Hsu Pei-Chen, Chen Hsin-Chi, Lu Mei-Jou, Lu Ru-Band, Lin Ching-Lan Esther
Department of Nursing, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Taiwan, ROC.
Psychiatric Ward, National Cheng Kung University Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2017 Jun;64(3):19-26. doi: 10.6224/JN.000036.
Bipolar disorder (BD) is a severe mental illness that is characterized by chronicity, pervasive instability, and relatively high rates of recurrence and suicide. Current evidence supports that adverse circles among hereditary and genetic factors, neuroinflamation, and social rhythm constitute a crucial etiology. Pharmacological treatment is the first priority for BD patients during the acute stage. Pharmacological and psychosocial treatments should be combined during the maintenance stage in order to help patients self-manage medication, effectively control mood swings, enhance disease self-management and social functions, decrease the risks of relapse and re-hospitalization, and stabilize overall health. The present article firstly introduces the characteristics and etiological assumptions related to BD, the related evidence-based care models and their effects, and the early development of an evidence-based care model, the BalancingMySwing group, for BD patients in Taiwan. This article provides updated information to clinicians who are involved in caring for this population. Moreover, the existing data related to biological and psychosocial factors for BD in Taiwan is insufficient and developing individual-tailored psychosocial intervention is urgently needed. The authors hope that this article will elicit greater concern for this issue from policy decision-makers and healthcare providers.
双相情感障碍(BD)是一种严重的精神疾病,其特征为病程慢性化、普遍存在的情绪不稳定,以及相对较高的复发率和自杀率。目前的证据支持,遗传因素、神经炎症和社会节律之间的恶性循环构成了关键病因。药物治疗是双相情感障碍患者急性期的首要治疗手段。在维持期,应将药物治疗和心理社会治疗相结合,以帮助患者自我管理药物、有效控制情绪波动、增强疾病自我管理能力和社会功能、降低复发和再次住院风险,并稳定整体健康状况。本文首先介绍双相情感障碍的特征和病因假设、相关的循证护理模式及其效果,以及台湾地区针对双相情感障碍患者的循证护理模式“平衡我的波动”小组的早期发展情况。本文为参与照料这一人群的临床医生提供最新信息。此外,台湾地区有关双相情感障碍生物和心理社会因素的现有数据不足,迫切需要开展个体化的心理社会干预。作者希望本文能引起政策制定者和医疗服务提供者对这一问题的更多关注。