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基于共同决策的引导式自助对双相情感障碍患者饮食行为的影响。

Effects of the guided self-help based on shared decision making on eating behaviors in an individual with bipolar disorder.

作者信息

Tuncer Gülsüm Zekiye, Çetinkaya Duman Zekiye

机构信息

Department of Psychiatric Nursing, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey.

Department of Psychiatric Nursing, Faculty of Nursing, Dokuz Eylül University, Izmir, Turkey.

出版信息

Nurs Forum. 2022 Nov;57(6):1213-1219. doi: 10.1111/nuf.12826. Epub 2022 Nov 6.

Abstract

BACKGROUND

Eating behavior in individuals with chronic mental disorders is affected by several factors such as stress, drugs, and the environment. Eating problems can lead to over-nutrition and obesity. Therefore, the Shared Decision Making Model-based Guided Self-Help Program aimed at solving the eating problems of individuals with bipolar disorder living in the community should be tested with preliminary studies. Thus, it would be appropriate to create a useful, accessible, and applicable program for these individuals to overcome their eating problems.

CASE PRESENTATION

In this case study, the effects of the Guided Self-Help Program based on the Shared Decision Making Model (GSHP-SDM) on the eating behaviors of an individual who was diagnosed with bipolar disorder and displayed binge eating and emotional eating behaviors were investigated. In the study, it was determined that implementation of the eight-session GSHP-SDM, during which the participant was interviewed once a week, improved her emotional and uncontrolled eating behaviors.

CONCLUSIONS

This study is the first case study in which the GSHP was implemented to change the eating behavior of an individual with a chronic mental disorder. We observed that the GSHP regulated her eating behavior. We also observed that SDM therapeutic intervention enabled her to decide that she could regulate her eating behaviors.

摘要

背景

慢性精神障碍患者的饮食行为受压力、药物和环境等多种因素影响。饮食问题会导致营养过剩和肥胖。因此,应以初步研究来测试基于共同决策模型的引导式自助计划,该计划旨在解决社区中双相情感障碍患者的饮食问题。因此,为这些个体创建一个有用、可及且适用的计划以克服他们的饮食问题是合适的。

病例介绍

在本病例研究中,调查了基于共同决策模型的引导式自助计划(GSHP-SDM)对一名被诊断为双相情感障碍且有暴饮暴食和情绪化饮食行为的个体饮食行为的影响。在该研究中,确定实施为期八节的GSHP-SDM(参与者每周接受一次访谈)改善了她的情绪化和无节制饮食行为。

结论

本研究是首次实施GSHP以改变慢性精神障碍个体饮食行为的病例研究。我们观察到GSHP调节了她的饮食行为。我们还观察到共同决策治疗干预使她能够认定自己可以调节饮食行为。

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