Chen Shu-Mei, Kuo Chien-Lin, Chen Mei-Rong, Lee Lai-Ling, Lee Pi-Yueh, Wang Shu-Fen
MSN, RN, Assistant Head Nurse, Department of Nursing, Yuan's General Hospital, Taiwan, ROC.
PhD, RN, Associate Professor, Department of Nursing, Fooyin University, Taiwan, ROC.
Hu Li Za Zhi. 2016 Aug;63(4):70-9. doi: 10.6224/JN.63.4.70.
Long-term care institutions have become an option for older people who are dependent in daily living. However, insufficient attention has been focused on assessing the life satisfaction of those currently residing in these institutions in Taiwan. Previous research indicates that group reminiscence may improve the life satisfaction of older adults. However, there is currently no consensus regarding the implementation and evaluation of reminiscence interventions.
To examine the effect of a structured group reminiscence protocol on the life satisfaction of institutionalized older adults.
The study used a quasi-experimental design. A total of 48 older adults were conveniently recruited from two long-term care institutions in southern Taiwan. The experimental group (n = 23) received 8 weeks of structured-group reminiscence for 40 minutes weekly, while the control group (n = 25) received routine care from the institution. Both groups were evaluated using a life-satisfaction questionnaire before and after the intervention and again four weeks later.
Life satisfaction scores were statistically similar on the pre-test and significantly different on both post-test questionnaires for the two groups. The scores for the experimental and control groups were pre-test: 24.22 vs 23.36 (p = .063); post-test I: 27.22 vs 23.32 (p < .001); and post-test II: 26.43 vs 23.00 (p < .001). The mean post-test scores for the experimental group were significantly higher than the pre-test score (p < .001). The generalized estimating equation test showed that the overall score of life satisfaction for the experimental group increased by 0.85-points (p = .042) more than the control group, which is a significant difference.
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results support that the 8-week structured group reminiscence protocol effectively enhances life satisfaction in older adults. The results of this study may be referenced in the continuing education of nurses working in long-term care institutions in the context of helping nurses organize, facilitate, and evaluate this protocol.
长期护理机构已成为日常生活需要依赖他人的老年人的一种选择。然而，台湾目前对评估居住在这些机构中的老年人的生活满意度关注不足。先前的研究表明，团体回忆疗法可能会提高老年人的生活满意度。然而，目前对于回忆疗法干预措施的实施和评估尚无共识。
探讨结构化团体回忆疗法方案对机构养老老年人生活满意度的影响。
本研究采用准实验设计。从台湾南部的两家长期护理机构方便地招募了48名老年人。实验组（n = 23）每周接受8周、每次40分钟的结构化团体回忆疗法，而对照组（n = 25）接受机构的常规护理。两组在干预前后以及四周后再次使用生活满意度问卷进行评估。
两组在预测试时生活满意度得分在统计学上相似，而在两次后测试问卷中得分有显著差异。实验组和对照组的得分分别为：预测试：24.22对23.36（p = 0.063）；后测试I：27.22对23.32（p < 0.001）；后测试II：26.43对23.00（p < 0.001）。实验组后测试的平均得分显著高于预测试得分（p < 0.001）。广义估计方程检验表明，实验组生活满意度的总体得分比对照组提高了0.85分（p = 0.042），这是一个显著差异。
结论/对实践的启示：结果支持8周结构化团体回忆疗法方案能有效提高老年人的生活满意度。本研究结果可在长期护理机构护士的继续教育中作为参考，以帮助护士组织、促进和评估该方案。
