个案报告

1例神经性贪食症共病双相情感障碍患者的综合护理报告

  • 李华 ,
  • 殷瑛 ,
  • 毕翠云 ,
  • 黄佳
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  • 上海交通大学医学院附属精神卫生中心,上海200030
殷瑛,2000年毕业于上海医科大学护士学校。2010年获得上海交通大学护理本科学历。2000年毕业后进入上海市精神卫生中心从事临床护理工作22年,现为护师,心境障碍科护士长助理。 李华,1996年毕业于上海市第一人民医院护士学校。2017年获华东师范大学应用心理学本科学士学位。1996年毕业后进入上海市精神卫生中心从事临床护理工作,现为主管护师,心境障碍科护士长。
*毕翠云 bcyjsc@163.com; 黄佳 kittyhj_2000@aliyun.com

网络出版日期: 2024-06-14

基金资助

上海市卫生健康委员会青年科研项目(20174Y 0223); 上海市精神卫生中心院级科研项目(2018-YJ-25)

A Comprehensive Nursing Intervention Report for a Bulimia Nervosa Patient Comorbid With Bipolar Disorder

  • LI Hua ,
  • YIN Ying ,
  • BI Cuiyun ,
  • HUANG Jia
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  • Division of Mood Disorder, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
#Equal contributors
*BI Cuiyun, bcyjsc@163.com; HUANG Jia, kittyhj_2000@aliyun.com

Online published: 2024-06-14

摘要

神经性贪食症(bulimia nervosa,BN)是一种较为常见且难以治愈的精神疾病,常共病其他精神障碍,从而导致病情复杂化,需从多角度进行综合性护理。文章介绍了以认知行为治疗(cognitive behavioral therapy,CBT)为核心,结合精神科安全护理、用药护理、营养与进食管理和健康教育等综合护理措施,护理1例BN共病双相情感障碍的患者,取得了较好的临床效果。

本文引用格式

李华 , 殷瑛 , 毕翠云 , 黄佳 . 1例神经性贪食症共病双相情感障碍患者的综合护理报告[J]. 心理学通讯, 2022 , 5(3) : 223 -229 . DOI: 10.12100/j.issn.2096-5494.222035

Abstract

Bulimia nervosa (BN) is a common and hard-to-treat disease that has often comorbidity with other psychiatric disorders, which may further enhance the complexity of the disease, and comprehensive nursing care is needed for its treatment. In this article, we introduce a comprehensive nursing intervention that is centred with cognitive behavioral therapy (CBT) in combination of safety in psychiatric nursing, medication nursing care, nutrition and feeding management, and health education in the treatment of a case of bulimia nervosa comorbid with bipolar disorder. We summarize the overall experiences from the comprehensive nursing intervention in the hope of providing information for the clinical nursing care of patients with this type of disease.

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