ABSTRACT
Objective:
To investigate the effect of
acupoint application combined with modified
electroconvulsive therapy (MECT) on
life control in
patients with
bipolar disorder.
Methods:
A total of 98
patients with
bipolar disorder who received
treatment in The Third People's
Hospital of Huzhou from January to December 2022 were included in this study. They were randomly divided into a
control group and an
observation group ( n = 49 per group). The
control group received
acupoint application, while the
observation group received
acupoint application combined with MECT. All
patients were treated for 2 weeks. Before and
after treatment, Personal Mastery Scale (PMS),
Self-Perceived Burden Scale (SPBS),
Perceived Social Support Scale (PSSS), and
Bipolar Disorder Self-rating
Questionnaire (BSQ) scores were compared between the two groups. The severity of the
disease and
clinical efficacy were assessed in each group.
Results:
Before
treatment, there were no significant differences in PMS, SPBS, and PSSS scores between the two groups (all P > 0.05).
After treatment, PMS scores in the
observation and
control groups were (31.2 ± 4.5) points and (27.8 ± 4.1) points, respectively, and PSSS scores in the two groups were (66.6 ± 12.3) points and (63.2 ± 10.1) points, respectively.
After treatment, PMS and PSSS scores in the
observation and
control groups were significantly increased compared with those measured before
treatment in the corresponding groups [
observation group PMS score (15.6 ± 3.3) points, PSSS score (32.1 ± 6.2) points,
control group PMS score (15.2 ± 3.1) points, PSSS score (34.7 ± 6.6) points, t = 20.50, 16.23, 17.53, 16.54, all P < 0.05].
After treatment, SPBS scores in the
observation and
control groups [(16.2 ± 3.4) points, (17.7 ± 3.6) points] were significantly decreased compared with those measured before
treatment in the corresponding groups [
observation group (30.9 ± 5.8) points,
control group (28.1 ± 5.5) points, t = 15.31, 11.07, both P < 0.05].
After treatment, PMS score in the
observation group was significantly higher than that in the
control group ( t = 4.45, P < 0.05). Before
treatment, there was no significant difference in BSQ score between the two groups ( P > 0.05).
After treatment, BSQ scores in the
observation and
control groups [(14.6 ± 6.5) points, (20.1 ± 7.5) points] were significantly decreased compared with those measured before
treatment in the corresponding groups [
observation group (39.5 ± 10.2) points,
control group (36.4 ± 9.5) points, t = 12.32, 21.20, both P < 0.05].
After treatment, BSQ score in the
observation group was significantly lower than that in the
control group ( t = 5.60, P < 0.05). The overall response rate in the
observation group was significantly higher than that in the
control group ( χ2 = 4.90, P < 0.05). The Spearman test showed a significant negative correlation between PMS and BSQ scores ( r = -0.689, P < 0.05).
Conclusion:
Acupoint application combined with MECT
therapy can improve
life control in
patients with
bipolar disorder and increase
clinical efficacy .