍抑郁发作病人的影响。方法：选取双相情感障碍抑郁发作病人80例，随机分为两组，对照组常规护理，观察组综合性个性化护理，对比护理效果。结果：经过护理干预后，两组患者的MMSE评分均有升高，HAMD评分均有明显降低，且观察组患者的改善程度明显高于对照组，观察组患者对于护理工作的满意度也明显高于对照组，各指标组间对比，差异显著，P<0.05。结论：对双相情感障碍抑郁发作病人进行综合性的个性化护理干预，可有效提高患者的认知功能，改善患者的抑郁情绪，从而提高护理效果，促进患者满意。

【关键词】 双相情感障碍;抑郁发作;综合个性化护理干预

[Abstract] Objective：To analyze the effect of comprehensive personalized nursing on patients with depressive episodes of bipolar disorder. Methods： Eighty patients with depressive episodes of bipolar disorder were randomly divided into two groups. The control group received routine nursing and the observation group received comprehensive personalized nursing to compare the nursing effects. Results： After nursing intervention， the MMSE scores of both groups were increased， and the HAMD scores were significantly lower， and the improvement of the test group was significantly higher than that of the control group. The satisfaction of the observation group was also high. In the control group， the differences between the groups were significant， P<0.05. Conclusion： Comprehensive personalized nursing intervention for patients with depressive episodes of bipolar disorder can effectively improve the cognitive function of patients and improve their depression， thus improving the nursing effect and promoting patient satisfaction.

[Key words]Bipolar disorder; Depressive episode; Comprehensive personalized nursing intervention; Nursing effect

双相情感障碍，是心理障碍的一种，经常会伴有躁狂或者抑郁的发作[1]，临床中躁狂或抑郁患者不仅自残率和自杀率较高[1]，且该精神疾病还会导致患者的认知功能降低，损害患者的心理健康，为患者的工作、生活以及家庭都会造成很大的影响[2]，严重时还会导致患者的消化系统，中枢神经系统等发生功能障碍。对于双相情感障碍抑郁发作的患者，不仅需要药物的治疗与控制，同时也需要进行有效的护理[3]。本次研究通过对双相情感障碍抑郁发作病人进行综合性的个性化护理干预，来探究其护理效果。现报道如下。

1 资料与方法

1.1 一般资料

本次研究选取了本院2017年1月至2017年12月接收治疗的80例双相情感障碍抑郁发作病人，将其随机且平均分为两组，分别设为对照组和观察组，每组各40例。病例入选标准[3]：入选的80例患者都符合CCMD-3中双相情感障碍抑郁发作的临床症状和诊断标准;无心、肝、肾等重要脏器严重功能障碍，无肿瘤疾病，无意识障碍，具有一定的认知程度，均对本次研究知情同意。……