Development of a model for promoting mental health in the elderly with non-communicable chronic diseases by creating 5 dimensions of happiness with participation at the Non-communicable Chronic Disease Clinic, Khao Wong Hospital.

Abstract

     This research was action research to develop and study the results of the development of a model for promoting mental health in the elderly with chronic non-communicable diseases by creating 5 dimensions of happiness with participation at the chronic non-communicable disease clinic, Khao Wong Hospital. The sample group is elderly with chronic non-communicable diseases who are at risk of depression who receive services at the chronic non-communicable disease clinic, Khao Wong Hospital, who were screened for depression by 2Q and received an assessment result of 1 or more points, but assessed 9Q <7 points, totaling 30 people. The operation was conducted between October 2024 and March 2025. The instruments used for data collection included a questionnaire to assess the risk of depression perception, an assessment of disease severity perception, a self-esteem scale for the elderly with chronic non-communicable diseases, an assessment of social support, an assessment of participation in depression prevention, a World Health Organization quality of life scale, and a group discussion record. Quantitative data were analyzed using descriptive statistics, and comparisons were made before and after the development of the model using Paired t-test statistics. Content analysis was used for qualitative data.

     The research results found that after receiving the new service format, the results of the comparative analysis of the average scores in the perception of risk of depression, perception of disease severity, self-esteem, social support, participation in depression prevention, and quality of life of the elderly with non-communicable chronic diseases after the experiment were significantly higher than before the experiment at a statistical significance of 0.05.