การพัฒนารูปแบบการส่งเสริมสุขภาพจิตของผู้สูงอายุโรคเรื้อรังในเขตเทศบาลเมือง จังหวัดชัยนาท

Jaruwan Kansri; Naphatsorn Yotthongdi; Prakasit Poonwong

Authors

Jaruwan Kansri Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok Institute
Naphatsorn Yotthongdi Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok Institute
Prakasit Poonwong Boromarajonani College of Nursing, Chainat, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

mental health promoting program, older adults, chronic diseases

Abstract

Introduction: Older adults with chronic diseases increasingly encounter mental health issues. Promoting mental health can help them to adapt and improve their mental wellbeing.

Research objectives: 1) To analyze mental health of older adults with chronic diseases in Mueang Municipality, Chainat Province; 2) To develop a program to promote mental health of older adults with chronic diseases; and 3) To test the effectiveness of a mental health promotion program for older adults with chronic diseases.

Research methodology: Research and development (R&D) involved 1) a 15 - item mental health assessment form (reliability α = .84); and 2) the mental health promotion program in this study consisted of four phases as follows: 1) studying the mental health context of older adults with chronic diseases; 2) developing a mental health promotion program; 3) analyzing the results of program usage in mental health promotion; and 4) summarizing program results. Data were collected by in - depth interviews
and statistically analyzed by frequency, mean percentage, standard deviation, and t - test.

Results: 1) The overall mental health status of older adults with chronic illnesses was compared to that of the general population, with a mean score of 47.93 (SD = 5.85). Most (48.06%) shared a range of score with the general population, while 31.64% had worsen scores, and 20.30% had better mental health. 2) A mental health promotion program was developed with a five - dimensional happiness, applying Maslow's hierarchy of needs, with five activities. 3) The mean mental health status scores
of participants who used the post-experimentation program (M = 44.60, SD = 3.66) were significantly higher than pre - implementation (M = 38.60, SD = 5.03) at a statistically significant rate.

Conclusions: The program effectively promotes mental health of older adults with chronic diseases

Implications: Nurses should consider implementing this program to promote the mental health of older adults with chronic diseases

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References

World Health Organization (WHO). Non-communicable diseases [Internet]. 2023 [cited 2023 Apr 20]. Available form: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-disease

Sriinchan P, Soontaraviratana B. The mental health of chronically ill elderly: the civil societal perspective. Journal Of Science And Technology Mahasarakham University [Internet]. 2017 [cited 2023 Apr 20];36(2):203-10. Available from: https://scjmsu.msu.ac.th/pdf.php?id=1598842714 (in Thai)

Tachavises S, Chachvarat T, Rueankul T. Predicting factors mental health levels of the elders with chronic illness living in Bantom Subdistrict, Maung Phayao Province. Nursing Public Health And Education Journal [Internet]. 2018 [cited 2023 Apr 20];19(3):84-95. Available form: https://he01.tci-thaijo.org/index.php/bcnpy/article/view/151473/117527 (in Thai)

Chonlachatbodee N, Soonthonchaiya R, Vuthiarpa S. The effect of the mental health promotion program on depression of older adults in the community. Journal Of The Royal Thai Army Nurses [Internet]. 2022 [cited 2023 Apr 20];23(3):342-51. Available form: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/251076/176194 (in Thai)

Maslow, AH. Motivation and personality [Internet]. 2nd ed. New York: Harper & Row; 1970 [cited 2023 Apr 20]. Available form: https://www.holybooks.com/wp-content/uploads/Motivation-and-Personality-Maslow.pdf

Bureau of Mental Health Promotion and Development, Department of Mental Health. A guide for facilitators to organize activities to create 5 dimensions of happiness for the elderly in the community. Nonthaburi: National Office of Buddhism; 2018. (in Thai)

Kansri J, Malai Ch, Boonranarek S, Busabok A. A study of geriatric depression among Thai elderly in Chainat. Journal Of Health And Nursing Research [Internet]. 2019 [cited 2023 Apr 20];35(3):24-33. Available form: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/239404/163409 (in Thai)

Krejcie R, Morgan D. Determining sample sizes for research activities. Educational And Psychological Measurement 1970;30:607-10.

Petburi P, Somprasert C, Othaganont P. The effect of a social support program on the mental health of the elderly. Journal Of Nursing and Health Care [Internet]. 2017 [cited 2023 Apr 20];35(2):188-97. Available form: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/96737/75454 (in Thai)

Grove SK, Burns N, Gray JR. The practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed. St. Louis, Missouri: Elsevier; 2013.

Mongkol A, Vongpiromsan Y, Tangseree T, Huttapanom W, Romsai P, Chutha W. The development and testing of Thai mental health indicator version 2007. Journal Of The Psychiatric Association Of Thailand [Internet]. 2009 [cited 2023 Apr 20];54(3):229-312. Available form: https://he01.tci-thaijo.org/index.php/JPAT/article/view/7673/6650 (in Thai)

Kulprateepunya K, Sinsap N. The development model of mental health promotion of elderly people in Thai- ESAN. UMT Poly Journal [Internet]. 2021 [cited 2023 Apr 20];18(1):26-58. Available form: https://so06.tci-thaijo.org/index.php/umt-poly/article/view/248796/168622 (in Thai)

Kansri J, Malai, C, Teianukool, N, Srinuan P, Yodthongdee, N. Effectiveness of a mental health promotion program on the mental health among older adults. Journal Of Health And Nursing Research [Internet]. 2020 [cited 2023 Apr 20];36(2):95-107. Available form: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/244632/165955 (in Thai)

Wannapong S, Nakmareong S, Bennett S, Nualnetr N. The effects of nine-square exercise on balance and cognitive function in older women. Thai Journal Of Physical Therapy [Internet]. 2021 [cited 2023 Apr 20];43(2):67-79. Available form: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/251210 (in Thai)

Chotigakham T. The effectiveness of program happiness in elderly: a case study of elderly club in Dongtakop Sub-district, Taphanhin District, Phichit Province. Journal Of Disease And Health Risk DPC [Internet]. 2022 [cited 2023 Apr 20];16(1):18-34. Available form: https://he01.tci-thaijo.org/index.php/JDPC3/article/view/252220/172706 (in Thai)

Thongkhum K, Peungposop N, Sakunpong N. Resilience in the elderly: concept and approaches to promoting resilience. Journal Of Faculty Of Nursing Burapha University [Internet]. 2021 [cited 2023 Apr 20];29(1):105-16. Available form: https://ojs.lib.buu.ac.th/index.php/nursing/article/view/7327 (in Thai)

Ketchu K, Praditsathaporn C. Effectiveness of enhancing mental well-being by the way of buddhist program among older adults. Journal Of Nursing and Health Science Research [Internet]. 2022 [cited 2023 Apr 20];24(2):39-52. Available form: https://he01.tci-thaijo.org/index.php/unc/article/view/260734 (in Thai)

Maneepun N, Juntapim S. The effects of mental health encourage program group psychoeducation model together with the five - dimensional psychological happiness model to develop the quality of life and happiness of the elderly. Journal Of Nursing And Health Care [Internet]. 2021 [cited 2023 Apr 20];39(4):94-102. Available form: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/252374/171327 (in Thai)

Jaemtim N. Effectiveness of the 5-dimensional happiness development program in the elderly at Sanamchai District Umphur Muang Suphanburi Province. The Journal Of Boromarjonani College Of Nursing, Suphanburi [Internet]. 2022 [cited 2023 Apr 20];5(2):140-50. Available form: https://he02.tci-thaijo.org/index.php/SNC/article/view/260550/177960 (in Thai)