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躁狂发作期双相情感障碍患者的护理探索:一项定性研究

Exploration of Nursing Care for Individuals With Bipolar Disorder in a Manic Episode: A Qualitative Study.

作者信息

Fradelos Evangelos C, Gkatzogia Konstantina, Toska Aikaterini, Saridi Maria, Dimitriadou Ioanna, Mantzorou Marianna, Zartaloudi Afroditi

机构信息

Laboratory of Clinical Nursing/Department of Nursing, University of Thessaly, Larissa, GRC.

Laboratory of Clinical Nursing/Department of Nursing, Health Center of Veroia, Veroia, GRC.

出版信息

Cureus. 2024 Jun 25;16(6):e63150. doi: 10.7759/cureus.63150. eCollection 2024 Jun.

Abstract

BACKGROUND

Bipolar disorder is a mental illness that is chronic and has frequent relapses.

OBJECTIVES

The purpose of the research was to study the nursing care of patients with bipolar disorder in the mania phase.

METHODS

A qualitative study was employed in this study. The sample consisted of 10 nurses working in psychiatric clinics and data were collected through semi-structured interviews. Thematic analysis was applied for analysing the data.

RESULTS

Of the 10 participants, 70% were female and 30% were male. The mean age was 48.7 years. All participants were registered nurses and most of them held a Master of Science degree. Their work experience ranged from 10 to 30 years. Three main themes emerged when analysing the data obtained from the interviews with the nurses, those themes were a) Echoes of Vigilance: Navigating the journey, b) Amidst the Tempest: Attending to the Patients' Complex Needs, and c) Restoring Balance: The Nurturing Hands of Bipolar Nursing Care, each of which could be divided into several sub-themes.

CONCLUSIONS

Nursing care plays an important role in symptom improvement and disease control by providing patient support, managing pharmacotherapy, preventing suicidality, and educating patients about the disease and self-management strategies.

摘要

背景

双相情感障碍是一种慢性且易频繁复发的精神疾病。

目的

本研究旨在探讨双相情感障碍躁狂期患者的护理。

方法

本研究采用定性研究方法。样本包括10名在精神科诊所工作的护士,通过半结构化访谈收集数据。采用主题分析法对数据进行分析。

结果

10名参与者中,70%为女性,30%为男性。平均年龄为48.7岁。所有参与者均为注册护士,且大多数拥有理学硕士学位。他们的工作经验在10至30年之间。在分析对护士访谈所得数据时出现了三个主要主题,即a)警惕的回响:踏上旅程,b)在暴风雨中:关注患者的复杂需求,以及c)恢复平衡:双相情感障碍护理的呵护之手,每个主题又可细分为几个子主题。

结论

护理通过为患者提供支持、管理药物治疗、预防自杀行为以及对患者进行疾病和自我管理策略教育,在症状改善和疾病控制中发挥着重要作用。

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