Volume 29, Issue 4 (Fall 2021)                   Avicenna J Nurs Midwifery Care 2021, 29(4): 328-339 | Back to browse issues page


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Rostami P, Sadeghian E, Akbari A. The Effect of Counseling on Self-Esteem and Health-promoting Behaviors in Psychiatric Patients Receiving Electroconvulsive Therapy: A Clinical Trial Study. Avicenna J Nurs Midwifery Care 2021; 29 (4) :328-339
URL: http://nmj.umsha.ac.ir/article-1-2279-en.html
1- Psychiatric Nurse, Hamadan University of Medical Sciences, Hamadan, Iran
2- Associated Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , sadeghianefat@gmail.com .
3- Student, Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (1883 Views)

Background and Objective: Compared to the general population, patients with psychiatric disorders, especially patients receiving electroconvulsive therapy due to its nature, and lack of psychiatric nursing counseling have worse physical health and lower self-esteem. The aim of this study was to determine the effect of psychiatric nursing counseling on self-esteem and health-promoting behaviors of patients receiving electroconvulsive therapy in hospitalized patients.
Material and Methods: This clinical trial was conducted on 114 patients undergoing ECT at Farshchian Hospital in Hamadan, Iran, in 2019. The participants were divided into two groups of intervention (n=57) and control (n=57) by block randomization. Data collection tools included demographic, Rosenberg self-esteem, and health-promoting behaviors questionnaires. The intervention in the experimental group was held in the form of 4 sessions of individual counseling. Data were analyzed using frequency, percentage, mean and standard deviation statistics, Chi-square and t-tests in SPSS software version 20.

Results: The mean (standard deviation) of self-esteem score before the intervention in the experimental group (4.01) 21.60 and control (3.51) 21.95 was not significantly different (P=0.542). But the mean score of self-esteem immediately after the intervention in the experimental group (25.47. 3.91) and in the control group (2.79) was 19.11 and two weeks after the intervention, which was significant (P<0.001). The mean and standard deviation of the health-promoting behaviors before intervention in the control group 96.67 (6.028) and intervention group 92.44 (5.444) were statistically significant (P<0.05). Also, this difference was significant between the intervention group (51.539) 91.30 and the control group (5.976) 83.12 immediately and two weeks after the intervention (P<0.001).
Conclusion: Psychiatric counseling increased self-esteem and prevented a decline in health-promoting behaviors. Therefore, this method can be used in educational programs and nursing care for patients with mental disorders.

Persian Full-Text [PDF 544 kb]   (471 Downloads) |   |   Extended Abstract (HTML)  (522 Views)  

✅ Psychiatric counseling increased self-esteem and prevented a decline in health-promoting behaviors. Therefore, this method can be used in educational programs and nursing care for patients with mental disorders.


Type of Study: Original Research | Subject: Nursing
Received: 2021/01/20 | Accepted: 2021/10/22 | Published: 2021/12/21

