Kısa süreli yapılandırılmış psikoeğitimin, bipolar bozukluğu olan ötimik hastaların yaşam kalitesi, ilaç uyumu ve sağlık anksiyetesi üzerindeki etkisi

Yıl 2025, Cilt: 50 Sayı: 4, 1103 - 1113, 22.12.2025

Caner Yeşiloğlu , Lut Tamam , Mehmet Emin Demirkol , Tugrul Demireğen , Cennet Yaren Sarıoğlu , Ömer Fettahlıoğlu , Damla Altın

https://doi.org/10.17826/cumj.1803773

Öz

Amaç: Bu çalışma, bipolar bozukluk tanılı bireylerde psikoeğitimin yaşam kalitesi, işlevsellik, ilaç uyumu, sağlık anksiyetesi ve uyku üzerindeki etkilerini incelemeyi amaçlamıştır.
Gereç ve Yöntem: DSM-5 kriterlerine göre bipolar bozukluk tanısı almış ve remisyonda bulunan toplam 25 birey, prospektif olarak takip edilmiştir. Uygun katılımcılar 18–65 yaş aralığında ötimik olup en az bir yıldır sabit ilaç tedavisi almaktaydı. Değerlendirmelerde Sosyodemografik Veri Formu, Global Değerlendirme Ölçeği (GDÖ), Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Kısa Formu (WHOQOL-BREF), Pittsburgh Uyku Kalitesi İndeksi (PUKİ), Algılanan Sosyal Destek Çok Boyutlu Ölçeği (MSPSS), Bipolar Bozuklukta İşlevsellik Ölçeği (BBİÖ), Morisky İlaç Uyumu Ölçeği (MİUÖ) ve Kısa Sağlık Anksiyetesi Envanteri (KSAE) kullanılmıştır.
Bulgular: Katılımcıların %68’i kadın (n=17), %32’si erkekti (n=8). Ortalama yaş 40,4 ± 13,2 yıl, tanı yaşı 27,2 ± 7,3 yıl bulundu. Psikoeğitim sonrası WHOQOL-BREF (52,05’ten 60,80’e) ve GDÖ (74,18’den 83,40’a) puanları anlamlı arttı. KSAE puanları azaldı (18,50’den 15,73’e). İlaç uyumu %48’den %100’e yükseldi. Bilgi testi puanları arttı (83,18’den 89,55’e).
Sonuç: Psikoeğitim, bipolar bozukluk tanılı bireylerde yaşam kalitesini ve ilaç uyumunu artırmış, sağlık anksiyetesini azaltmıştır. Kısa süreli psikoeğitim programındanelde edilen bulgular bu yapılandırılmış yaklaşımın tedaviye uyumu güçlendirerek bireylerin genel iyilik haline katkı sağlayabileceğini göstermektedir.

Anahtar Kelimeler

Bipolar bozukluk , psikoeğitim , yaşam kalitesi , ilaç uyumu , sağlık anksiyetesi

Etik Beyan

Çalışmaya başlamadan önce Çukurova Üniversitesi Tıp Fakültesi Etik Kurulu’ndan onay alındı ​​(Onay No: 151, tarih: 03.01.2025).

Destekleyen Kurum

Herhangi bir destek kurum yoktur.

Proje Numarası

1

Teşekkür

Ek bir teşekkür notumuz yoktur.

Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder

Öz

Purpose: This study aimed to examine the effects of psychoeducation on quality of life, functionality, medication adherence, health anxiety, and sleep quality in individuals diagnosed with bipolar disorder.
Material and Methods: A total of 25 individuals diagnosed with bipolar disorder according to DSM-5 criteria and in remission were prospectively followed. Eligible participants were between 18 and 65 years old and had been on a stable medication regimen and euthymic for at least one year. The Sociodemographic Data Form, Global Assessment Scale (GAS), World Health Organization Quality of Life-BREF (WHOQOL-BREF), Pittsburgh Sleep Quality Index (PSQI), Multidimensional Scale of Perceived Social Support (MSPSS), Functioning Assessment Short Test for Bipolar Disorder (FAST), Morisky Medication Adherence Scale (MMAS), and Short Health Anxiety Inventory (SHAI) were administered.
Results: Of the participants, 68% were female (n=17) and 32% male (n=8), with a mean age of 40.4 ± 13.2 years and mean age at diagnosis of 27.2 ± 7.3 years. After psychoeducation, WHOQOL-BREF scores (from 52.05 to 60.80) and GAS scores (from 74.18 to 83.40) significantly increased, while SHAI scores decreased (from 18.50 to 15.73). Medication adherence improved from 48% to 100%. Knowledge test scores significantly improved (from 83.18 to 89.55).
Conclusion: Psychoeducation improved quality of life and medication adherence while reducing health anxiety in individuals with bipolar disorder. These findings suggest that brief, structured psychoeducation may positively influence treatment adherence and overall well-being.

Anahtar Kelimeler

Bipolar disorder , psychoeducation , quality of life , medication adherence , health anxiety

Etik Beyan

Prior to the study, approval was obtained from the Ethics Committee of Çukurova University Faculty of Medicine (Approval No: 151, dated 03.01.2025).

Destekleyen Kurum

None

Proje Numarası

1

Teşekkür

None

Kaynakça

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