Intervención de Enfermería en pacientes con Trastornos Bipolar
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El establecimiento de un cuerpo de conocimientos para la enfermería sobre los pacientes con trastorno bipolar es vital para el desarrollo de un tratamiento integrado basado en la evidencia. La investigación tiene como objetivo explorar las intervenciones de enfermería en el tratamiento del trastorno bipolar I y II, abarcando todas las fases del trastorno. Se identificaron las barreras y facilitadores para el cumplimiento del tratamiento. El estudio se realizó siguiendo las directrices PRISMA para revisiones sistemáticas. Se ejecutó la búsqueda en bases de datos como Google Scholar, Scopus y PubMed, de artículos en inglés y español publicados en los últimos diez años. La extracción de datos se guió por la Plantilla Cochrane, para asegurar la confiabilidad. Se aplicó un enfoque mixto, cuantificando inicialmente las publicaciones por año, país y tipo, y posteriormente realizando una extracción cualitativa para responder preguntas específicas de investigación. Los hallazgos indican que las intervenciones de enfermería deben adaptarse a cada fase del trastorno. En la fase maníaca, la prioridad es la estabilización del estado de ánimo y la seguridad del paciente, en la fase depresiva, el objetivo se centra en mejorar el estado de ánimo y prevenir el aislamiento social. Durante la fase eutímica, se enfatiza la educación y las estrategias de estabilidad a largo plazo, fomentando la adherencia al tratamiento y la prevención de recaídas. Asimismo, se subraya la relevancia de una relación terapéutica sólida entre las enfermeras y los pacientes, que influye de manera significativa en los resultados del tratamiento y en la recuperación.
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