The Effect of Nurse-Directed Care Model on Recovery among Persons with Severe Mental Illness, Regional Hospital
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Abstract
This quasi- experimental research, two groups pre-posttest design, aimed to compare recovery of patient with severe mental illness before and after receiving the nurse-directed care model by advance practice nurse and compare between the experimental and the control group. Sample were 40 patients with severe mental illness, recruited from the outpatient department of Regional Hospital and Medical Centers, were matched pairs by gender, age, disease and treatment sampling before randomly assigned to either experimental or control group equally (n=20). Experimental group received the nurse-directed care model for persons with severe mental illness consists of individual relationship therapy and group support psychotherapy to create hope for 4 weeks while the control group received a routine care. Research instruments for measuring the recovery was Thai- Mental Health Recovery Measure and The Brief Psychiatric Rating Scale which immediately assessed after the experiment. All instruments were examined for content and the reliability of the scale yielding of Cronbach’ alpha Coefficient was .96 and .97 respectively. Data were analyzed by independent t-test. The result showed that the mental health recovery of the experimental group after receiving the nurse-directed care model was significantly higher than that of the control group, (p<.05), and the mental health recovery of the experimental group was higher than before. It can be concluded that the nurse-directed care model led by advance practice nurse could be used for enhancing recovery among for persons with severe mental illness.
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