Kahramanmaraş İstiklal University, Health Science Faculty, Nursing Department, Türkiye.
Inonu University, Nursing Faculty, Department of Psychiatric Nursing, Türkiye.
Arch Psychiatr Nurs. 2023 Aug;45:89-100. doi: 10.1016/j.apnu.2023.04.026. Epub 2023 May 9.
Individuals diagnosed with bipolar disorder (BD) encounter difficulties in adherence to treatment and functionality. Although it is known that psychosocial interventions such as motivational interviewing (MI) and psychoeducation are important in regard to improving adherence to treatment and functionality, the content and nature of these interventions remain uncertain.
This study was conducted to determine the effects of psychoeducation and MI on treatment adherence and functionality in individuals diagnosed with BD.
In this study, a quasi-experimental pretest-posttest design with three groups was adopted. The study was completed with 119 participants in the MI (n = 32), psychoeducation (n = 31), and control (n = 56) groups.
There was a statistically significant improvement in the psychoeducation and MI groups in terms of treatment adherence compared to the control group (F = 32.672, p = 0.001, Partial η = 0.364). Similarly, the psychoeducation and MI groups had significantly higher functionality levels compared to the control group, and significant differences were observed between the groups regarding the degree of improvement in functionality dimensions including the feeling of stigmatization (F = 8.433, p = 0.001, Partial η = 0.129) and participation in social activities (F = 7.038, p = 0.001, Partial η = 0.110).
It can be stated that psychoeducation and MI have positive effects in terms of improvement in treatment adherence and functionality in individuals diagnosed with BD.
被诊断为双相情感障碍（BD）的个体在治疗依从性和功能方面存在困难。虽然已经知道心理社会干预，如动机性访谈（MI）和心理教育，对于改善治疗依从性和功能非常重要，但这些干预的内容和性质仍不确定。
本研究旨在确定心理教育和 MI 对被诊断为 BD 的个体的治疗依从性和功能的影响。
本研究采用了三组准实验前后测设计。研究共纳入 119 名 MI 组（n=32）、心理教育组（n=31）和对照组（n=56）的参与者。
与对照组相比，心理教育组和 MI 组在治疗依从性方面有统计学意义的改善（F=32.672，p=0.001，部分 η=0.364）。同样，心理教育组和 MI 组的功能水平明显高于对照组，并且在改善包括污名感（F=8.433，p=0.001，部分 η=0.129）和参与社会活动（F=7.038，p=0.001，部分 η=0.110）在内的功能维度方面，组间存在显著差异。
可以说，心理教育和 MI 在改善被诊断为 BD 的个体的治疗依从性和功能方面具有积极的影响。
