Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.28(3) > 1134592

J Korean Acad Psychiatr Ment Health Nurs. 2019 Sep;28(3):226-235. Korean.
Published online Sep 30, 2019.  https://doi.org/10.12934/jkpmhn.2019.28.3.226
© 2019 The Korean Academy of Psychiatric and Mental Health Nursing
Effects of the Integrated Stress Management Program on Stress and Depression in Psychiatric Inpatients
Ji Eun Kim,1 Myung Sill Chung,2 Mi Sook Kwon,3 Sunah Kang,1 Jain Ko,4 Hyeon A Kang,1 Mi Hui Seo,5 Young Ok Song,6 and Yoonyoung Nam7
1Nurse, National Center for Mental Health, Seoul, Korea.
2Professor, College of Nursing, Sungshin Women's University, Seoul, Korea.
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.

Corresponding author: Chung, Myung Sill. College of Nursing, Sungshin Women's University, 55 Dobong-ro, 76 Ga-gil, Gangbuk-gu, Seoul 01133, Korea. Tel: +82-2-920-7723, Fax: +82-2-920-2091, Email: cmsill@sungshin.ac.kr
Received Aug 13, 2019; Revised Sep 05, 2019; Accepted Sep 09, 2019.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

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

Tables


Table 1
Integrated Management Program for the Closed Ward
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Table 2
Differences in Hospital Stress and Depression according to the General Characteristics of Patients (N=36)
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Table 3
Effects of the Integrated Stress Management Program (N=36)
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Notes

CONFLICTS OF INTEREST:The authors declared no conflict of interest.

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