Lamar University School of Nursing, Beaumont, TX 77710, USA.
J Psychiatr Ment Health Nurs. 2010 Oct;17(8):665-73. doi: 10.1111/j.1365-2850.2010.01556.x.
Depression is a major public health problem for older women. Medications do not always decrease depression. Therefore, there is a need to research alternative approaches to dealing with depression in this age group. Structured reminiscence has been suggested as a cognitive behaviour approach for dealing with depression in older women. However, the research is limited. This article presents a research study using a structured reminiscence protocol to decrease depression in older women. This study found significant positive results. First, structured reminiscence decreases depression levels of women 60 years and older residing in assisted living facilities when offered twice weekly for 6-week duration to document significant improvement in depression scores. Second, engagement in reminiscence must occur longer than 3 weeks to measure a significant improvement in depression scores. The study also recommends screening of all older women admitted to assisted living facilities for depression on admission and offering education to nurses working with older adults to educate them on the positive effects of structured reminiscence group interventions.
抑郁症是老年女性的一个主要公共卫生问题。药物并不总是能减轻抑郁。因此,有必要研究针对这一年龄组的其他应对抑郁的方法。有研究提出,怀旧疗法作为一种认知行为方法,可用于治疗老年女性的抑郁症。然而,相关研究有限。本文介绍了一项研究,该研究使用结构化怀旧疗法来降低老年女性的抑郁程度。研究发现了显著的积极结果。首先,每周两次,每次 6 周,为居住在辅助生活设施中的 60 岁及以上的女性提供结构化怀旧疗法,可显著降低抑郁程度。其次,怀旧疗法的参与时间必须超过 3 周,才能衡量抑郁程度的显著改善。该研究还建议,在老年女性入住辅助生活设施时,对所有女性进行抑郁症筛查,并向护理老年人的护士提供教育,以教育他们结构化怀旧疗法的积极影响。