Mokoena-de Beer Andile G, Temane Annie, Ntshingila Nompumelelo
Department of Nursing Science, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
S Afr J Psychiatr. 2025 Apr 15;31:2450. doi: 10.4102/sajpsychiatry.v31i0.2450. eCollection 2025.
Individuals with borderline personality disorder (BPD) struggle with relationships because of impulsivity and emotional regulation difficulties. Specialised skills are needed for care, but existing models are lacking. A new model was developed to help psychiatric nurses support couples with one partner having BPD. This innovative psychiatric nursing model emphasises the need for implementation and evaluation in care.
To explore the psychiatric nurses' experiences of implementation of a model to facilitate constructive intra- and interpersonal relationships for couples in a relationship where one is living with BPD.
The study was conducted at a mental health institution in Gauteng province where the one partner with BPD receives treatment.
The study adopted a qualitative, exploratory design conducting in-depth interviews with psychiatric nurses who implemented the model, triangulated with observations and field notes and analysed thematically.
Four themes emerged, namely: (1) the model served as a helpful tool for empowerment; (2) the positive results yielded by the model; (3) challenges related to using the model; and (4) suggestions for expanding the model's reach. The psychiatric nurses found the model acceptable and feasible to facilitate the relationships of couples where one is living with BPD.
Psychiatric nurses need guidelines to enhance care for individuals with BPD, highlighting the importance of implementing supportive models to improve relationships in various settings.
Implementation of this model is unique in the care of persons living with BPD making it a valuable tool for psychiatric nurses in mental health care provision.
边缘型人格障碍（BPD）患者由于冲动和情绪调节困难，在人际关系方面存在困扰。护理需要专门的技能，但现有模式存在欠缺。开发了一种新模式，以帮助精神科护士为一方患有BPD的伴侣提供支持。这种创新的精神科护理模式强调在护理中实施和评估的必要性。
探讨精神科护士对一种促进一方患有BPD的伴侣建立建设性的人际和人际关系的模式的实施体验。
该研究在豪登省的一家精神卫生机构进行，一方患有BPD的伴侣在该机构接受治疗。
该研究采用定性、探索性设计，对实施该模式的精神科护士进行深入访谈，并与观察结果和实地记录进行三角验证，然后进行主题分析。
出现了四个主题，即：（1）该模式是赋权的有用工具；（2）该模式产生的积极结果；（3）与使用该模式相关的挑战；（4）扩大该模式覆盖范围的建议。精神科护士发现该模式在促进一方患有BPD的伴侣关系方面是可接受且可行的。
精神科护士需要指南来加强对BPD患者的护理，强调实施支持性模式以改善不同环境中人际关系的重要性。
该模式的实施在BPD患者护理中具有独特性，使其成为精神科护士在精神卫生护理提供中的宝贵工具。
