Mathew Binu
Department of Psychiatric Nursing, College of Nursing, All India Institute of Medical Sciences Raipur, GE Road, Tatibandh, Raipur, Chhattisgarh, India.
J Family Med Prim Care. 2022 Nov;11(11):6704-6713. doi: 10.4103/jfmpc.jfmpc_561_21. Epub 2022 Dec 16.
Anxiety disorders are among the most common mental disorders in all age groups and they are associated with short-term and long-term impairment in social, academic, familial, and psychological functioning. The purpose of this study was to evaluate the impact of psychological interventions to decrease anxiety thereby improving the wellness level of patients with anxiety disorder.
A quasi-experimental research design (a nonequivalent control group design) for evaluating the effectiveness of the psychological intervention on anxiety and wellness level among neurotic patients ( = 100). Psychological interventions consisted of psychoeducation and simple relaxation exercises was administered.
The study findings revealed that in pre-test, there is no significant difference between experimental and control groups, but in post-test significant difference is observed between experimental group and control group as depicted by the values at first post-test was = 2.04 at = 0.04, df = 98, at third month post-test = 6.32 at = 0.001, df = 98 and at sixth month post-test = 11.03 at = 0.001, df = 98. The experimental group patients are having 20.3% anxiety reduction and 23.0% improved wellness score, whereas in control group anxiety reduction is only 1.4% and only 2.4% improved wellness score which shows the effectiveness of psychological intervention.
The results demonstrated the importance of improving patient's awareness of anxiety and how to manage and access help. Nurses can play a vital role in screening and managing anxiety, and educating people in strategies to prevent episodes of panic. This nurse-led intervention, increased perceived self-efficacy in patients with anxiety disorders, compared with control patients.
焦虑症是所有年龄组中最常见的精神障碍之一，与社交、学业、家庭和心理功能的短期和长期损害相关。本研究的目的是评估心理干预对减轻焦虑的影响，从而提高焦虑症患者的健康水平。
采用准实验研究设计（非等效对照组设计），以评估心理干预对神经症患者（n = 100）焦虑和健康水平的有效性。心理干预包括心理教育和简单的放松练习。
研究结果显示，在预测试中，实验组和对照组之间没有显著差异，但在测试后，实验组和对照组之间观察到显著差异，第一次测试后的t值为t = 2.04，p = 0.04，df = 98；第三个月测试后t = 6.32，p = 0.001，df = 98；第六个月测试后t = 11.03，p = 0.001，df = 98。实验组患者的焦虑减轻了20.3%，健康得分提高了23.0%，而对照组的焦虑仅减轻了1.4%，健康得分仅提高了2.4%，这表明了心理干预的有效性。
结果证明了提高患者对焦虑的认识以及如何管理和寻求帮助的重要性。护士在筛查和管理焦虑以及教育人们预防恐慌发作的策略方面可以发挥至关重要的作用。与对照组患者相比，这种由护士主导的干预提高了焦虑症患者的自我效能感。
