双相障碍患儿父母基于知识转化模式的健康管理实践

Effect of knowledge to action(KTA)framework-based health management on parents of children with bipolarⅡdisorder

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。

Objective To explore the effect of knowledge to action(KTA)framework-based health management on parents of children with bipolarⅡdisorder during the depressive episode.Methods A total of 80 parents of children with bipolarⅡdisorder 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 bipolarⅡdisorder 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.