Anxiety Generalized
Conditions
Keywords
Nursing Outcomes Classification, Psychotherapeutic intervention, Patient outcome, Psychiatric nursing, Anxiety Generalized, Coping, Self esteem
Brief summary
This study aims to evaluate the efficacy of a psychotherapeutic intervention model in nursing on the nursing diagnosis ineffective coping. For this purpose, validity and reliability studies of the assessment tools will be carried out initially, and then a randomized controlled study will be conducted.
Detailed description
This study aims to evaluate the efficacy of the psychotherapeutic intervention model in nursing on patients with nursing diagnosis of ineffective coping (International Classification of Nursing Practices (ICNP)/North American Nursing Diagnostic Association (NANDA)). For this purpose, first of all, validity and reliability studies of Coping and Self-Esteem, which are the results of NOC (Nursing Outcomes Classification), will be conducted, and then a randomized controlled study will be conducted (Turkish version). 200 patients will be included in the validity and reliability phase of the study, which was conducted in a hospital outpatient psychiatric setting in Turkey. The randomized controlled second phase will be carried out, single-blind, nurse-led, with approximately 20 patients with anxiety randomized to intervention (n=10) or control groups (n=10). The usual treatment and care will be compared with the application of the psychotherapeutic intervention model previously developed in nursing.
Interventions
Patients will be treated by NIC psychotherapeutic intervention(s) for general anxiety (e.g. anxiety reduction, coping enhancement).
Patients will be treated by NIC psychotherapeutic intervention(s) for general anxiety (e.g. anxiety reduction, coping enhancement).
Sponsors
Study design
Masking description
It will not be known by the Outcomes Assessor that the patients are in the experimental or usual treatment group.
Intervention model description
Parallel Assignment
Eligibility
Inclusion criteria
* 18-64 years old, * Literacy, * Having applied to the psychiatry outpatient clinic, * Being regularly treated in a psychiatry outpatient clinic, * Having a medical diagnosis of generalized anxiety disorder, * Having at least one of the defining characteristics of the nursing diagnosis of ineffective coping according to the nursing process.
Exclusion criteria
* Medical diagnosis of dementia or psychotic spectrum disorder, * Cognitive disorder, * Confused state of consciousness * Psychomotor agitation, * Moderate or severe intellectual disability * Expressing suicidal thoughts * Suicide attempt in the last month * Continuing psychological counseling at the moment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Coping | Baseline and through study completion, an average of 9 weeks | Nursing Outcomes Classification (Coping (1302)) The scale consists of 19 items. A minimum of 19 and a maximum of 95 points can be obtained from the scale. Increasing scale scores indicate good results. |
| Self esteem | Baseline and through study completion, an average of 9 weeks | Nursing Outcomes Classification (Self-Esteem (1205)) The scale consists of 20 items. A minimum of 20 and a maximum of 100 points can be obtained from the scale. An increase in scale scores indicates good results. |
Countries
Turkey (Türkiye)