J Korean Acad Psychiatr Ment Health Nurs.  2019 Sep;28(3):226-235. 10.12934/jkpmhn.2019.28.3.226.

Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients

Affiliations
  • 1Nurse, National Center for Mental Health, Seoul, Korea.
  • 2Professor, College of Nursing, Sungshin Women's University, Seoul, Korea. cmsill@sungshin.ac.kr
  • 3Head Nurse, National Center for Mental Health, Seoul, Korea.
  • 4Team Leader of Nursing Service, National Center for Mental Health, Seoul, Korea.
  • 5Chief Official of Nursing Service, National Center for Mental Health, Seoul, Korea.
  • 6Director of Nursing Service, National Center for Mental Health, Seoul, Korea.
  • 7Medical Director, National Center for Mental Health, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study was to test the effects on stress and depression by developing and implementing an integrated stress management program for inpatients in the psychiatric closed ward.
METHODS
The study was a one-group pretest-posttest design. A total of 36 patients in the closed ward participated in this study. Data were collected through self-report questionnaires to measure hospital stress and depression. Data were analyzed by using t-tests and one-way ANOVA with SPSS/WIN 21.0.
RESULTS
Integrated stress management program was designed based on Lazarus and Folkman stress-appraisal-coping model. Total of eight 1-hour sessions were delivered for four weeks in the group. There were significant differences in the inpatient stress scores before and after the intervention. However, the integrated stress management program showed some reduction in depression but did not show signifiant differences statistically.
CONCLUSION
Our study findings confirm that the use of the integrated stress management program can reduce stress of the patients, that enable them to stabilize their minds at hospitalization. However, further study is needed to confirm the effects on depression. Thus, it would be beneficial to provide psychiatric nursing intervention tailored to psychiatric patients' symptoms, especially for reducing inpatient stress.

Keyword

Managed care programs; Stress, Psychological; Depression; Psychiatry; Inpatients

MeSH Terms

Depression*
Hospitalization
Humans
Inpatients*
Managed Care Programs
Psychiatric Nursing
Stress, Psychological
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