The Development of Holistic Nursing Model for Mental Health Care of the Affected Individuals from the Unrest Situation in Nomg Chik District, Pattani Province
Keywords:
Holistic nursing model, Psychological treatment, Affected individual, Unrest situationAbstract
This research is a research and development (R & D) aiming to develop and study the effectiveness of a holistic nursing model to heal the mind affected individuals from the unrest situation in Nong Chik District, Pattani Province. The research was conducted during January 2018 to March 2019. The subjects were 30 people affected by the unrest situation in Nong Chik District, selected using purposive sampling technique. The tools used to collect data which consisted of Personal information questionnaire, PISCES-10 test, Happiness self-assessment test, Quality of life test, Feasibility evaluation form for applying, Satisfaction ruler and Cost data questionnaires. Data were analyzed using descriptive statistics and paired t-test statistics.
The results of the research were as follows: 1) the holistic nursing model was developed based on Deming cycle framework (PDCA) integrated with the nursing process, the concept of development of a holistic quality of life and the concept of mental health care for the mind affected individuals from the unrest situations in 3 southern border provinces. The holistic nursing model consisted of 4 circuits: Analysis plan, Development of model, Test the model and Evaluation and 2) the effectiveness of the holistic nursing model for psychological treatments; mental symptoms, cost, happiness level and quality of life were revealed. After treatments, the individuals had lower scores of PTSD, depression and grief (t = 8.469). The cost was reduced (t = 29.682); however, the average score of happiness (t = 2.714) and the average score of quality of life (t = 2.994) were increased, with a statistical significance of .05.
This was suggested that, the holistic nursing model of psychological healing should be used in other unrest areas of 3 southern border provinces and with other vulnerable target groups.
References
Academic Coordination Center to assist people affected by the border provinces unrest Southern region. (2019). Situation monitoring report for injury injuries in southern border provinces.
Accident & Emergency Department Nong Chik Hospital. (2019). Data base received the impact of the unrest situation in 3 southern border provinces, Nong Chik District, Pattani Province. (In Thai).
Bravo-Mehmedbasic, Kucukalic, Kulenovic & Sulic. (2010). Impact of chronic Posttraumatic Disorder on the Quality of life of war survivors. Psychiatr Danub. 22(3).
Chaiwannawat, T. (2017). Roles of Psychaitric nurses for mental health promotion and mental illness prevention. The Journal of Psychiatric Nursing and Mental Health, 31(2), 16-30.
Chaiwannawat, T., & Kittiyawan, S. (2019). Nurse and the operation of community mental-health and psychiatry. The Journal of Psychiatric Nursing and Mental Health, 33(2), 1-12.
Charoensuk, S. (2014). Theoretical Concepts of Psychiatric-Mental Health Nursing. Bangkok: Thanapress. (In Thai).
Christraksa, W. & Chetchaovalit, T. (2018). The Role of the Community Psychiatric Nurses in the Elderly living with Spiritual Distress: Spiritual Dimension. Journal of Nursing and Health Care, 36(2), 6-14.
Department of Mental Health and Office of Nursing Ministry of Public Health. (2013). Standard of psychiatric nursing and mental health. Chiang Mai: No place printed. (In Thai).
Detdee, S., Prohmpetch, W., & Tantirangsee, N. (2018). The effectiveness of resilience enhancing program on resilience level and depression among widows affected by south Thailand insurgency. Journal of Mental Health of Thailand, 26(2), 103-116.
Harnyoot, O. (2014). Nursing Process and Implications. Journal of the Royal Thai Army Nurses, 15(3), 137- 143.
Hatthakit, U. & Thanoi, W. (2012). Holistic Nursing and Complemenatary Therapy: An Integration of the Concepts into Nursing Education. Thai Journal of Nursing Council, 27(-):5-17.
Imkham, E. (2017). Mental Health and Psychiatric Nursing: Application of Selected Cases. Thammasat University Print House. (In Thai).
