The Result of a Cognitive Behavioral Therapy Program on Depression among Practical Nurses in a Chonburi Province Hospital
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Abstract
This research is a quasi-experimental study using a one-group pretest-posttest design that assesses the effectiveness of a Cognitive Behavioral Therapy (CBT) program on depressive symptoms among 27 practical nurses (PN) at one hospital in Chonburi province. The research instruments included the CBT program and the Depression Anxiety Stress Scale-21 (DASS-21). The IOC for all items was greater than 0.5, and the Cronbach’s alpha coefficient for the overall DASS-21 was 0.90, with a value of 0.72 for the depression subscale. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test for inferential statistics.
The study participants were predominantly female (96.3%), with an average age of 36.15 years and an average work experience of 11.26 years. Most participants (85.2%) had no chronic illnesses. Regarding education, 48.1% had completed high school. Marital status showed that 55.6% were single. The majority (63%) reported insufficient income, and 85.2% worked in rotating shifts, with an average of 23 shifts per month. Comparisons of depression levels before and after the intervention at weeks 2 and 4 showed a significant reduction in depressive symptoms, with statistical significance at the .001 level (z = -3.443 and - 4.298, respectively). Therefore, this study concludes that the CBT program effectively reduces depressive symptoms.
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