CAJ | 학술논문

目的研究针对性护理措施对难治性情感障碍患者治疗效果的影响.方法 2008年6～9月将符合纳入标准和排除标准的45例患者随机分为实验组21例和对照组24例.实验组在手术的不同时期采用相应的护理措施,对照组仅接受传统的护理措施.由2名有经验的精神心理科医生采用简明精神病量表(BPRS)、倍克-拉范森躁狂量表(BRMS)、汉密尔顿抑郁量表(HAMD),在不同时期对2组患者进行症状评估.结果术后1周与术后1个月时实验组与对照组的总疗效均不明显,而术后3个月和6个月时实验组的总疗效显著优于对照组.术后1周与1个月时2组各量表总分比较无显著差异.术后3个月与6个月时2组各量表总分比较差异显著,实验组的症状改善好于对照组.结论本研究中采用的护理措施确实能够提高难治性情感障碍患者的疗效,这种改善作用主要体现在长期效果上.
목적 연구침대성호리조시대난치성정감장애환자치료효과적영향.방법 2008년6～9월장부합납입표준화배제표준적45례환자수궤분위실험조21례화대조조24례.실험조재수술적불동시기채용상응적호리조시,대조조부접수전통적호리조시.유2명유경험적정신심이과의생채용간명정신병량표(BPRS)、배극-랍범삼조광량표(BRMS)、한밀이돈억욱량표(HAMD),재불동시기대2조환자진행증상평고.결과 술후1주여술후1개월시실험조여대조조적총료효균불명현,이술후3개월화6개월시실험조적총료효현저우우대조조.술후1주여1개월시2조각량표총분비교무현저차이.술후3개월여6개월시2조각량표총분비교차이현저,실험조적증상개선호우대조조.결론 본연구중채용적호리조시학실능구제고난치성정감장애환자적료효,저충개선작용주요체현재장기효과상.
Objective To research in the effect of pertinent nursing method on therapeutic effect of postoperative intractable affective disorder. Methods We drew out all the patients who were in accordance with inclusion and exclusion criteria and accepted surgical treatment from June to September in 2008,and obtained 45 patients which were divided into the experimental group(21 participants) and the control group (24 participants) randomly.The experimental group adopted pertinent nmsing intervention in different periods,the control group accepted routine nursing measures.Two psychiatrists evaluated these patients' symptoms using the Brief Psychiatric Rating Scale (BPRS), Bech-Rafaelsen Mania Rating Scale (BRMS), and Hamilton Depression Scale (HAMD). Results The difference of total efficiency between the two groups had no statistical significance at 1 week and 1 month after operation, yet, obvious statistical significance was seen on 3 and 6 months after operation.The total points of all scales had no statistical significance at 1 week and 1 month after operation; however, obvious statistical significance appeared on 3 month and 6 month after operation.The improvement of symptoms of the experimental group was better than the control group. Conclusions The nurs-i ng interventions used in this research could improve the therapeutic effect of the postoperative intractable affective disorder, and the effects were reflected mainly in the long term effectiveness.