基于罗伊适应模型的护理计划对养老院居民抑郁的影响

IF 0.8 Q4 NURSING

Nursing and Midwifery Studies Pub Date : 2021-04-01 DOI:10.4103/nms.nms_51_19

Nishteman Alidoost, O. Naseri, Aylin Jahanban, M. Maslakpak, Banafshe Maghsoudi, E. Maghsoodi

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引用次数: 0

摘要

背景:抑郁症是养老院居民中最常见的精神障碍之一。护理模式是对抑郁症有潜在影响的治疗方法之一。目的:本研究旨在探讨基于罗伊适应模型(RAM)的护理计划对疗养院居民抑郁的影响。方法:本准实验研究从伊朗乌尔米娅的四家养老院挑选60名老年人进行。参与者被随机分配到对照组和干预组。针对干预组的参与者设计并实施了基于RAM的护理计划。该计划根据参与者在四种模式下的适应不良行为进行个性化和群体教育。在干预过程中，对被试的适应不良行为及其刺激因素进行测定，并采取措施进行管理。干预期为1.5个月，随访期为1个月。在干预前后，使用老年抑郁症量表评估抑郁症。通过独立样本和配对样本t检验和卡方检验对数据进行分析。结果:对照组抑郁前测平均分为5.78±3.51分，后测平均分为6.11±3.64分;干预组抑郁前测平均分为6.81±3.64分，后测平均分为2.86±2.50分。干预组抑郁前测平均分组间差异无统计学意义(P = 0.21)，干预组抑郁后测平均分组间差异显著低于对照组(P < 0.001)。对照组抑郁平均评分无显著变化(P = 0.32)，干预组抑郁平均评分显著降低(P < 0.001)。结论:本研究所制定的基于RAM的照护计划能显著降低疗养院居民的抑郁情绪。因此，它可以用于养老院的抑郁症管理。

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The effects of a care plan based on the roy adaptation model on depression among nursing home residents

Background: Depression is one of the most common mental disorders among nursing home residents. Nursing models are among the therapies with potential effects on depression. Objectives: This study aimed to determine the effects of a care plan based on the Roy's Adaptation Model (RAM) on depression among nursing home residents. Methods: This quasi-experimental study was conducted on sixty older adults selected from four nursing homes in Urmia, Iran. Participants were randomly allocated to a control and an intervention group. A care plan based on the RAM was designed and implemented for participants in the intervention group. The plan included individualized and group educations based on participants' maladaptive behaviors in the four modes of the RAM. During the intervention, participants' maladaptive behaviors and their stimuli were determined and measures were taken for their management. The intervention lasted for 1.5 months, followed by a 1-month supervision. Before and after the intervention, depression was assessed using the Geriatric Depression Scale. Data were analyzed through the independent- and the paired-sample t and the Chi-square tests. Results: The pretest and the posttest mean scores of depression were 5.78 ± 3.51 and 6.11 ± 3.64 in the control group and 6.81 ± 3.64 and 2.86 ± 2.50 in the intervention group. The between-group difference respecting the pretest mean scores of depression was not statistically significant (P = 0.21), whereas the posttest mean score of depression in the intervention group was significantly less than the control group (P < 0.001). Although the mean score of depression in the control group did not significantly change (P = 0.32), it significantly decreased in the intervention group (P < 0.001). Conclusion: The care plan developed in this study based on the RAM is effective in significantly reducing depression among nursing home residents. Therefore, it can be used for depression management in nursing homes.

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来源期刊

Nursing and Midwifery Studies NURSING-

CiteScore

1.70

自引率

0.00%

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审稿时长

29 weeks