Gebelik Yolculuğunda Tidal Modele Dayalı Psikososyal Destek Süreci Örneği: Olgu Sunumu

Abstract

Tidal model günümüzde kullanımı yaygınlaşan bir iyileşme modelidir. Modelin kullanım alanları arasında prenatal ruh sağlığında kullanımının sınırlı olması dikkat çekmiştir. Olgu, 26 yaşında, 29 haftada multigravid nullipardır. Gebeliği için heycanlanmama ve bunu normal bulmama nedeniyle psikososyal destek ihtiyacı duymuştur. Bu çalışmada “Gebelik sürecine uyumda Tidal modele dayalı psikososyal destekten yararlanılabilir mi?” sorusundan yola çıkılmıştır. Olgunun ayrıntılı değerlendirilmesi sonucunda beş hemşirelik tanısı kapsamında Tidal modele dayalı psikososyal destek sunulmuş ve raporlanmıştır. Süreç sonucunda anksiyetede öz kontrol geliştirme, rol dağılımı ile sınırlar belirleme de ilerlemeler olmuş ve olgunun bebeği ile etkileşimi artmışı ve doğum hazırlıklarına başlamıştır. Tidal modelin prenatal ruh sağlığında etkisi ve kullanımı tartışılmış ve önerilerde bulunulmuştur.

Keywords

• Hemşirelik
• Gebelik
• Ruh Sağlığı
• Tidal Model

Ethical Statement

Bu çalışma için etik kurul onayına ihtiyaç duyulmamaktadır. Olgudan yazılı onam alındığı metin içerisinde belirtilmiştir.

An Example of Psychosocial Support Process Based on Tidal Model in Pregnancy Journey: Case Report

Abstract

The tidal model is a recovery model that is widely used nowadays. Among the fields of use of the model, its limited use in prenatal mental health has attracted attention. The case is a 26-year-old, 29-week multigravid nulliparous woman. She needed psychosocial support due to not being excited about her pregnancy and not finding it normal. This study was based on the question "Can psychosocial support based on the Tidal model be utilized in adaptation to the pregnancy process?". As a result of the detailed evaluation of the case, psychosocial support based on the Tidal model was provided and reported within the scope of five nursing diagnoses. As a result of the process, there were improvements in developing self-control in anxiety, role distribution and setting boundaries, and the interaction of the case with her baby increased and she started childbirth preparations. The effect and use of the tidal model in prenatal mental health was discussed and recommendations were made.

Keywords

• Mental Health
• Nursing
• Pregnancy
• Tidal Model

References

1. Barker P. (2001). The tidal model: Developing a person-centered approach to psychiatric and mental health nursing. Perspectives in Psychiatric Care, 37(3), 79-87. doi:10.1111/j.1744-6163.2001.tb00631.x
2. Barker P. (2001b). The tidal model: Developing an empowering, person-centered approach to recovery within psychiatric and mental health nursing. Journal of Psychiatric and Mental Health Nursing, 8, 233-240. doi:10.1046/j.1365-2850.2001.00391.x
3. Barker P. (2002). The tidal model. Journal of Psychosocial Nursing & Mental Health Services, 40(7), 42-50. doi:10.3928/0279-3695-20020701-12
4. Barker P, Buchanan-Barker P. (2005). The tidal model: A guide for mental health professionals. New York: Routledge Taylor & Francis Group.
5. Barker P, Buchanan-Barker P. (2010). The Tidal Model of mental health recovery and reclamation: Application in acute care settings. Issues in Mental Health Nursing, 31, 171-180. doi: 10.3109/01612840903276696
6. Barker PJ, Buchanan-Barker P. (2011). Mental health nursing and the politics of recovery: A global reflection. Archives of Psychiatric Nursing, 25(5), 350-358. doi:10.1016/j.apnu.2011.03.009
7. Benzon A, Jørgensen R. (2024). ‘To loosen up and talk’: Patients’ and facilitators’ experiences of discovery group sessions from the Tidal Model as an introduction before engaging in a person-centered group intervention. Journal of Psychiatric and Mental Health Nursing, 31(5), 705–715. doi:10.1111/jpm.13025
8. Cook NR, Phillips BN, Sadler D. (2005). The Tidal Model as experienced by patients and nurses in a regional forensic unit. Journal of Psychiatric and Mental Health Nursing, 12(5), 536-540. doi:10.1111/j.1365-2850.2005.00872.x

