Zauszniewski J A, Eggenschwiler K, Preechawong S, Roberts B L, Morris D L
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44016-4904, USA.
Aging Ment Health. 2006 Jul;10(4):404-12. doi: 10.1080/13607860600638446.
The objective of this study was to examine the effects of learned resourcefulness training (LRT) on health of elders in retirement communities (RCs). In a clinical trial, 46 elders in four randomly selected RCs received resourcefulness training and were compared to 43 elders in four RCs who participated in a focused reflection reminiscence (FRR) group. The two groups were similar at baseline. Repeated measures analysis of variance revealed no changes on anxiety or depression over time; however, both were significantly correlated with functional status (r's = 0.29 and 0.35, p's < 0.01), self-assessed health (r's = -0.18 and -0.26, p's < 0.05), and resourcefulness (r's = -0.24 and -0.21, p's < 0.05). Although main effects for group were not significant, interaction effects of group and time on self-assessed health and functional status were found. These findings suggest that although teaching resourcefulness to groups of elders in RCs may have beneficial effects on improving their perception of health and functioning over time, significant effects on mental health may not be apparent.
本研究的目的是考察习得性足智多谋训练(LRT)对退休社区(RCs)老年人健康的影响。在一项临床试验中,从四个随机选取的退休社区中抽取46名老年人接受足智多谋训练,并与四个退休社区中参加聚焦反思回忆(FRR)组的43名老年人进行比较。两组在基线时相似。重复测量方差分析显示,随着时间的推移,焦虑或抑郁没有变化;然而,两者均与功能状态显著相关(r值分别为0.29和0.35,p值均<0.01)、自我评估的健康状况(r值分别为-0.18和-0.26,p值<0.05)以及足智多谋程度(r值分别为-0.24和-0.21,p值<0.05)。虽然组间主效应不显著,但发现组与时间对自我评估的健康状况和功能状态存在交互效应。这些发现表明,虽然对退休社区中的老年人群体进行足智多谋训练可能会随着时间的推移对改善他们对健康和功能的认知产生有益影响,但对心理健康的显著影响可能并不明显。