Karaketsorn, D., & Kongsuwan, V. (2015). Development of crisis recovery models for women widow who face stress after the shock of the southern border violence situation in Thailand. Journal of Psychiatric Nursing and Mental Health, 29(1), 14-26.
Ministry of Public Health Mental Health Services Management Division Department of Mental Health. (2018). Operation manual Mental health crisis assessment and treatment team (MCATT), revised edition 2018. Bangkok: Beyond Publishing Company Limited.
Ministry of Social Development and Human Security. (2019). Register for assistance to recipients the impact of the unrest in southern border provinces.
Nursing Practice Development Guidelines Board for Health Promotion for Professional Nurses. (2017). Health promotion nursing guidelines (HPN guideline) for professional nurses in primary health care facilities Secondary and tertiary levels. Nonthaburi: Printing House, Mata Printing Company Limited. (In Thai).
Phornphibul, P. (2019). Implementation Research: Competencies of Advanced Practice Nurses. Thai Journal of Nursing and Midwifery Practice, 6(2), 5-15.
Polit, D. F., & Hungler, B. P. (1995). Nursing Research: Principle and Methods (4th ed.). Philadelphia: J. B. Lippincott.
Psychiatric and Mental Health Department Nong Chik Hospital. (2019) .Children and family database received the impact of the unrest situation in 3 southern border provinces, Nong Chik District, Pattani Province. (In Thai).
Silakul, A., Jaroenchai, W., Sasompholsawat, W., Leela, C., Wirojurairueang, K., & Oonsri, D. (2013). The development of the rehabilitation model for amphetamine drug addicts with the moral "Rak Nuea Rak" (Saranitham 6), precepts level 5. The Journal of Psychiatric Nursing and Mental Health, 27(3), 30-43.
Songwathana, P., & Sangchan, H. (2015). Emergency Medical Service in the Unrest Area of three Southern Thai Border Provinces: A Literature Review. Princess of Narathiwas University Journal, 7(2), 74-87.
Supashutigul, A. (2014). HA Update 2014. Nonthaburi: The Healthcare Accreditation Institude (Public Organization).
Surakarn, A., & Arin,.N. (2014). Mental Health Care: Community Participation. Journal Srinakharinwirot University (Science and Technology Program), 6(12), 176-184.
Tangcharoensathien, W., Witthayaphiphakun, W., Phanitkriangkrai, W., Patcharanarumon, W., Annemills. (2018). The development of the health system in Thailand: the cornerstone of achieving universal health coverage. https://www.thelancet.com/pb-assets/Lancet/pdfs/ S0140673618301983_Thai.pdf.
The committee on the development of nursing practice guidelines for health promotion for professional nurses. (2017). Nursing guidelines for health promotion for professional nurses in primary care facilities. Secondary level and tertiary level. Nonthaburi: Printing House, Mata Printing Company Limited.
Thitidilokrat, S., Saengsin,A., tamkosit,W., & Chayinthu,R. (2013). Team standards helping to heal the mind of the crisis (Mental health crisis assessment and treatment team: MCATT). Second edition. Bangkok: Printing House, Agricultural Cooperative of Thailand Limited. (In Thai).
Tiloksakulchai, F. (2006). Nursing practice based on evidence-based nursing, principles and practices. Bangkok: Pre-One Limited Partnership. (In Thai).
Wangthong, A., Wangthong, A., Lateh, N., Leedeng S., Tutiyasan, K., & Saniwee, H. (2019). Quality of Life for people by age Nongchik District, Pattani Province. Summary Report of the Quality of Life Development Project. (In Thai).
Wangthong, A., Suttharangsee, W., Wangthong, A. & Watsen, T. (2014). The Clients’ Perspective on Humanized Nursing Care within the Multicultural Context: A Case Study of Nongjik, Pattani Province. Nursing Jounal of the Ministry of Public Health, 3(3), 35-44.
World Health Organization (WHO). (2007). Monitoring and Evaluation of Mental Health Policies and Plans. Geneva: Switzerland. https://www.who.int/mental_health/policy/services/en/
