ผลของโปรแกรมการพยาบาลที่เน้นการปรับตัวและการระลึกถึงความหลังต่ออาการซึมเศร้าของผู้ป่วยโรคซึมเศร้าวัยสูงอายุ / วาสนา วรรณเกษม = The Effect of nursing program enhancing adaptation and reminiscence on depressive symptoms among older persons with depressive disorder / Wasana Wannakasem
The purpose of this quasi-experimental research using the pretest-posttest design were to compare the depressive symptoms of older persons with depressive disorder before and after receiving the nursing program enhancing adaptation and reminiscence; between the experimental and the control group. Thirty subjects, aged 60 years and older, whose diagnosed as depressive disorder, were recruited from the outpatient department. The potential subjects, were matched pair and then randomly assigned to the experimental and the control group, 15 subjects in each group. The experimental group received 5-session, 60 minutes each nursing program enhancing adaptation and reminiscence for three weeks, while the control group received nursing care as usual. The concepts of Roy’s adaptation model and reminiscence were derived into the program and validated for content validity by five professional experts. The instruments employed in data collection included 1) Thai Geriatric Depression Scale (TGDS), 2) Thai Mental State Exam (TMSE), and 3) The adaptation questionnaires. The Chronbach’s Alpha coefficient reliability of the questionnaire for instruments was .72, .82 and .86, respectively. Data were analyzed by descriptive statistics and t-test. Major findings were as follows: 1. The depressive symptoms of older persons with depressive disorder who received the nursing program enhancing adaptation and reminiscence was significantly lower than those before receiving the program (t = 5.91, p < .05). 2. The depressive symptoms of older persons with depressive disorder who received the nursing program enhancing adaptation and reminiscence was significantly lower than those who received regular caring (t = -3.12, p < .05).