情境式交往训练结合健康教育对双相抑郁障碍患者功能失调性状况及生活质量的影响

徐晓飞，孟令霞

1.淄博市精神卫生中心张店心理门诊，山东淄博255000；2.淄博市精神卫生中心女二病区，山东淄博255100

情境式交往训练结合健康教育对双相抑郁障碍患者功能失调性状况及生活质量的影响

徐晓飞，孟令霞

1.淄博市精神卫生中心张店心理门诊，山东淄博255000；2.淄博市精神卫生中心女二病区，山东淄博255100

目的探讨情境式交往训练结合健康教育对双相抑郁障碍患者功能失调性状况及生活质量的影响。方法随机将该院精神心理康复中心收治的双相抑郁障碍缓解期患者84例分为两组，每组各42例。对照组给予精神科常规健康教育，观察组在常规健康教育的基础上应用情境式交往训练。干预时间为8周，比较两组患者的抑郁及生存质量得分。结果干预8周后，观察组HAMD评分（9.08±3.07）显著低于对照组（12.54±3.69），差异有统计学意义（P＜0.05）。观察组生活领域、心理领域、独立性领域、社会关系领域评分均高于对照组（P＜0.05）。结论情境式交往训练结合健康教育可减轻双相抑郁障碍患者不良心理状况，提高其生存质量。

情境式交往训练；健康教育；双相抑郁障碍；功能失调性状况；生活质量

［Abstract］Objective To study the effect of situation communication training combined with health education on the dysfunctional attitudes and quality of life in patients with bipolar depressive disorder.Methods 84 cases of patients in bipolar depressive disorder pain-relieving period admitted and treated in the acupuncture and moxibustion rehabilitation center in our hospital were randomly divided into two groups with 42 cases in each，the control group adopted the routine health education in the department of psychiatry，the observation group applied the situation communication training on the basis of the control group，and the intervention time was 8 weeks，and the depression and survival quality scores were compared between the two groups.Results The HAMD score in the observation group was obviously lower than that in the control group after 8-week intervention，and the difference had statistical significance，P＜0.05；the scores in the life field，mental field，independence field and social relationship field in the observation group were higher than those in the control group，P＜0.05.Conclusion The situation communication training combined with health education can relieve the adverse mental condition of patients with bipolar depressive disorder and improve their survival qualities.

［Key words］Situation communication training；Health education；Bipolar depressive disorder；Dysfunctional attitudes；Quality of life

双相情感障碍发作期和缓解期患者均存在不同程度的认知功能损害，导致患者日常生活和社会功能受损，严重影响患者及家属的生存质量［1］。药物治疗可以减轻患者认知功能障碍，却不能消除其认知功能损害。情境式交往训练是一种心理沟通干预形式，指通过视频播放、理论讲解、内心独白、情景表演、角色扮演等形式再现生活沟通场景［2］，有目的地指导患者进行人际交往。……