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<.05). The WHOQOL-BREF score of patients in the intervention group improved significantly, from 48.6 ± 10.4 before the experiment to 68.2 ± 11.3 after the experiment. The WHOQOL-BREF score of patients in the control group increased from 47.9 ± 10.1 before the experiment to 58.3 ± 10.7 after the experiment (p<.05). After the experiment, the satisfaction scores of the intervention group and the control group were 86.3 ± 7.5 and 74.8 ± 8.2 respectively. The service satisfaction of patients in the intervention group was significantly higher than that in the control group (p<.05). Discussion The results show that extended nursing intervention under the medical consortium model can significantly improve the depressive symptoms of community patients with mental illness and depression, and improve their quality of life and satisfaction with nursing services. This shows that the medical consortium model has important application value in mental illness care by integrating medical resources to provide personalized and continuous care services. Future research can use remote monitoring and big data analysis to participate in mental illness care, so as to provide high-quality care services to more patients with mental illness and improve their overall health and quality of life. Funding No. 21XGL018.