The effect of coping with depression program based on neuman's systems model on coping strategies, self esteem, and depression level of the patients

Objective: The aim of this study is to determine the effect of Coping with Depression Program based on Neuman's Systems Model on the coping strategies, self esteem, and depression levels of the depression-diagnosed patients. Method: The research was a pretest-posttest designed, single-blind, randomized controlled, and experimental study. The sample of the study consisted of 43 participants (intervention-24 and control-19). The pretest of the measurement tools was conducted on both groups in the first encounter. Posttest was conducted on the control group a month later. A monthly program was conducted on the intervention group and posttest was carried out right after it. The monitoring data were collected two months after the posttest. Data were collected by using Personal Information Form, Beck's Depression Inventory, Rosenberg's Self-Esteem Scale, and the Coping Strategies Scale. Data were evaluated by two-factor variance analysis for the mixed designs (2x3 split-plot) (advanced analysis Bonferroni Test) and Spearman Correlation Analysis. Results: As a result of the analyses carried out, in depression and self-esteem levels and coping strategies (solving problem, seeking social support, avoidance) of Coping with Depression Program based on Neuman's Systems Model, it was found out that time and group common effect was meaningful; decrease in the depression level of the intervention group correlated with the increase in the level of self-esteem and the decrease in the level of avoidance strategy (p<0,05). In the monitoring carried out in the third month, it was determined that the effects continued but decreased. Conclusion: Coping with Depression Program based on Neuman's Systems Model was effective on decreasing the level of depression, increasing the level of self-esteem, increasing the problem solving and seeking social support of coping strategies, and decreasing the avoidance strategy. Thus, it was confirmed that core response (depression) could be reduced by strengthening the resistance lines with the intensive secondary, primary and tertiary prevention according to Neuman's Systems Model. It was recommended that psycho-educational interventions should be provided with continuity in order to cope with depression. Key words: psychiatric nursing, depression, self esteem, neuman systems model, psychoeducation.