Journal of Advances in Clinical Nursing

Objective To explore the effects of situational communication training combined with caring follow-up on psychological fluctuation, executive function and cognitive function of patients with bipolar disorder and manic episode. Methods 115 patients with bipolar disorder and manic episode in our hospital were selected as the research subjects, and they were divided into control group and observation group according to the randomized grouping method. Control group (n=57) received routine psychiatric disease training and follow-up nursing, and combined group (n=58) was given situational communication training and caring follow-up nursing on this basis. The changes of psychological fluctuation, executive function, cognitive function and quality of life were compared between the two groups after 3 months of intervention. Results After 3 months of intervention, the scores of Hamilton Depression Rating Scale (HAMS) and Young Manic Rating Scale (YMRS) of the two groups were increased significantly (P<0.05), and the scores of disease knowledge mastery, medication on time and social training were increased significantly (P<0.05), and the scores of Wechsler Memory Scale-IV (WMS-IV) and Wechsler Adult Intelligence Scale-Revised in China (WAIS-RC) were significantly improved (P<0.05), and the scores of World Health Organization Quality of Life Scale (WHOQOL) were increased significantly (P<0.05), and there were significant differences between the groups after intervention (P<0.05). Conclusion Situational communication training combined with caring follow-up can effectively improve the psychological fluctuation, enhance the executive ability, and promote the cognition level and quality of life of patients with bipolar disorder and manic episode.

Bipolar disorder; Psychological fluctuation; Executive function; Cognitive function; Quality of life