Dimence Mental Health Center for Bipolar Disorders, Pikeursbaan 3, 7411 GT Deventer, Netherlands; Student at Nursing Sciences, program in Clinical Health Sciences, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
Dimence Mental Health Center for Bipolar Disorders, Pikeursbaan 3, 7411 GT Deventer, Netherlands; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Arch Psychiatr Nurs. 2024 Dec;53:78-84. doi: 10.1016/j.apnu.2024.10.007. Epub 2024 Oct 9.
An important element of self-management strategies for people with bipolar disorder is adapting their lifestyle to their condition, since this improves their quality of life. However, not all people with bipolar disorder succeed in lifestyle adaptation. Knowledge about their lived experience with adaptation would enhance understanding about how healthcare providers optimize support.
What is the lived experience of people with bipolar disorder with adapting their lifestyle to their condition?
A qualitative, descriptive phenomenological design was used. Individual, open interviews were conducted with 16 people with bipolar disorder. The data were analyzed according to the seven-stage process by Colaizzi.
Three main themes were identified: (1) struggling to adapt lifestyle; (2) mixed feelings about lifestyle adaptation; and (3) supporting lifestyle adaptation.
Participants reported that adapting their lifestyle to bipolar disorder is a struggle. Adaptation is influenced by factors such as the fluctuating nature of the disorder and differing levels of experiential knowledge and can evoke both positive and negative feelings. Lifestyle adaptation is also interrelated with other strategies for staying well, such as accepting the diagnosis and being open with others. It can be enhanced by support from other people and by making use of practical tools.
Healthcare providers should support people adapting their lifestyle to bipolar disorder by being attentive to the interrelatedness of lifestyle aspects and other strategies for staying well with bipolar disorder.
对于双相情感障碍患者来说，自我管理策略的一个重要元素是根据自身状况调整生活方式，因为这可以提高他们的生活质量。然而，并非所有双相情感障碍患者都能成功地调整生活方式。了解他们在适应过程中的生活体验将有助于更好地理解医疗保健提供者如何优化支持。
双相情感障碍患者在适应其病情的生活方式方面的生活体验是什么？
采用定性、描述性现象学设计。对 16 名双相情感障碍患者进行了个体开放式访谈。根据 Colaizzi 的七阶段过程对数据进行了分析。
确定了三个主要主题：（1）努力适应生活方式；（2）对生活方式适应的混合感受；（3）支持生活方式适应。
参与者报告说，调整他们的生活方式以适应双相情感障碍是一种挣扎。适应受到疾病波动性和经验知识水平不同等因素的影响，可能会引起积极和消极的感受。生活方式的适应也与其他保持健康的策略相互关联，例如接受诊断并与他人坦诚相待。通过他人的支持和利用实用工具，可以增强适应能力。
医疗保健提供者应通过关注生活方式方面与其他保持双相情感障碍健康的策略的相关性，来支持患者调整生活方式以适应双相情感障碍。
