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六周心理教育方案对双相情感障碍患者依从性的影响。

Effectiveness of six-week psychoeducation program on adherence of patients with bipolar affective disorder.

机构信息

Department of Nursing, School of Health Sciences, Duzce University, Duzce, Turkey.

出版信息

J Affect Disord. 2012 May;138(3):409-16. doi: 10.1016/j.jad.2012.01.004. Epub 2012 Feb 6.

DOI:10.1016/j.jad.2012.01.004
PMID:22316565
Abstract

OBJECTIVES

This study examined the effectiveness of a six week psychoeducation program on the adherence of patients with Bipolar Affective Disorder.

METHOD

An experimental study was conducted at a mood disorder outpatient clinic in Zonguldak, Turkiye. Participants were randomly assigned to either intervention (n=35) or control groups (n=36). Both groups were given pre-tests and post-tests to measure their adherence. In the psychoeducation group, the psychoeducation program was provided for 2 h/week for six weeks. In the control group, standard care and information were provided.

RESULTS

After six weeks, the psychoeducation program significantly improved patients' adherence. The treatment adherence rate of the patients in the intervention group increased from 40.0% (14 patients on pre-test), to 86.7% (26 patients on post-test). Meanwhile, the treatment adherence rate of the control group was 38.9% (14 patients) for the pre-test, and 24.2% (8 patients) for the post-test.

CONCLUSION

This controlled trial study demonstrated that a six-week psychoeducation program can be a useful intervention to improve adherence in patients undergoing bipolar affective disorder rehabilitation. More comprehensive mental health outcomes need to be undertaken. Further studies exploring a longer term follow-up are also required.

摘要

目的

本研究旨在探讨为期六周的心理教育计划对双相情感障碍患者依从性的影响。

方法

在土耳其宗古尔达克的情绪障碍门诊进行了一项实验研究。参与者被随机分配到干预组(n=35)或对照组(n=36)。两组均进行了预测试和后测试,以衡量他们的依从性。在心理教育组中,每周进行 2 小时的心理教育计划,为期六周。在对照组中,提供标准护理和信息。

结果

六周后,心理教育计划显著提高了患者的依从性。干预组患者的治疗依从率从预测试的 40.0%(14 名患者)上升至后测试的 86.7%(26 名患者)。与此同时,对照组的治疗依从率从前测的 38.9%(14 名患者)降至后测的 24.2%(8 名患者)。

结论

这项对照试验研究表明,为期六周的心理教育计划可以作为改善双相情感障碍康复患者依从性的有效干预措施。需要进行更全面的心理健康结果研究。还需要进一步研究探索更长时间的随访。

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