双相障碍患儿父母基于知识转化模式的健康管理实践
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女,硕士,心理治疗师

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江西省教育厅科学技术研究项目(GJJ190150);江西省卫生计生委科技计划基金项目(202130474)


Effect of knowledge to action (KTA) framework-based health management on parents of children with bipolar Ⅱ disorder
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    摘要:

    目的 探究基于知识转化模式(Knowledge to Action Framework,KTA)的健康管理在双相障碍Ⅱ型抑郁相患儿父母中的应用效果。 方法 将80例双相障碍Ⅱ型抑郁相患儿父母应用随机数字表法分为对照组和干预组各40例,对照组接受常规健康管理;干预组接受基于知识转化模式的健康管理。于基线时和干预12周后调查两组患儿及父母负性情绪,于干预12周后调查两组患儿父母双相障碍疾病知识及技术掌握情况。 结果 干预12周后,两组患儿及父母焦虑自评、抑郁自评得分显著低于基线时,干预组下降更加明显(均P<0.01)。干预12周后,干预组患儿父母在疾病知识、健康管理技术和复诊要求方面得分显著高于对照组(均P<0.01)。 结论 基于知识转化模式的健康管理改善了双相障碍患儿及父母负性情绪,促使患儿父母更好地掌握疾病知识,提升管理技能。

    Abstract:

    Objective To explore the effect of knowledge to action (KTA) framework-based health management on parents of children with bipolar Ⅱ disorder during the depressive episode. Methods A total of 80 parents of children with bipolar Ⅱ disorder du-ring the depressive episode were selected as the study participants and randomly divided into 2 groups of 40 cases each.The control group received the routine health management, while the intervention group received KTA framework-based health management.The negative emotions of the children and parents of the two groups were measured at baseline and 12 weeks after intervention; parents′ knowledge on bipolar Ⅱ disorder and skill mastery were measured at 12 weeks. Results After 12 weeks′ intervention, the standard scores of the Self-rating Anxiety Scale and the Self-rating Depression Scale in children and parents of the two groups were significantly lower than those of the baseline, with the intervention group saw a more significant drop from baseline (P<0.01 for all).After 12-week intervention, the score of disease-related knowledge, disease management techniques and requirements for return visits in the parents of the intervention group were significantly higher than those in the control group (P<0.01 for all). Conclusion KTA framework-based health management could improve the negative emotions of children and parents, effectively push parents to learn knowledge of bipolar disorder, and improve their management skills.

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卢和丽,李睿灵,黄泽文,黄筱琴,郭明,胡飞虎,孙伟铭,董香丽,徐茜,赵慧.双相障碍患儿父母基于知识转化模式的健康管理实践[J].护理学杂志,2021,36(11):65-68

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  • 收稿日期:2021-01-03
  • 最后修改日期:2021-03-08
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  • 在线发布日期: 2022-12-12