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怀旧疗法对认知障碍的机构化老年成年人的生活质量、对衰老的态度和抑郁症状的影响:一项准实验研究。

The effect of reminiscence therapy on quality of life, attitudes to ageing, and depressive symptoms in institutionalized elderly adults with cognitive impairment: A quasi-experimental study.

机构信息

House of Social Services, Municipal Hospital, Ostrava, Czech Republic.

Faculty of Medicine, Department of Nursing and Midwifery, University of Ostrava, Ostrava, Czech Republic.

出版信息

Int J Ment Health Nurs. 2018 Oct;27(5):1430-1439. doi: 10.1111/inm.12442. Epub 2018 Feb 10.

Abstract

The aim of this study was to analyse the effect of group narrative reminiscence therapy on cognition, quality of life, attitudes towards ageing, and depressive symptoms in a group of older adults with cognitive impairment in institutional care. A quasi-experimental pretest/post-test control group design was employed. Interventions involving reminiscence therapy with a narrative approach were included in the care plan and implemented in groups of between five and ten respondents once a week for 8 weeks (total 59 participants). The members of the control group (n = 57) received standard care. A study questionnaire was designed to measure demographic characteristics, quality of life (WOHQOL-BREF, WHOQOL-OLD), depressive symptoms (GDS), cognition (MMSE), and attitudes towards ageing (AAQ). Reminiscence therapy positively affected older adults' quality of life (mostly the areas of mental health and social participation), and also their attitudes to ageing and old age. It reduced symptoms of depression, but had no discernible effect on cognitive function. Reminiscence therapy can positively affect selected aspects of quality of life, attitudes towards old age, and symptoms of depression in the elderly in long-term healthcare facilities. Group reminiscence therapy can be used as a nursing intervention.

摘要

本研究旨在分析团体叙事性回忆疗法对机构照护中认知障碍的老年人群认知、生活质量、衰老态度和抑郁症状的影响。采用了准实验前后测对照组设计。干预措施包括以叙事为导向的回忆疗法,纳入护理计划,并以每周一次、每次五至十人一组的方式实施,共 8 周(共 59 名参与者)。对照组(n=57)成员接受标准护理。研究问卷用于测量人口统计学特征、生活质量(WOHQOL-BREF、WHOQOL-OLD)、抑郁症状(GDS)、认知(MMSE)和衰老态度(AAQ)。回忆疗法对老年人的生活质量(主要是心理健康和社会参与领域)、衰老态度和老年期产生了积极影响。它减轻了抑郁症状,但对认知功能没有明显影响。回忆疗法可以积极影响长期医疗保健机构中老年人的生活质量、衰老态度和抑郁症状的某些方面。团体回忆疗法可以作为一种护理干预措施。

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