ประสิทธิผลของโปรแกรมฝึกอบรมบุคลากรสาธารณสุขเพื่อส่งเสริมสมรรถนะในการเป็นผู้บำบัดโรคซึมเศร้าด้วยการเจริญสติตระหนักรู้ความคิด

Kamontip  Saguanrum; Kulchalee  Pianthong; Kedsaraporn  Kenbubpha

doi:10.60099/jtnmc.v38i03.264204

Authors

Kamontip Saguanrum Research and Training Center, Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani province
Kulchalee Pianthong Research and Training Center, Prasrimahabhodi Psychiatric Hospital, Ubon Ratchathani province
Kedsaraporn Kenbubpha Boromarajonani College of Nursing Sanpasithiprasong, Faculty of Nursing, Praboromarajchanok Institute, Thailand

DOI:

https://doi.org/10.60099/jtnmc.v38i03.264204

Keywords:

depressive disorder, mindfulness-based cognitive therapy, healthcare professionals, competence

Abstract

Introduction Mindfulness-based cognitive therapy (MBCT) for depression, combined with medication therapy using antidepressants, assists in reducing depressive symptoms and preventing the recurrence of depression. Therapists play a crucial role in this process, requiring the competency to facilitate therapeutic activities effectively.

Objectives The aims of this study were to compare the knowledge of depression and MBCT, levels of mindfulness, and ruminative thought among healthcare professionals before and after participating in a training program.

Design A quasi-experimental with one-group, pretest and posttest design

Methodology A sample of 20 healthcare professionals from the psychiatric hospital, the provincial hospital, a district health promoting hospital, and the nursing college in Ubon Ratchathani province, was purposively selected according to the inclusion criteria. The sample size was determined based on the guiding principles of a pilot study. Research instruments included: 1) Demographic questionnaire, 2) Knowledge Test, 3) Ruminative Response Scale, 4) Philadelphia Mindfulness Scale (Thai version), and 5) A 4-day training program comprising 5 learning modules. During the training, participants’ reflections and emotions after learning activities were taken. The program revealed a content validity index of .83. Data were analyzed using descriptive statistics and Paired t-test.

Results The sample consisted entirely of females, with the mean age of 38 years (SD = 6.93) and mean work experience of 16 years (SD = 7.24). The majority were professional nurses (80%). Before participating in the program, the sample had mean knowledge about depression and MBCT of 10.30 (SD = 2.00), mean ruminative thought of 37.00 (SD = 10.35), and mean mindfulness level of 60.70 (SD = 12.11). After the program, their knowledge (M = 11.90, SD = 2.83) was significantly higher, compared to before the program (t = -3.559, p = .002). The ruminative thought after the program (M = 35.00, SD = 9.06) had no significant difference from before the program (t = 0.848, p = .407). Similarly, the mindfulness level after the program (M = 64.65, SD = 6.06), had no significant difference from before the program (t = -1.588, p = .129).

Recommendation Healthcare professionals who completed training in MBCT attain a greater knowledge and are prepared with the competence to consistently and continuously apply mindfulness techniques in therapy. They can integrate these skills into their ongoing practice, subsequently offering therapy to patients with depression.

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