Development of nursing care model for elderly with depression in Sisatchanalai District, Sukhothai Province by 3 doctors of families care team policy and Satir model.

Abstract

     This study was research and development aimed to develop and study the results of using a care model for the elderly with depression in Si Satchanalai District, Sukhothai Province, using the 3-Doctor of Family care team Policy and group therapy by Satir model. Sample group consisted of 126 elderly with depression. Research tools consisted of group discussion question guideline for caring for the elderly with depression using the Satir Concept with the 3 Doctors, a depression assessment form, a suicide assessment form, and a satisfaction assessment form. Analysis was performed using descriptive statistics and a paired t test was used to compare before and after the development of the model.
     The results of the study found that the development of care model for the elderly with depression using the 3-Doctor Team Policy and Satir model by 8 formats as follows: 1) Analyze the current situation data according to the 3 Doctors policy. 2) Organize a meeting of the multidisciplinary team and the district network. 3) Create a guideline (flow chart) to be in the same direction. 4) Conduct a survey of depression in the elderly in the family doctor clinic to cover all areas. 5) Organize a group therapy activity program for the elderly at risk of depression according to the Satir concept. 6) Follow up and evaluate after the activity closely and seriously. 7) Follow up and evaluate after the activity for both depression and suicidal tendencies after the treatment for 3 months in every case. 8) Summarize the results of the operation and report to the relevant persons and the executives. The results of using the format resulted in better performance indicators for elderly care, reduced depression levels, reduced suicidal tendencies, and increased satisfaction, with statistical significance p <.05 (t = -7.26, -6.68, 12.28).