「疾病管理與復元」衞教對門診躁鬱症病人之疾病知識及病識感成效探討：隨機控制研究

Effect of an Illness Management and Recovery Course on the Disease Knowledge and Insight of Outpatients with Bipolar Disorder: A Randomized Control Study

10.6540/NTJN.202209_24(2).0004

劉欣怡(Hsin-I Liu)；吳珮全(Pei-Chuan Wu)；蔡欣玲(Sing-Ling Tsai)

隨機控制研究 ； 躁鬱症 ； 疾病管理與復元方案 ； 知識 ； 病識感 ； randomized control trial ； Illness Management and Recovery Program ； bipolar disorder ； knowledge ； insight

新臺北護理期刊

24卷2期（2022 / 09 / 01）

35 - 45

繁體中文

背景：躁鬱症是一個全球健康問題，若未妥善治療，將導致終身發病及死亡，國外實證研究支持疾病管理與復元衛教，可以協助躁鬱症病人如何與護理人員合作，獲得治療疾病的知識與技能，並提升病識感，但國內目前並無相關研究。目的：本研究探討疾病管理與復元衛教介入對門診躁鬱症病人疾病知識及病識感之成效。方法：本研究為隨機控制研究，採前後測，收案對象為新北市某醫學中心精神科門診84位躁鬱症病人。實驗組提供疾病管理與復元衛教課程，每週兩次，每次60分鐘為期十週，對照組則提供一般門診口頭衛教。結果：兩組基本屬性，無顯著差異；經廣義估計方程模式顯示，持續接受疾病管理衛教介入病人疾病知識（β=5.524, p＜0.05）及病識感（β=-0.289 , p＜0.05）成效皆優於對照組。結論：疾病管理與復元衛教介入有助於提升門診躁鬱症病人疾病知識及病識感，建議可作為未來精神科人員在活動規劃上參考。

A global health problem, bipolar disorder can be a lifelong disease and cause death if not treated properly. Empirical studies conducted outside of Taiwan have confirmed that health education on illness management and recovery can improve patient-nurse collaboration, equip patients with knowledge and skills related to the treatment of conditions they have, and improve patients' insight into these conditions. However, this has not been addressed in any Taiwanese study. Purpose: This study developed a culturally adapted and abbreviated version of the IMR for Taiwanese patients Outpatients with Bipolar Disorder. Furthermore, we investigated the impact of the program in terms of illness knowledge and insight. Methods: This was a randomized control trial. This study recruited 84 outpatients with bipolar disorder from the psychiatric department of a medical center in New Taipei City. The experimental group was provided with a health education course on illness management and recovery, which consisted of two sessions per week for 10 weeks, whereas the control group was offered general oral health education for outpatients. Results: Generalized estimating equation (GEE) statistics were used to knowledge and insight. The results revealed that patients receiving the intervention outperformed those in the control group (p ＜ 0.05) regarding their disease knowledge and insight. Conclusion: The Illness Management and Recovery course intervention improved the disease knowledge and insight of outpatients with bipolar disorder and thus may be incorporated into the activities designed for patients with psychiatric conditions.

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