79. The impact of extended nursing intervention In the medical alliance model on patients with mental illness and depression in the community

Abstract Background Because the traditional medical model has shortcomings such as uneven distribution of resources and uneven quality of medical services, it cannot properly meet the long-term treatment and care needs of patients with mental illness. To this end, the study analyzed the impact of extended nursing intervention under the medical consortium model on community patients with mental illness and depression, aiming to provide new technical directions for the care of mental illness. Methods The study design was a randomized controlled trial, selecting 120 community patients. These patients were all diagnosed with mental illness accompanied by depression in the coverage area of a certain medical consortium from January 2024 to June 2025. The patients were randomly divided into a control group and an intervention group, with 60 cases in each group. Patients in the control group only received conventional treatment, while patients in the intervention group received extended nursing intervention under the medical alliance model on the basis of conventional treatment. Nursing intervention involves nurses formulating personalized care plans based on the patient's condition, including medication management, dietary regulation, exercise planning, and psychological management. The trial period lasted for 10 months, and the patients' depressive symptoms were assessed with the Hamilton Depression Rating Scale (HAMD) before and after the experiment. In addition, patients' quality of life was assessed using the World Health Organization Quality of Life Brief version (WHOQOL-BREF), while satisfaction with nursing services was assessed using a self-made service satisfaction questionnaire. Results During the 10-month intervention and follow-up, the results showed that the HAMD score of patients in the intervention group was significantly reduced, from 24.3 ± 5.2 before the experiment to 12.7 ± 4.6 after the end of the experiment. The HAMD score of patients in the control group decreased from 23.8 ± 5.0 before the experiment to 18.9 ± 4.8 after the experiment (p