9. Cox JL, Holden JM, Sagovsky R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782-786.
10. Çam MO, Turgut EÖ. (2019). A model suggestion for the recovery of women exposed to violence: Tidal Model. Current Approaches in Psychiatry, 11(2), 248-256. doi:10.18863/pgy.408000
11. Çam O, Savaşan A. (2014). Ruh sağlığı ve hastalıkları hemşireliğinde bir model: Tidal (gel-git) model. O. Çam, E. Engin (Eds.), Ruh sağlığı ve hastalıkları hemşireliği bakım sanatı içinde (s. 85-102). İstanbul: İstanbul Tıp Kitabevi.
12. Çankaya S. (2020). The effect of psychosocial risk factors on postpartum depression in the antenatal period: A prospective study. Archives of Psychiatric Nursing, 34(3), 176-183. doi:10.1016/j.apnu.2020.04.007
13. Dağlar G, Nur N. (2014). Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi. Cumhuriyet Medical Journal, 36(4), 429-441. doi: 10.7197/1305-0028.76793
14. Engindeniz AN, Küey L, Kültür S. (1996). Edinburgh Doğum Sonrası Depresyon Ölçeği Türkçe formu geçerlilik ve güvenilirlik çalışması. Bahar Sempozyumları, 1, 51-52.
15. Gülseren L, Erol A, Gülseren S, Kuey L, Kilic B, Ergor G. (2006). From antepartum to postpartum: A prospective study on the prevalence of peripartum depression in a semiurban Turkish community. The Journal of Reproductive Medicine, 51(6), 955-960.
16. Kızılkaya Beji N, Murat M, Köse S. (2022). Perinatal dönem ruh sağlığı sorunları ve hemşirelik yaklaşımı. Black Sea Journal of Health Science, 5(1), 116-123. doi:10.19127/bshealthscience.897439
17. Kusdemir S, Oudshoorn A, Ndayisenga JP. (2022). A critical analysis of the Tidal Model of mental health recovery. Archives of Psychiatric Nursing, 36, 34-40. doi:10.1016/j.apnu.2021.10.012
18. Mahaffey BL, Tilley JL, Molina LK, Gonzalez A, Park E, Lobel M. (2022). “How am I going to make it through pregnancy?” A qualitative examination of prenatal maternal stress. Birth, 49(2), 253-260. doi:10.1111/birt.12598
19. O’Brien J, Gregg L, Wittkowski A. (2023). A systematic review of clinical psychological guidance for perinatal mental health. BMC Psychiatry, 23(1), 790. doi: 10.1186/s12888-023-05173-1
20. Obrochta CA, Chambers C, Bandoli G. (2020). Psychological distress in pregnancy and postpartum. Women Birth, 33(6), 583-591. doi:10.1016/j.wombi.2020.01.009
21. Parlak B, Dil S. (2022). Evaluation of depression diagnosed women victims of domestic violence according to the Tidal Model and nursing care: Report of case. Hemşirelik Bilimi Dergisi, 5(3), 211-220. doi:10.54189/hbd.994469
22. Sagna AO, Walker LO. (2020). Analysis of the Tidal Model and its implications in late-life suicidality. Nursing Science Quarterly, 33(4), 315-321. doi:10.1177/0894318420943139
23. Savaşan A, Çam O. (2017). 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. Archives of Psychiatric Nursing, 31(3), 274-281.
24. Tidal. (2017). The history of Tidal Model. (Erişim tarihi: 16.07.2024), http://www.tidal-model.com/history.html
25. Tunçel NT, Süt HK. (2019). Gebelikte yaşanan anksiyete, depresyon ve prenatal distres düzeyinin doğum öncesi bebeğe bağlanmaya etkisi. Jinekolojik ve Obstetrik Nöroloji Dergisi, 16(1), 9-17.
26. Turgut EÖ, Çam MO. (2020). The effect of tidal model-based psychiatric nursing approach on the resilience of women survivors of violence. Issues in Mental Health Nursing, 41(5), 429-437. doi:10.1080/01612840.2019.1672222
27. Vanderley ICS, Neto WB, de Araújo EC, do Rosário HRV, Monteiro EMLM. (2022). Resilience of school adolescents in a socially vulnerable situation in the light of Tidal Model. Research and Theory for Nursing Practice, 36(4), 331-347. doi:10.1891/RTNP-2021-0019
28. Wilkinson JM, Barcus L. (2018). Pearson hemşirelik tanıları el kitabı (11. baskı). S. Kapucu, I. Akyar, F. Korkmaz (Eds.), Pelikan Yayınevi: Ankara.
29. Yasuma N, Narita Z, Sasaki N, Obikane E, Sekiya J, Inagawa T vd. (2020). Antenatal psychological intervention for universal prevention of antenatal and postnatal depression: A systematic review and meta-analysis. Journal of Affective Disorders, 273, 231-239. doi:10.1016/j.jad.2020.04.063
30. Young BB. (2010). Using the Tidal Model of mental health recovery to plan primary health care for women in residential substance abuse recovery. Issues in Mental Health Nursing, 31(9), 569-575. doi:10.3109/01612840.2010.487969