Care of patients with bipolar disorder during acute manic episode: Treatment approaches utilized by psychiatric nurses
Bipolar disorder and nursing care
DOI:
https://doi.org/10.5281/zenodo.8265739Keywords:
Nursing care, mania crisis, intervention tools, bipolar, psychiatric nursingAbstract
Amaç: Bu sistematik derlemenin amacı, psikiyatri hemşirelerinin psikoeğitim, farmakolojik tedavi, psikososyal müdahale, hemşire eğitimi ve ilaç tedavisi kombinasyonunu kullanarak bipolar hastaların akut mani semptomlarını azaltma sürecindeki rolünü incelemektir. Yöntem: Bu derleme, Scopus, PubMed, PsycINFO ve CINAHL veri tabanlarındaki makalelerin taranmasıyla elde edilen 16 çalışmanın sistematik bir analizini içermektedir. Veriler, çalışma yöntemleri, örneklem büyüklükleri, uygulanan müdahaleler ve sonuçları gibi faktörlere göre değerlendirilmiştir. Bulgular: Bulgular, psikiyatri hemşirelerinin hastaların semptomlarını azaltmak için kullanılan tedavilerde önemli bir rol oynadıklarını göstermektedir. Hemşireler, psikoeğitim, farmakolojik tedavi, psikososyal müdahale, hemşire eğitimi ve ilaç tedavisi kombinasyonunu kullanarak hastaların semptomlarını azaltmaya yardımcı olmuştur. Sonuç: Bu derlemenin sonucunda, psikiyatri hemşirelerinin psikoeğitim, farmakolojik tedavi, psikososyal müdahale, hemşire eğitimi ve ilaç tedavisi kombinasyonunu kullanarak hastaların semptomlarını azaltmada önemli bir rol oynadıkları kanıtlanmıştır. Psikiyatri hemşirelerinin daha da geliştirilmesi ve desteklenmesi, hastaların tedavi sürecinde daha iyi sonuçlar almasına yardımcı olabilir. Öneriler: Bu derlemenin sonucunda, psikiyatri hemşirelerinin tedavi sürecinde daha etkili olabilmeleri için daha fazla eğitim ve destek almaları gerektiği önerilmektedir. Ayrıca, bu alanda daha fazla araştırma yapılması, psikiyatri hemşirelerinin rolünün daha iyi anlaşılmasına ve hastaların tedavi sürecinde daha iyi sonuçlar almasına yardımcı olabilir.
References
Aksoy, İ. M., Köse, S., Çıkınoğlu-Bayram, A., & Mete, L. (2013). The effectiveness of psychoeducation in reducing the recurrence of manic episodes in bipolar disorder: A randomized controlled study. Archives of psychiatric nursing, 27(6), 309-314.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.
Bengü, N. (2021). Bipolar bozukluğu olan hastaların bakımında psikiyatri hemşirelerinin rolü. Hemşirelikte Eğitim ve Araştırma Dergisi, 18(1), 42-49.
Berk, M., Malhi, G. S., Gray, L. J., & Dean, O. M. (2017). The promise of N-acetylcysteine in neuropsychiatry. Trends in pharmacological sciences, 38(12), 974-984.
Chien, I. C., Lee, Y., Gildengers, A. G., Begley, A., & Kuo, C. C. (2018). Improving medication adherence and bipolar disorder outcomes with family-based psychoeducation and mindfulness: a randomized controlled trial. Journal of affective disorders, 232, 133-138.
Craddock, N., & Sklar, P. (2013). Genetics of bipolar disorder. The Lancet, 381(9878), 1654-1662.
Geddes, J. R., Miklowitz, D. J., & Young, A. H. (2019). Maintenance treatment for bipolar disorder. The Lancet, 393(10168), 1532-1544.
Goodwin, G. M. (2016). Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 30(6), 495-553.
Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2016). Bipolar disorder. The Lancet, 387(10027), 1561-1572. doi: 10.1016/S0140-6736(15)00241-X.
Kaneko, Y., Motohashi, N., Sato, T., Sato, Y., & Baba, S. (2015). Effectiveness of individual psychoeducation on recurrence prevention for bipolar affective disorder and its components that negatively affect recurrence. Psychiatry and Clinical Neurosciences, 69(7), 422-430.
Kılıç, E., & Özden, D. (2019). The Effect of Psychoeducation and Medication Combination on the Incidence of Manic Episodes in Bipolar Disorder. Journal of Psychosocial Nursing and Mental Health Services, 57(9), 28-32. doi: 10.3928/02793695-20190723-03.
Lam, R. W., Michalak, E. E., Yatham, L. N., & Tam, E. M. (2014). The impact of psychoeducational interventions on readmission rates and symptom burden in bipolar disorder: a randomized controlled trial. Journal of Clinical Psychiatry, 75(5), 467-474. doi: 10.4088/JCP.13m08678.