References
1. Eisenberg D, Gollust SE, Golberstein E, Hefner JL. Prevalence and correlates of depression, anxiety, and suicidality among university students. Am J Orthopsychiatry. 2007;77(4):534-42. [DOI:10.1037/0002-9432.77.4.534] [PMID]
2. Charlson F, Ommeren MV, Flaxman A, Cornett J, Whiteford H, Saxena S. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet. 2019;394: 240-48. [DOI:10.1016/S0140-6736(19)30934-1]
3. Noorbala AA, Faghihzadeh S, Kamali K, Bagheri Yazdi SA, Hajebi A, Mousavi MT, et al. Mental health survey of the Iranian adult population in 2015. Arch Iran Med. 2017;20(3):128-34.
4. Vandad Sharifi M, Hajebi A, Radgoodarzi R. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian mental health survey. Arch Iran Med. 2015;18(2):76-84.
5. Bonfioli E, Berti L, Goss C, Muraro F, Burti L. Health promotion lifestyle interventions for weight management in psychosis: a systematic review and meta-analysis of randomised controlled trials. BMC Psychiatry. 2012;12(1):78. [DOI:10.1186/1471-244X-12-78] [PMID] [PMCID]
6. Chouinard V-A, Pingali SM, Chouinard G, Henderson DC, Mallya SG, Cypess AM, et al. Factors associated with overweight and obesity in schizophrenia, schizoaffective and bipolar disorders. Psychiatry Res. 2016;237:304-10. [DOI:10.1016/j.psychres.2016.01.024] [PMID]
7. Huijg JM, Gebhardt WA, Verheijden MW, van der Zouwe N, de Vries JD, Middelkoop BJ, et al. Factors influencing primary health care professionals' physical activity promotion behaviors: a systematic review. Int J Behav Med. 2015;22(1):32-50. [DOI:10.1007/s12529-014-9398-2] [PMID]
8. Saint Onge, Jarron M, Krueger, Patrick M. Health lifestyle behaviors among US adults. SSM-Population Health. 2017;3:89-98. [DOI:10.1016/j.ssmph.2016.12.009] [PMID] [PMCID]
9. Blomqvist M, Ivarsson A, Carlsson IM, Sandgren A, Jormfeldt H. Health effects of an individualized lifestyle intervention for people with psychotic disorders in psychiatric outpatient services: a two year followup. Issues in Ment Health Nurs. 2019;40(10):839-85. [DOI:10.1080/01612840.2019.1642425] [PMID]
10. Zeigler-Hill V. Self-Esteem (Current Issues in Social Psychology). 1st Edition ed. East Sussex: Routledge .2017:60-91 p.
11. Poorgholami F, Javadpour S, Saadatmand V, Kargar Jahrom M. Effectiveness of self-care education on the enhancement of the self-esteem of patients undergoing hemodialysis. Glob J Health Sci. 2015;8(2):132-6. [DOI:10.5539/gjhs.v8n2p132] [PMID] [PMCID]
12. Marshall SL, Parker PD, Ciarrochi J, Sahdra B, Jackson CJ, Heaven PC. Self-compassion protects against the negative effects of low self-esteem: A longitudinal study in a large adolescent sample. Pers Individ Differ. 2015;74:116-21. [DOI:10.1016/j.paid.2014.09.013]
13. Yoo T, Kim S-W, Kim S-Y, Lee J-Y, Kang H-J, Bae K-Y, et al. Relationship between suicidality and low self-esteem in patients with schizophrenia. Clin Psychopharmacol Neurosci. 2015;13(3):296-301. [DOI:10.9758/cpn.2015.13.3.296] [PMID] [PMCID]
14. Payne NA, Prudic J. Electroconvulsive therapy part II: A biopsychosocial perspective. J Psychiatr Pract. 2009;15(5):369-390. [DOI:10.1097/01.pra.0000361278.73092.85] [PMID] [PMCID]
15. Sylvia I, Maria K, Bergholt D, Midtgaard J. The perspectives of former recipients and experts on stigmatization related to electroconvulsive therapy in Denmark: A focus group study. J Psychiatr Ment Health Nurs. 2018;25(5-6)358-67. [DOI:10.1111/jpm.12470] [PMID]
16. Hoffman GA, McLellan J, Hoogendoorn V, Beck AW. Electroconvulsive therapy: the impact of a brief educational intervention on public knowledge and attitudes. Int Q Community Health Educ. 2018;38(2):129-36. [DOI:10.1177/0272684X17749939] [PMID]
