Temel M, Kutlu F Y
Nursing Department, Namık Kemal University, Health College, Tekirdag, Turkey.
Florence Nightingale Nursing Faculty, Mental Health and Psychiatric Nursing Department, Istanbul University, Istanbul, Turkey.
Int Nurs Rev. 2015 Dec;62(4):563-72. doi: 10.1111/inr.12217. Epub 2015 Oct 22.
Psychiatric nurses should consider the patient's biological, psychological and social aspects. Marjory Gordon's Functional Health Pattern Model ensures a holistic approach for the patient.
To examine the effectiveness of Gordon's Functional Health Pattern Model in reducing depressive symptoms, increasing self-efficacy, coping with depression and increasing hope in people with depression.
A quasi-experimental two-group pre-test and post-test design was adopted.
Data were collected from April 2013 to May 2014 from people with depression at the psychiatry clinic of a state hospital in Turkey; they were assigned to the intervention (n = 34) or control group (n = 34). The intervention group received nursing care according to Gordon's Functional Health Pattern Model and routine care, while the control group received routine care only. The Beck Depression Inventory, Beck Hopelessness Scale and Depression Coping Self-Efficacy Scale were used.
The intervention group had significantly lower scores on the Beck Depression Inventory and Beck Hopelessness Scale at the post-test and 3-month follow-up; they had higher scores on the Depression Coping Self-Efficacy Scale at the 3-month follow-up when compared with the control group.
The study was conducted at only one psychiatry clinic. The intervention and control group patients were at the clinic at the same time and influenced each other. Moreover, because clinical routines were in progress during the study, the results cannot only be attributed to nursing interventions.
Nursing models offer guidance for the care provided. Practices based on the models return more efficient and systematic caregiving results with fewer health problems.
Gordon's Functional Health Pattern Model was effective in improving the health of people with depression and could be introduced as routine care with ongoing evaluation in psychiatric clinics. More research is needed to evaluate Gordon's Nursing Model effect on people with depression. Future studies could focus on the effects of this nursing model on people with other psychiatric disorders.
This study highlighted that psychiatric nurses' role decreased depressive symptoms and hopelessness, and increased coping and self-efficacy in people with depression.
精神科护士应考虑患者的生物、心理和社会方面。玛乔丽·戈登的功能健康模式模型确保了对患者采取整体护理方法。
探讨戈登功能健康模式模型在减轻抑郁症患者抑郁症状、增强自我效能感、应对抑郁以及增强希望方面的有效性。
采用类实验性两组前后测设计。
2013年4月至2014年5月期间，从土耳其一家国立医院精神科门诊的抑郁症患者中收集数据；将他们分为干预组（n = 34）和对照组（n = 34）。干预组根据戈登功能健康模式模型接受护理及常规护理，而对照组仅接受常规护理。使用了贝克抑郁量表、贝克绝望量表和抑郁应对自我效能量表。
干预组在测试后及3个月随访时，贝克抑郁量表和贝克绝望量表得分显著更低；与对照组相比，干预组在3个月随访时抑郁应对自我效能量表得分更高。
该研究仅在一家精神科门诊进行。干预组和对照组患者同时在门诊，相互产生了影响。此外，由于研究期间临床常规工作仍在进行，结果不能仅归因于护理干预。
护理模式为所提供的护理提供指导。基于这些模式的实践能带来更高效、系统的护理结果，且健康问题更少。
戈登功能健康模式模型在改善抑郁症患者健康方面有效，可作为精神科门诊的常规护理方法并持续进行评估。需要更多研究来评估戈登护理模式对抑郁症患者的影响。未来研究可关注该护理模式对其他精神疾病患者的影响。
本研究强调了精神科护士的作用可减轻抑郁症患者的抑郁症状和绝望感，并增强其应对能力和自我效能感。
