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  • Küçük Resim
    Öğe
    Depresyon Tanılı Bir Hastada Fonksiyonel Sağlık Örüntüleri Modeli Temelinde Bir Bakım Planı
    (2019) Temel, Münire; Kutlu, Fatma Yasemin
    Depresyon ruhsal hastalıklar içinde en sık görülen, uzun süreli atakları olan, intihar riski ve iş gücü kaybıoluşturan, ciddi fiziksel ve psikososyal yeti yitimine yol açan, sosyal ve ekonomik maliyeti yüksek birhastalıktır. Depresyon tanılı bir hastanın hemşirelik bakımındaki amaç; hastanın güvenliğinin sağlanması,mümkün olduğunca bağımsızlığının desteklenmesi, hastalık öncesi dengeyi yeniden kurabilmesi veiyilik halini sürdürebilmesidir. Olgu intihar girişimi ve ardından devam eden intihar düşünceleri, suçlulukduygusu, mutsuzluk, isteksizlik gibi semptomlarla polikliniğe başvurmuş, orta depresif nöbet tanısıylapsikiyatri kliniğine yatırılmıştır. Hasta yatışının ikinci günü Gordon’un Fonksiyonel Sağlık ÖrüntüleriHemşirelik Bakım Modeli doğrultusunda değerlendirildi ve ‘beden gereksiniminden az beslenme,umutsuzluk, benlik saygısında azalma, sosyal etkileşimde bozulma, kendine zarar verme riski, bireyselbaş etmede yetersizlik’ gibi hemşirelik tanıları belirlendi. İlaç tedavisi alan hastaya, belirlenen hemşireliktanıları doğrultusunda hemşirelik girişimleri uygulandı. Uygulanan bakımın hastanın iyileşmesine olumlukatkı sağladığı görüldü.
  • Küçük Resim
    Öğe
    Gordon's model applied to nursing care of people with depression
    (Wiley, 2015) Temel, Münire; Kutlu, Fatma Yasemin
    BackgroundPsychiatric 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. AimTo 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. DesignA quasi-experimental two-group pre-test and post-test design was adopted. MethodsData 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. ResultsThe 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. LimitationThe 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. DiscussionNursing models offer guidance for the care provided. Practices based on the models return more efficient and systematic caregiving results with fewer health problems. ConclusionGordon'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. Implications for nursing and health policyThis study highlighted that psychiatric nurses' role decreased depressive symptoms and hopelessness, and increased coping and self-efficacy in people with depression.