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The Effect of a Psychiatric Nursing Approach Based on the Tidal Model on Psychological Resilience and Self-Compassion Levels in Patients Diagnosed With Anxiety Disorder

12 août 2026 mis à jour par: Aslı Tekaüt
The purpose of this study is to evaluate the effect of an online psychiatric nursing approach based on the Tidal Model philosophy on the psychological resilience and self-compassion levels of individuals diagnosed with anxiety disorder. The study is designed as a randomized controlled doctoral dissertation. The sample consists of individuals who applied to the psychiatry outpatient clinic of a training and research hospital in Ankara, were diagnosed with anxiety disorder, and met the inclusion criteria. Participants were assigned to either the intervention or control group using a computer-generated randomization method. While the control group received only routine clinical follow-ups without any additional intervention, the intervention group participated in 8 sessions of individual online nursing interventions structured according to Tidal Model principles. Data were collected using an Socio-demographic Information Form, the Psychological Resilience Scale, and the Self-Compassion Scale, administered online to both groups before and after the intervention.

Aperçu de l'étude

Description détaillée

This study aims to evaluate the effectiveness of a Tidal Model-based psychiatric nursing intervention in clinical practice and to emphasize the importance of holistic, patient-centered approaches in nursing care for patients with anxiety disorders.

Study Hypotheses:

Hypothesis 1 (H1): The psychological resilience levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.

Hypothesis 2 (H2): The self-compassion levels of individuals who receive the Tidal Model-based psychiatric nursing approach are statistically significantly higher after the intervention compared to the individuals in the control group.

Hypothesis 3 (H3): The psychological resilience levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.

Hypothesis 4 (H4): The self-compassion levels of individuals in the intervention group show a statistically significant increase after the intervention compared to before the intervention.

Null Hypothesis (H0): There is no statistically significant difference between the intervention and control groups in terms of psychological resilience and self-compassion levels after the intervention.

Anxiety Disorder, Online Care, Tidal Model, Self-Compassion, Psychological Resilience, Psychiatric Nursing

Type d'étude

Interventionnel

Inscription (Réel)

32

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • Ankara
      • Ankara, Ankara, Turquie (Türkiye), 06010
        • University of Health Sciences, Gulhane Institute of Health Sciences

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  • Being officially diagnosed with Anxiety Disorder according to DSM-5 diagnostic criteria,
  • Being between 18-65 years of age,
  • Having access to a smartphone, computer, and internet connection sufficient to participate in online sessions,
  • Volunteering to participate in the study and signing the Informed Consent Form.

Exclusion Criteria:

  • Having acute psychosis, bipolar disorder, dementia, or a severe neurological disease in addition to anxiety disorder,
  • Having cognitive or sensory loss that prevents communication, vision, or hearing,
  • Currently participating in another active psychotherapy or psychosocial intervention program simultaneously.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Intervention Group
Participants in this group receive one-on-one online psychiatric nursing interventions based on the Tidal Model, conducted via remote video conferencing. The sessions aim to enable patients to recognize their inner strengths and to increase their psychological resilience and self-compassion levels.
One-on-one nursing sessions were conducted via online video conferencing platforms based on the philosophy of the Tidal Model. The intervention involves session processes aligned with the model's domains (Self, World, Partnership) and its ten commitments, enabling patients to construct their own stories, develop anxiety coping skills (psychological resilience), and cultivate a supportive inner voice (self-compassion).
Aucune intervention: Control Group
Participants in this group did not receive any additional psychosocial or nursing interventions between the dates of completing the pre-test and post-test forms. They completed the process continuing only with their routine clinical psychiatric follow-ups and medical treatments at the healthcare institution where they were registered.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in Psychological Resilience Scale Score
Délai: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Change in psychological resilience levels as measured by the Resilience Scale for Adults (33 items, 5-point Likert scale). Minimum score is 33 and maximum score is 165. Higher scores indicate higher levels of psychological resilience (better outcome). Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in Self-Compassion Scale Score
Délai: Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)
Change in self-compassion levels as measured by the Turkish version of the Self-Compassion Scale (Deniz, Kesici, & Sumer, 2008; 24 items, 5-point Likert scale). Minimum score is 24 and maximum score is 120. Higher scores indicate higher levels of self-compassion (better outcome). Pre-test was administered at Week 0 before intervention, and post-test was administered at Week 8 immediately following the 8-week intervention.
Baseline (Week 0, pre-test 1 day before intervention) and Post-test (Week 8, 1 day after completion of the 8-week intervention)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

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Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

20 janvier 2026

Achèvement primaire (Réel)

5 juin 2026

Achèvement de l'étude (Réel)

5 juin 2026

Dates d'inscription aux études

Première soumission

5 juin 2026

Première soumission répondant aux critères de contrôle qualité

12 août 2026

Première publication (Réel)

17 août 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

17 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

12 août 2026

Dernière vérification

1 août 2026

Plus d'information

Termes liés à cette étude

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 2025-462

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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