Mastel-Smith Beth, Binder Brenda, Malecha Ann, Hersch Gayle, Symes Lene, McFarlane Judith
College of Nursing, Texas Woman's University, Houston Center, Houston, Texas 77030, USA.
Issues Ment Health Nurs. 2006 Dec;27(10):1037-49. doi: 10.1080/01612840600943689.
The purpose of the study was to test a psychosocial intervention, therapeutic life review, offered by home care workers to decrease depression among home-dwelling older women. A quasi-experimental, one-group time-series design measured the effect of a once-a-week, 40-minute therapeutic life review intervention, delivered for six weeks by home care workers, on the depression scores of women 65 years and older, compared to their scores during the ten weeks prior to the intervention. Over time, depression scores improved with a significant decrease in depression immediately following the six-week intervention. Based on these findings, we concluded that home care workers can deliver a community-based psychosocial intervention that decreases depression in their home-dwelling clients.
该研究的目的是测试一项由家庭护理人员提供的心理社会干预措施——治疗性生活回顾，以减少居家老年女性的抑郁情绪。采用准实验单组时间序列设计，测量家庭护理人员每周进行一次、每次40分钟、为期六周的治疗性生活回顾干预措施，对65岁及以上女性抑郁得分的影响，并与干预前十周的得分进行比较。随着时间的推移，抑郁得分有所改善，在为期六周的干预结束后，抑郁显著下降。基于这些发现，我们得出结论，家庭护理人员可以提供一种基于社区的心理社会干预措施，以减少其居家客户的抑郁情绪。
