Effects of " one kind of high-quality nursing plan for one kind of disease" nursing model on self-efficacy and curative effect of depressive patients

Abstract

Objective To explore the effects of one kind of high-quality nursing plan for one kind of disease nursing model on self-efficacy and curative effect of depressive patients with different severity. Methods Totally 120 depressive patients hospitalized in the department of mental health of our hospital from January 2014 to December 2015 were selected as the research object, and they were assigned to the observation group(n=60) and the control group(n=60). Patients in the control group were given routine nursing procedure, while patients in the observation group were given one kind of high-quality nursing plan for one kind of disease nursing model. Patients were evaluated by Hamilton depression scale (HAMD) and general self-efficacy scale (GSES) at the beginning of hospitalization, 15 d and 30 d after hospitalization. The evaluation results were compared between two groups. Patients in the observation group were divided into 3 groups based on the severity of depression, and the scores of HAMD and GSES at the beginning of hospitalization, 15 d and 30 d after hospitalization were compared among 3 groups (mild group, moderate group and severe group). Results The GSES score in the observation group at 15 d (t=-2.79, P=0.01) and 30 d(t=2.60, P=0.01) after hospitalization was higher than that in the control group; the HAMD score in the observation group at 15 d (t=2.19, P=0.03) and 30 d (t=2.60, P=0.01) after hospitalization was lower than that in the control group; the HAMD score-reducing rate of patients with mild depression (P<0.01) and patients moderate depression (P=0.01) in the observation group was significantly higher than that of severe patients. Conclusions One kind of high-quality nursing plan for one kind of disease nursing model has significant effect in promoting the rehabilitation of depression and enhancing self-efficacy of depressive patients, especially the patients with mild depression and moderate depression. It also can make the patients more positively faced with the disease, so to obtain good curative effect. Key words: Depression; Self-efficacy; Curative effect; Hospitalized patients; One kind of high-quality nursing plan for one kind of disease nursing model