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团体怀旧疗法对老年养老院居民抑郁、自尊和生活满意度的影响。

The effects of group reminiscence therapy on depression, self esteem, and life satisfaction of elderly nursing home residents.

作者信息

Chao Shu-Yuan, Liu Hsing-Yuan, Wu Chiu-Yen, Jin Suh-Fen, Chu Tsung-Lan, Huang Tzu-Shin, Clark Mary Jo

机构信息

Department of Nursing, Hungkuang University, Taiwan.

出版信息

J Nurs Res. 2006 Mar;14(1):36-45. doi: 10.1097/01.jnr.0000387560.03823.c7.

Abstract

The need to provide quality mental health care for elders in nursing home settings has been a critical issue, as the aging population grows rapidly and institutional care becomes a necessity for some elders. The purpose of this quasi-experimental study was to describe the effect of participation in reminiscence group therapy on older nursing home residents' depression, self-esteem, and life satisfaction. Purposive sampling was used to recruit participants who met the study criteria. Residents of one ward were assigned to the reminiscence therapy group intervention, while residents of the other ward served as controls. Nine weekly one-hour sessions were designed to elicit reminiscence as group therapy for 12 elders in the experimental group. Another 12 elders were recruited for a control group matched to experimental subjects on relevant criteria. Depression, self-esteem, and life satisfaction were measured one week before and after the therapy. The Statistical Package for the Social Sciences (SPSS, Version 10.0) was used to analyze data. Results indicated that group reminiscence therapy significantly improved self-esteem, although effects on depression and life satisfaction were not significant. Reminiscence groups could enhance elders' social interaction with one another in nursing home settings and become support groups for participants. The model we created here can serve as a reference for future application in institutional care.

摘要

随着老年人口迅速增长,机构护理成为一些老年人的必要选择,为养老院中的老年人提供高质量心理健康护理的需求已成为一个关键问题。这项准实验研究的目的是描述参与回忆小组疗法对老年养老院居民抑郁、自尊和生活满意度的影响。采用目的抽样法招募符合研究标准的参与者。一个病房的居民被分配到回忆疗法组进行干预,而另一个病房的居民作为对照组。为实验组的12名老年人设计了为期九周、每周一小时的课程,以引发回忆作为小组疗法。另外招募了12名老年人作为对照组,该对照组在相关标准上与实验对象相匹配。在治疗前后一周测量抑郁、自尊和生活满意度。使用社会科学统计软件包(SPSS,版本10.0)分析数据。结果表明,小组回忆疗法显著提高了自尊,尽管对抑郁和生活满意度的影响不显著。回忆小组可以增强养老院环境中老年人之间的社交互动,并成为参与者的支持小组。我们在此创建的模型可为未来在机构护理中的应用提供参考。

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