17. Schoeyen HK, Kessler U, Andreassen OA, Auestad BH, Bergsholm P, Malt UF, et al. Treatment-resistant bipolar depression: a randomized controlled trial of electroconvulsive therapy versus algorithm-based pharmacological treatment. Am J Psychiatry. 2015;172(1):41-51. [DOI:10.1176/appi.ajp.2014.13111517] [PMID]
18. Jones-Smith E. Theories of Counseling and Psychotherapy: An Integrative Approach. 2nd Edition ed: SAGE Publications;2014.
19. Borzu R, Safari M, Khodavisi M, Torkaman B. The viewpoints of nurses towards applicability of nursing curriculum in hospitals affiliated to Hamedan university of medical sciences. Iran J Med Educ. 2008;8(2):205-11.
20. Shafiabadi A, Naseri GhR. Theories of counseling and psychotherapy. Tehran: Center for Academic Publication; 2019:324.
21. Chien W-T, Leung S-F, Chu CS. A nurse-led, needs-based psycho-education intervention for Chinese patients with first-onset mental illness. Contemp Nurse. 2012;40(2):194-209. [DOI:10.5172/conu.2012.40.2.194] [PMID]
22. Farzadmehr M, Fallahi Khoshknab M, Hosseini MA, Khankeh HR. The effect of nursing consultation on anxiety and satisfaction of patient's families at the cardiac surgical intensive care unit. Iran J Psy Nurs. 2016;4(2):57-64. [DOI:10.21859/ijpn-04027]
23. Ebrahimi H, Navidian A, Keykha R. Effect of supportive nursing care on self esteem of patients receiving electroconvulsive therapy: A randomized controlled clinical trial. J Caring Sci. 2014;3(2):149-56.
24. Sharifi Neyestanak ND, Ghodoosi Boroojeni M, Seyedfatemi N, Heydari M, Hoseini AF. Self esteem and its associated factors in patients with multiple sclerosis. Iran J Nurs. 2012;25(78):14-22.
25. Rajabi Gh, Karjo K. A study of confirmatory structure two-factor model of the Persian version Rosenberg self-esteem scale. J Psychol Models Methods. 2012;2(6):33-43.
26. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81. [DOI:10.1097/00006199-198703000-00002] [PMID]
27. Walker SN, Sechrist KR, Pender NJ. Health promotion model-instruments to measure health promoting lifestyle: Health-promoting lifestyle profile [HPLP II](Adult version). 1995.
28. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of persian version of the health-promoting lifestyle profile. J Maz Univ Med Sci. 2012;21(1):102-13.
29. Sadeghian E, Rostami P, Shamsaei F, Tapak L. The effect of counseling on stigma in psychiatric patients receiving electroconvulsive therapy: A clinical trial study. Neuropsychiatr Dis Treat. 2019;15:3419-27. [DOI:10.2147/NDT.S233094] [PMID] [PMCID]
30. Carson VB, Arnold N. Mental health nursing: The nurse-patient journey: WB Saunders Tokyo; 2000.
31. Kim N-R, Jang MH. Effects of self-assertive training applying reality therapy techniques on self-esteem and internalized stigma in schizophrenia patients. J Korean Acad Psychiatr Ment Health Nursing. 2019;28(1):37-49. [DOI:10.12934/jkpmhn.2019.28.1.37]
32. Savaşan A, Çam O. The effect of the psychiatric nursing approach based on the tidal model on coping and self-esteem in people with alcohol dependency: a randomized trial. Arch Psychiatr Nurs. 2017;31(3):274-81. [DOI:10.1016/j.apnu.2017.01.002] [PMID]
33. Mejías JA, Jurado MM, Tafoya SA, Romo F, Sandoval JR, Beltrán‐Hernández L. Effects of group psychotherapy on depressive and anxious symptoms, self‐esteem and social adaptation in college students. Couns Psychother Res. 2019;20(1):46-56. [DOI:10.1002/capr.12254]
34. Bartels SJ, Aschbrenner KA, Pratt SI, Naslund JA, Scherer EA, Zubkoff L, et al. Implementation of a lifestyle intervention for people with serious mental illness in state-funded mental health centers. Psychiatr Serv. 2018;69(6):664-70. [DOI:10.1176/appi.ps.201700368] [PMID]
35. Naslund JA, Aschbrenner KA, Scherer EA, Pratt SI, Wolfe RS, Bartels SJ. Lifestyle intervention for people with severe obesity and serious mental illness. Am J Prev Med. 2016;50(2):145-53. [DOI:10.1016/j.amepre.2015.07.012] [PMID] [PMCID]

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