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视频会议项目提高了养老院老年人的社会支持、孤独感和抑郁状况。

Videoconference program enhances social support, loneliness, and depressive status of elderly nursing home residents.

机构信息

School of Nursing, Chang Gung University, 259, Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan, ROC.

出版信息

Aging Ment Health. 2010 Nov;14(8):947-54. doi: 10.1080/13607863.2010.501057.

Abstract

OBJECTIVES

The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents' social support, loneliness, and depressive status.

METHODS

Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. Elderly residents (N = 57) of these nursing homes, who met our inclusion criteria were divided into experimental (n = 24) and control (n = 33) groups. The experimental group received five min/week of videoconference interaction with their family members for three months, and the control group received regular care only. Data were collected through face-to face interviews on social support, loneliness, and depressive status using the Social Supportive Behavior Scale, University of California Los Angeles Loneliness Scale, and Geriatric Depression Scale, respectively, at three points (baseline, one week, and three months after baseline). Data were analyzed using the generalized estimating equation approach.

RESULTS

Subjects in the experimental group had significantly higher mean emotional and appraisal social support scores at one week and three months after baseline than those in the control group. Subjects in the experimental group also had lower mean loneliness scores at one week and three months after baseline than those in the control group, and lower mean depressive status scores at three months after baseline.

CONCLUSION

Our videoconference program alleviated depressive symptoms and loneliness in elderly residents in nursing homes. Our findings suggest that this program could be used for residents of long-term care institutions, particularly those with better ability to perform activities of daily living.

摘要

目的

本准实验研究旨在评估视频会议干预方案对改善养老院居民社会支持、孤独感和抑郁状况的有效性。

方法

通过目的抽样,从台湾各地选择了 14 家养老院。符合纳入标准的养老院老年人(N=57)分为实验组(n=24)和对照组(n=33)。实验组接受每周 5 分钟与家人进行视频会议互动,为期三个月,对照组仅接受常规护理。使用社会支持性行为量表、加州大学洛杉矶孤独量表和老年抑郁量表分别在三个时间点(基线、干预后一周和基线后三个月)通过面对面访谈收集社会支持、孤独感和抑郁状况的数据。使用广义估计方程方法进行数据分析。

结果

与对照组相比,实验组在基线后一周和三个月时的情感和评价社会支持得分均显著更高。实验组在基线后一周和三个月时的孤独感得分也较低,且在基线后三个月时的抑郁状况得分较低。

结论

我们的视频会议方案减轻了养老院老年人的抑郁症状和孤独感。我们的研究结果表明,该方案可用于长期护理机构的居民,尤其是那些日常生活活动能力较好的居民。

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