ประสิทธิผลของการใช้โปรแกรมการปรับความคิดและพฤติกรรมแบบหลายช่องทางในผู้ที่มีภาวะซึมเศร้าที่มารับบริการที่โรงพยาบาลส่งเสริมสุขภาพตำบลบ้านตลาด จังหวัดเชียงใหม่

Abstract

Depression is a problem that can lead to impairments in daily life and suicide. This operational research aimed to study the effectiveness of using a Cognitive Behavioral Therapy Multi-Channel Program for persons with depression receiving services at Bantalad Thambon Health Promoting Hospital, Chiang Mai province. The samples included 1) twenty persons with mild to moderate depression receiving services at the hospital between May to July 2021, and 2) five professional nurses. The instruments used consisted of 1) the Thai version of the 9-question Depression Assessment Form (Thai PHQ-9), 2) the Cognitive Behavioral Therapy Multi-Channel Program for people with depression, 3) a questionnaire on patient satisfaction after program implementation, and 4) a questionnaire on the health team personnel’s satisfaction with using the program. Data were analyzed using descriptive statistics. The results showed that: 1. After receiving the program, 90% of the samples reported a decrease in their depression score from mild to moderate depression to no depression. After receiving the program for two weeks, all 100 percent of the samples reported no depression. 2. Most of them had satisfaction at the highest level regarding the appropriateness of time spent on each therapy session, the suitability of all nine sessions used in therapy, the suitability of the activities performed each time, and overall satisfaction with the treatment. 3. All health team personnel working in caring for persons with depression using the program agreed that the program benefited patient care can be combined with prior knowledge of patient care, is easy to implement, provides clearly visible results, and has a concrete implementation process. The results showed that using the Cognitive Behavioral Therapy Multi-Channel Program for persons with depression was effective in reducing depression among those who were receiving services at the hospital. It also helped encourage those with depression to receive full treatment. Therefore, this program should be used to care for persons with depression in routine work.