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目的:探讨医护一体化模式在双相障碍患者中的应用效果。方法:将70例双相障碍患者随机分为干预组和对照组各35例,两组患者均给予常规药物治疗和护理措施,干预组实施医护一体化模式。两组患者在入组时、治疗8周后采用护士用住院病人观察量表(NOSIE)、简明精神病症状量表(BPRS)进行评定,观察两组患者住院期间遵医行为及疾病相关知识掌握程度。结果:治疗8周后干预组NOSIE总积极因子得分高于对照组(P<0.05),干预组治疗依从性优于对照组、疾病相关知识认知度高于对照组(P<0.05)。结论:医护一体化模式可帮助患者重建健康心理和行为,提高患者治疗依从性,改善社会功能,对患者全面康复具有重要意义。
Objective: To explore the application effect of integrated mode of health care in patients with bipolar disorder. Methods: Seventy patients with bipolar disorder were randomly divided into intervention group and control group, with 35 cases in each group. Both groups were given routine drug treatment and nursing interventions, and the intervention group implemented the integration mode of health care. Two groups of patients were enrolled, 8 weeks after treatment, the nurses were evaluated with NOSIE and BPRS, and the compliance of patients with obesity and disease-related knowledge during the hospitalization was observed . Results: After 8 weeks of treatment, the score of NOSIE positive factor in the intervention group was higher than that in the control group (P <0.05). The treatment compliance was better in the intervention group than in the control group, and the awareness of disease-related knowledge was higher than that in the control group (P <0.05). Conclusion: The mode of health care integration can help patients to rebuild healthy psychology and behavior, improve patients ’compliance with treatment and improve social functions, which is of great significance to patients’ comprehensive rehabilitation.