Effect of Non-Pharmacological Home Based Nursing Intervention on Depression among Elderly: combined Counseling and Physical Exercise

Document Type : Original Article

Authors

1 Lecturer of Geriatric Nursing, Faculty of Nursing, Menofia University, Egypt.

2 Nursing Department ,Faculty of Applied Medical Sciences, Al Baha university, PT, MSRS, PhD.

3 Assistant Professor of Psychiatric& Mental Health Nursing, Faculty of Nursing, Menofia University, Egypt.

Abstract

Background: Depression is often misdiagnosed and treated late, and sometimes even neglected,
especially in old age. Detecting and managing depression in older people through non-
pharmacological nursing interventions is highlighted as a key role for nurses. Aim: This study
aimed to evaluate the effect of a non-pharmacological home-based nursing intervention (combined
counseling and physical exercise) on the management of depression among elderly people. Design
and setting: A quasi-experimental research design with one group pretest-posttest was used to
implement the current study at Kafr Tambedy village, Shebin Elkom district, Menofia governate,
Egypt. Subject: A systematic random sample overall, 91 elderly with depression was selected after
eligibility testing. Tools for data collection: I: interview questionnaire. Tool (II): The Geriatric
Depression Scale (GDS) short form (III): Katz Index of Independence. Results: Studied elderly
mean±SD age is 67.58±5.79. There was a statistically significant improvement in depression
mean±SD score among elderly participants pre\post intervention (7.71±2.02 versus 5.17±2.08) with
p=0.000, which supports the study hypothesis. A statistically significant improvement in depression
levels among the elderly studied group is detected pre\post intervention at p= .000. Conclusion:
The current study emphasizes that, non-pharmacological home-based nursing intervention
(combined counseling and physical exercise) is an effective method for reducing mild to moderate
depression among elderly participants. Recommendation: the findings of the current study indicate
the need for the implementation of Non-pharmacological home-based nursing interventions
(combined counseling and physical exercise) in different settings to confirm their effectiveness in
the management of depression among elderly people.

Keywords

Egyptian Journal of Health Care
Volume 11, Issue 2
June 2020
Pages 1117-1131

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