Effects of case management on the stigma and coping style of discharged patients with bipolar disorder
10.3760/cma.j.issn.1674-2907.2017.05.010
- VernacularTitle:个案管理对出院双相情感障碍患者病耻感和应对方式的影响
- Author:
Xiuzhen WANG
1
;
Danping HE
;
Shunhong WU
Author Information
1. 628000,四川省广元市精神卫生中心护理部
- Keywords:
Bipolar disorder;
Quality of life;
Case management;
Stigma;
Coping style
- From:
Chinese Journal of Modern Nursing
2017;23(5):633-637
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of case management on the stigma and coping style of discharged patients with bipolar disorder.Methods During October 2012 to October 2015, 116 cases of patients with bipolar disorder in our hospital were selected as the research object. Patients were randomly di-vided into the control group and the observation group, with 58 cases in each group. Patients in two groups were given routine nursing care, and patients in the observation group also received case management. The scores of stigma, coping style and quality of life (QOL) of patients between two groups before and after intervention were compared.Results After intervention, the scores of social contact, ability and treatment of stigma scale in the observation group were (12.75±3.05), (9.53±2.28) and (11.13±2.45), and they were all significantly lower than the control group (t=2.396,2.504,2.559;P<0.05). After intervention, the scores of solving problems, self-accusation, seeking help, fantasy, avoidance and rationalization of coping style scale in the observation were (8.02±3.06), (3.11±2.16), (6.13±2.62), (3.05±2.24), (4.09±2.06) and (6.61±3.28), and they were significantly better than those in the control group (t=2.573,2.537,2.186,2.389,1.996,2.557;P<0.05). After intervention, the total QOL health score of patients in the observation (56.87±17.13) was significantly better than (53.83±16.46) in the control group (t=2.279,P<0.05).Conclusions The case management can significantly reduce the stigma of patients with bipolar disorder, and improve the coping style and QOL of patients, so it can be further promoted and used.
