双相障碍患者疾病获益感的质性研究

Qualitative research of benefit findings in patients with bipolar disorder

摘要:

目的 从双相障碍患者的角度出发，深入了解患者在患病过程中的疾病获益感。方法 采用质性研究中的现象学研究方法，于2022年5月至7月采用目的抽样法，对12名就诊于四川大学华西医院心理卫生中心门诊的双相障碍患者进行半结构化访谈，并采用Colaizzi 7步内容分析法整理、分析资料。结果 双相障碍患者的疾病获益感包括感受幸福能力增强、接纳疾病和自我接纳、疾病自我管理能力增强、家庭关系改善、重视自身感受及精神生活、自我了解、宽容及同理心、生活习惯改善。结论 双相障碍患者的疾病获益主要表现为对疾病和自我的接纳、对疾病和生活控制感增强、不良社会心理因素影响减少三方面。医务人员可通过相应的干预措施促进患者发现疾病获益感，促进康复。

Abstract:

Objective To explore the benefit findings of patients with bipolar disorder（BD） from the perspective of BD patients.Methods Using the phenomenological research method of qualitative research，12 BD patients visited in the Outpatient Department of the Mental Health Center of West China Hospital of Sichuan University were interviewed by objective sampling method from May to July 2022，and the data were collated and analyzed by Colaizzi 7-step content analysis method.Results The benefit findings of BD patients included the enhancement of feeling happiness，acceptance of disease and self-acceptance，enhancement of disease self-management ability，improvement of family relationship，emphasis on self-feeling and spiritual life，self-understanding，tolerance and empathy，and improvement of living habits.Conclusion The benefit findings of BD patients are mainly manifested in the acceptance of the disease and self-acceptance，the enhancement of the sense of control over the disease and life， and the reduction of the influence of adverse psychosocial factors. Medical staff can promote patients to obtain the benefit findings of the disease and promote rehabilitation through corresponding interventions.