ผลของโปรแกรมการสร้างความมั่นคงภายในจิตใจต่อความวิตกกังวลในผู้สูงอายุโรควิตกกังวลทั่วไป

Abstract

The quasi-experimental research aimed to examine the effect of a Stabilization-based Program on Anxiety among elderly patients with generalized anxiety disorder. Participants comprised 60 elderly patients with generalized anxiety disorder, aged 60-79 years, and undergoing treatment as outpatient in Suansaranrom Hospital. The participants, were assigned into 2 groups, 30 to the experimental group to receive the stabilization-based program and 30 to the control group to receive usual care. Research instruments consisted of a demographic data form, an anxiety inventory, a state-trait Anxiety Inventory form Y (STAI from Y), and the ruminative response scale (RRS), and the Stabilization-based Program. The program included 3 sessions, each of 90 minutes, once a week continually. Content validity of instruments was verified by three experts. Cronbach's alpha coefficient was used for reliability testing of the anxiety Inventory, the STAI from Y and RRS yielding a value of .82, .83 and .83, respectively. Data were analyzed using frequency, percentage, mean, standard deviation, and chi square. To comparison between before and after mean score of the experiment group was analyzed using Paired-t test. The mean difference between control group and experimental group was analyzed using Independent-t test. The result revealed that the mean score of state-anxiety after participating in the stabilization-based program was significantly lower then before participating in the program (t=9.19, p<.01), and the mean score of state-anxiety after participating in the stabilization-based program was significantly lower then before participating in the program (t=9.39,p<.01). In addition, the mean score of state-anxiety after participating in the stabilization-based program as the experimental group was significantly lower then that of participants in the control group (t=-5.71, p<.01) and the mean score of trait-anxiety after participating in the stabilization-based program as the experimental group was significantly lower then that of participants receiving usual care as the control group (t=-10.88, p<.01) In conclusion, the stabilization-based program could reduce anxiety in elderly patients with generalized anxiety disorder. Therefore, psychiatric nurse could implement the program to reduce anxiety in the elderly and to prevent mental health crises.