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Rostami P, Cheraghi F, Oshvandi K, Borzou S R. The Neuman Systems Model-based Nursing Program for a Female Patient With Bipolar Disorder Type 2: A Case Study. , IJN. 2025; 38 (S1 )
URL: http://ijn.iums.ac.ir/article-1-3984-en.html
URL: http://ijn.iums.ac.ir/article-1-3984-en.html
1- Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Department of Pediatric Nursing, Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran. ,f_cheraghi@umsha.ac.ir
3- Mother and Child Care Research Center, Institute of Health Sciences and Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran.
2- Department of Pediatric Nursing, Chronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran. ,
3- Mother and Child Care Research Center, Institute of Health Sciences and Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.
4- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (483 Views)
Background & Aims Stress is recognized as one of the key factors in the onset, exacerbation, and recurrence of mood episodes in patients with bipolar disorder (BD). This case study aimed to implement a nursing program based on the Neuman Systems Model (NSM) to treat a woman with BD type II.
Materials & Methods This is a case study. The patient was a 25-year-old woman purposively selected from among patients hospitalized in the women’s psychiatric ward of a teaching hospital in Hamadan, Iran. Data were collected through semi-structured interviews with the patient and her mother (primary caregiver), direct observation, and review of her medical records. The intervention was performed based on the NSM, along with pharmacological treatment, at three levels of prevention (primary, secondary, and tertiary). Care was provided continuously throughout a one-month hospitalization, followed by two months of telephone follow-up after discharge.
Results The main identified stressors included grandiose delusions, impulsive behaviors, conflict in the maternal role, recent divorce, cultural pressures from a rural community, and financial dependence on the family. The interventions yielded positive outcomes. Grandiose delusions, verbal aggression, sleep duration, and social interactions showed significant improvement. The patient reported a greater sense of competence in performing her maternal role. Both the patient and her mother confirmed a considerable reduction in stress levels, increased adherence to treatment, and overall improvement in functioning.
Conclusion Applying the NSM in the nursing process of women with BD type II provides a comprehensive framework for identifying their stressors and delivering holistic care. By emphasizing prevention at three levels and paying special attention to the patient’s perception of stressors, the NSM can significantly enhance the effectiveness of psychiatric care for patients with BD type II and contribute to improving their quality of life and reducing recurrence.
Materials & Methods This is a case study. The patient was a 25-year-old woman purposively selected from among patients hospitalized in the women’s psychiatric ward of a teaching hospital in Hamadan, Iran. Data were collected through semi-structured interviews with the patient and her mother (primary caregiver), direct observation, and review of her medical records. The intervention was performed based on the NSM, along with pharmacological treatment, at three levels of prevention (primary, secondary, and tertiary). Care was provided continuously throughout a one-month hospitalization, followed by two months of telephone follow-up after discharge.
Results The main identified stressors included grandiose delusions, impulsive behaviors, conflict in the maternal role, recent divorce, cultural pressures from a rural community, and financial dependence on the family. The interventions yielded positive outcomes. Grandiose delusions, verbal aggression, sleep duration, and social interactions showed significant improvement. The patient reported a greater sense of competence in performing her maternal role. Both the patient and her mother confirmed a considerable reduction in stress levels, increased adherence to treatment, and overall improvement in functioning.
Conclusion Applying the NSM in the nursing process of women with BD type II provides a comprehensive framework for identifying their stressors and delivering holistic care. By emphasizing prevention at three levels and paying special attention to the patient’s perception of stressors, the NSM can significantly enhance the effectiveness of psychiatric care for patients with BD type II and contribute to improving their quality of life and reducing recurrence.
Type of Study: case report |
Subject:
nursing
Received: 2025/12/28 | Accepted: 2025/12/22 | Published: 2025/03/21
Received: 2025/12/28 | Accepted: 2025/12/22 | Published: 2025/03/21
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