Wilson Donna M, Marin Alexandra, Bhardwaj Param, Lichlyter Bonnie, Thurston Amy, Mohankumar Deepthi
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada T6G 2G3.
Nurs Res Pract. 2010;2010:676351. doi: 10.1155/2010/676351. Epub 2010 Jun 20.
Depression is common among older persons. An experimental study was undertaken to test the impact of a four-week hope program on depressed nursing home residents. Residents aged 65 or older, who met the criteria for this pilot study and agreed to participate, were randomly assigned to (a) an intervention group, and provided with weekday hope interventions mainly involving positive messages and pictures or (b) a modified control group, and provided with a friendly weekday greeting. The structured hope intervention was not proven effective for reducing depression or raising hope. Instead, a significant reduction in depression among the control subjects was found, as well as a nonsignificant increase in their level of hope. Although these findings suggest friendly visitors may be a more efficacious nonpharmacological approach for reducing depression, further investigations are needed to confirm this and to explore the impact of other hope interventions.
抑郁症在老年人中很常见。一项实验研究旨在测试一项为期四周的希望计划对抑郁的养老院居民的影响。年龄在65岁及以上、符合本试点研究标准并同意参与的居民被随机分为：(a) 干预组，工作日接受主要涉及积极信息和图片的希望干预；或 (b) 改良对照组，工作日接受友好问候。结构化的希望干预并未被证明对减轻抑郁或提升希望有效。相反，发现对照组受试者的抑郁显著减轻，且其希望水平有不显著的提高。尽管这些发现表明友好访客可能是减轻抑郁更有效的非药物方法，但仍需要进一步调查来证实这一点，并探索其他希望干预措施的影响。
