The effect of psychiatric nursing approach based tidal model on alcohol-dependent persons with nursing diagnosis of ineffective coping and disturbed self-concept

Objectives: The study was designed and applied for assessing the effects of psychiatric nursing approach based Tidal Model on alcohol-dependent persons with nursing diagnosis of ineffective coping and disturbed self-concept. Methods: The study was a test-retest controlled and quasi-experimental design. The study was performed in İzmir Katip Çelebi University, Atatürk Education and Research Hospital, AMATEM clinic, from October 2013-December 2014. The universe of the study was formed with alcohol-dependent persons who were inpatient in AMATEM clinic. The sample of the study was formed with alcohol-dependent persons according to criteria of study and who accepted the study. The sample size was found to be using power analysis. The study was conducted with 18 in study-group and 18 in control-group. The data was collected with the Personal Definition Form, The Addiction Profile Index, The Treatment Motivation Questioneer, The Coping Inventory, Coopersmith Self-Esteem Inventory, Beck Depression Inventory and Beck Anxiety Inventory. Individual sessions were made to provide individualized care to alcohol-dependent persons in study-group and interventions were implemented for aims of study and individual goals. Results: The mean age of the study group was 43.33±6.55 and the mean age of the control group was 42.44±7.03. In two groups, 11.1% of persons were females, 88.9% of persons were males. In both groups, most of them were married and divorced and had graduated from primary school. Most of the participants were worked at a job. Before sessions, there were no significant differences between two groups on The Coping Inventory and Coopersmith Self-Esteem Inventory. After sessions, there were significant differences between two groups on Positive reinterpretation and growth, Use of instrumental social support, Active coping, Restraint coping, Use of emotional social support and Alcohol-drug disengagement. After sessions, the mean of Coopersmith Self-Esteem Inventory in study group were high than control group but, there were no significant differences between two groups. After sessions, in study group, positive differences were found on Positive reinterpretation and growth, Use of instrumental social support, Active coping, Restraint coping, Planning, Behavioral disengagement, Alcohol-drug disengagement and Self-Esteem. Conclusion: The results of this study indicate that an psychiatric nursing approach based Tidal Model may have a positive impact for alcohol-dependent persons with nursing diagnosis of ineffective coping and disturbed self-concept on Positive reinterpretation and growth, Active coping, Behavioral disengagement, Restraint coping, Seeking of emotional social support, Planning, and may not increase the level of Self-Esteem.