怀旧疗法可缓解中风患者及其配偶照顾者的焦虑、抑郁并提升其精神幸福感：一项随机对照研究：中风患者/照顾者的怀旧疗法。
Reminiscence therapy relieves anxiety, depression and boosts spiritual well-being in both stroke patients and their spouse caregivers: a randomized, controlled study : Reminiscence therapy in stroke patients/caregivers.
机构信息
Department of Neurology, The First Affiliated Hospital of Harbin Medical University, No.2075 Qunli Seventh Avenue, Harbin, 150077, China.
Department of Nursing, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
出版信息
Ir J Med Sci. 2024 Feb;193(1):407-415. doi: 10.1007/s11845-023-03451-1. Epub 2023 Jul 19.
AIMS
Reminiscence therapy (RT) is a common nursing care program to ameliorate psychological disorders, while its application in stroke patients and their spouse caregivers is rare. Thus, this randomized, controlled study intended to investigate the influence of RT on anxiety, depression, and spiritual well-being in these individuals.
METHODS
Totally, 162 couples of stroke patients and their spouse caregivers were randomly assigned to receive RT (N = 81) and control care (CC) (N = 81) by pairs 4 times per month for 6 months. Hospital Anxiety and Depression Scale for anxiety (HADS-A) and depression (HADS-D), Functional Assessment of Chronic Illness Therapy - Spiritual Well-being scale (FACIT-Sp) were evaluated at month (M)0, M1, M3, and M6.
RESULTS
In stroke patients, RT reduced HADS-A score at M3 (P = 0.043) and M6 (P = 0.020), and HADS-D score at M6 (P = 0.034), while increased FACIT-Sp score at M1 (P = 0.023), M3 (P = 0.010), and M6 (P = 0.004) compared to CC. Meanwhile, RT induced greater ameliorations in HADS-A (P = 0.049) and FACIT-Sp (P < 0.001) scores from M0 to M6 versus CC, but less in HADS-D score (P = 0.076). In the aspect of spouse caregivers, RT deceased HADS-A score at M1 (P = 0.042), M3 (P = 0.001), and M6 (P < 0.001), lowered HADS-D score at M3 (P = 0.015) and M6 (P = 0.001), but elevated FACIT-Sp score at M1 (P = 0.042), M3 (P < 0.001), and M6 (P < 0.001) compared to CC. Noteworthily, RT facilitated the improvements of HADS-A (P < 0.001), HADS-D (P = 0.010), and FACIT-Sp (P < 0.001) scores from M0 to M6 versus CC.
CONCLUSIONS
RT relieves anxiety, depression and boosts spiritual well-being in both stroke patients and their spouse caregivers.
目的
回忆疗法（RT）是一种常见的护理方案，可改善心理障碍，但其在中风患者及其配偶照顾者中的应用却很少。因此，本随机对照研究旨在探讨 RT 对这些个体的焦虑、抑郁和精神健康的影响。
方法
总共将 162 对中风患者及其配偶照顾者随机分为 RT 组（n=81）和对照组（n=81），每月接受 4 次 RT，共 6 个月。采用医院焦虑和抑郁量表评估焦虑（HADS-A）和抑郁（HADS-D），采用慢性病治疗功能评估-精神健康量表（FACIT-Sp）评估精神健康。评估时间为 0 个月（M0）、1 个月（M1）、3 个月（M3）和 6 个月（M6）。
结果
在中风患者中，与对照组相比，RT 在 M3 时（P=0.043）和 M6 时（P=0.020）降低 HADS-A 评分，在 M6 时（P=0.034）降低 HADS-D 评分，而在 M1 时（P=0.023）、M3 时（P=0.010）和 M6 时（P=0.004）升高 FACIT-Sp 评分。同时，与对照组相比，RT 从 M0 到 M6 时 HADS-A（P=0.049）和 FACIT-Sp（P<0.001）评分的改善更为显著，而 HADS-D 评分的改善则较低（P=0.076）。在配偶照顾者方面，与对照组相比，RT 在 M1 时（P=0.042）、M3 时（P=0.001）和 M6 时（P<0.001）降低 HADS-A 评分，在 M3 时（P=0.015）和 M6 时（P=0.001）降低 HADS-D 评分，而在 M1 时（P=0.042）、M3 时（P<0.001）和 M6 时（P<0.001）升高 FACIT-Sp 评分。值得注意的是，与对照组相比，RT 从 M0 到 M6 时 HADS-A（P<0.001）、HADS-D（P=0.010）和 FACIT-Sp（P<0.001）评分的改善更为显著。
结论
RT 可缓解中风患者及其配偶照顾者的焦虑、抑郁，并提高其精神健康水平。
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