Lin, C. Y., Peng, Y. C., & Wu, J. Y. (2016). Effects of psychoeducation on the knowledge of illness, rehospitalization, and quality of life in bipolar disorder patients: A randomized controlled trial. International Journal of Mental Health Nursing, 25(3), 214-223.
Manning, S., Ross, J., Murrant, L., & Callaghan, P. (2019). The role of psychiatric nurses in the care of patients with bipolar disorder: A literature review. Journal of psychiatric and mental health nursing, 26(1-2), 13-22.
Malhi, G. S., Bassett, D., Boyce, P., Bryant, R., Fitzgerald, P. B., Fritz, K., & Hopwood, M. (2017). Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders: Bipolar disorder summary. Medical Journal of Australia, 206(11), 501-505.
Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M. A., Petukhova, M., & Kessler, R. C. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Archives of general psychiatry, 64(5), 543-552.
Miklowitz, D. J., & Porta, G. (2019). Bipolar disorder: A family-focused treatment approach. Psychotherapy, 56(3), 287-294.
National Institute of Mental Health (NIMH). (2021). Bipolar disorder. Retrieved from https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml
Özdemir, E., Kırpınar, İ., Kuru, T., & Turan, H. (2019). The effect of psychoeducation on adherence to treatment and the level of knowledge about the disease in patients with bipolar disorder. Perspectives in psychiatric care, 55(1), 67-74.
Park, M., & Song, R. (2019). Effects of a self-management program combining wellness recovery action planning and peer support on clinical outcomes for patients with bipolar disorder. Archives of Psychiatric Nursing, 33(4), 10.1016/j.apnu.2019.04.009.
Post, R. M., Altshuler, L. L., & Leverich, G. S. (2018). An overview of recent findings of the Stanley Foundation Bipolar Network (Part I). Bipolar Disorders, 20(4), 301-304.
Rocha, F. L., Hara, C., & Mondin, T. C. (2018). Efficacy of electroconvulsive therapy in bipolar disorder: A systematic review. Brazilian Journal of Psychiatry, 40(2), 223-229.
Sarris, J., Fava, M., Schweitzer, I., & Mischoulon, D. (2015). St John's wort (Hypericum perforatum) in major depressive disorder: A randomized controlled trial. Journal of Clinical Psychopharmacology, 35(2), 195-201.
Shakeri, J., Farnia, V., Abdolahian, E., Bajoghli, H., Holsboer-Trachsler, E., & Brand, S. (2016). Effects of psychoeducation on knowledge of mental disorder, insight, relapse, and medication adherence among patients with bipolar disorder: Findings from a controlled, quasi-experimental study. Journal of psychiatric research, 81, 1-8.
Şahin, Ş., Yıldız, M., Batıgün, A. D., & Baştuğ, G. (2015). The effectiveness of psychoeducation on the illness course and treatment compliance of bipolar affective disorder patients. Archives of psychiatric nursing, 29(6), 377-382.
Şenyuva, E., Kılıç, E., & Özden, D. (2019). The effect of medication and psychoeducation combination on manic episodes in bipolar disorder: A randomized controlled study. Perspectives in Psychiatric Care, 55(4), 546-551. doi: 10.1111/ppc.12376.
Tan, S., Tong, C. Y., Wang, W., Zhang, W., & Yao, H. Y. (2019). Effectiveness of a Self-Management Intervention for Bipolar Disorder: A Randomized Controlled Trial in Community Mental Health Centers in China. Archives of Psychiatric Nursing, 33(6), 20-28. doi: 10.1016/j.apnu.2019.09.001.
Ünver, H., & Sevil, Ü. (2019). Effectiveness of a group-based psychoeducation program for people with bipolar disorder in Turkey: a randomized controlled trial. Archives of Psychiatric Nursing, 33(3), 322-329. doi: 10.1016/j.apnu.2019.03.009.
Yıldırım, E. A., Altıntaş, M., Ateşçi, F. C., & Karadağ, F. (2020). The Effect of Nursing Education and Medication on the Quality of Life of Patients with Bipolar Disorder. Journal of Psychiatric Nursing, 11(2), 101-107. doi: 10.14744/phd.2019.63172.
Yang, H. C., Yen, C. F., Wu, C. L., Cheng, C. P., & Yen, J. Y. (2016). Effects of psychoeducation for patients with bipolar disorder on compliance with medication: a randomized controlled trial. Journal of clinical psychopharmacology, 36(6), 637-642.
Yen, C. F., Chen, C. C., Lee, Y., Tang, T. C., Yeh, Y. C., & Chen, S. H. (2013). Psychoeducation for bipolar disorder: A randomized controlled trial of nurses as instructors. Archives of psychiatric nursing, 27(3), 110-116.
Vieta, E., & Colom, F. (2004). Prevalence of bipolar disorders. Medicina clinica, 123(1), 21-24.
World Health Organization. (2020). Bipolar disorder. https://www.who.int/mental_health/management/bipolar/en/
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