Hsu Ya-Chuan, Wang Jing-Jy
Department of Nursing, Chang Jung Christian University, Tainan County, Taiwan, Republic of China.
Nurs Res. 2009 Jul-Aug;58(4):294-9. doi: 10.1097/NNR.0b013e3181a308ee.
Depression among institutionalized elders is a common problem associated with physical and functional limitations, and effective interventions are needed.
The objective of this study was to determine the effect of group reminiscence on physical function, behavioral competence, and depression among clinically depressed, institutionalized elders.
A two-group, random-assignment quasi-experimental study was conducted in four long-term care facilities in southern Taiwan. The experimental group (n = 21) received six to eight group reminiscence sessions over 2 months compared with a routine care control group (n = 24). Outcome measurements included the Behavioral Rating Scale, Barthel's Index, and the Geriatric Depression Scale-short form.
Reminiscence sessions resulted in a significant 2-point decrease in the Geriatric Depression Scale-short form (p = .002) and improved behavioral competence (p = .001). No change was identified in functional ability.
Group reminiscence is a therapeutic intervention for depressed, institutionalized elders that can be managed by trained nursing staff. It is a cost-effective approach to improve psychosocial well-being for institutionalized older people. Additional research is needed on a larger sample across different diseases and cultural groups.
机构养老老人中的抑郁症是一个与身体和功能受限相关的常见问题，需要有效的干预措施。
本研究的目的是确定团体回忆疗法对临床抑郁症机构养老老人的身体功能、行为能力和抑郁的影响。
在台湾南部的四个长期护理机构进行了一项两组随机分配的准实验研究。与常规护理对照组（n = 24）相比，实验组（n = 21）在2个月内接受了六至八次团体回忆疗法课程。结局测量包括行为评定量表、巴氏指数和老年抑郁量表简表。
回忆疗法课程使老年抑郁量表简表得分显著降低2分（p = .002），并改善了行为能力（p = .001）。功能能力未发现变化。
团体回忆疗法是一种可由经过培训的护理人员实施的针对抑郁的机构养老老人的治疗性干预措施。它是一种提高机构养老老年人心理社会幸福感的经济有效的方法。需要对不同疾病和文化群体的更大样本进行进一步研究。
