摘要
[目的]探讨整体身心调节联合娱乐疗法对养老院老年人抑郁及主观幸福感的影响。[方法]将80名60岁~80岁意识清楚、无失明失聪、无精神障碍及沟通障碍的老年人采用随机数字表法随机分为对照组和干预组各40人。对照组采用常规健康教育,给予支持性心理治疗及简单娱乐活动,干预组给予整体身心调节联合娱乐疗法。根据养老院老年人的生活习惯,每周进行3次训练,每次45min^60min,共治疗3个月。两组老年人均在干预前和干预3个月后采用老年抑郁量表(GDS)和焦虑自评量表(SAS)评测病人抑郁和焦虑情况;采用心境状态量表(POMS)评价老年人的情绪状态;采用纽芬兰主观幸福度量表评价主观幸福程度。[结果]干预前两组老年人POMS、GDS、SAS评分及主观幸福程度评分比较差异均无统计学意义(P>0.05);干预3个月后,干预组老年人POMS评分中紧张-焦虑、忧郁-沮丧、疲惫-惰性、活力-好动等分数与治疗前比较差异有统计学意义,GDS、SAS及主观幸福程度评分均优于对照组(P<0.05)。[结论]整体身心调节联合娱乐疗法有助于改善养老院老年人心境,提高其主观幸福感。
Objective:To probe into the influence of overall physical and mental adjustment combined with entertainment therapy on depression and subjective well-being of the aged in nursing home.Methods:A total of 80 cases of elderly people with 60 years old to 80 years old who were in clear consciousness and no deaf and blind and without psychiatric disorders and communication disorders were randomly divided into control group and intervention group,40 cases in each.The patients in control group received routine health education,and supportive psychotherapy and recreational activities were given them,beside that,the elderly people in intervention group were given the overall physical and mental adjustment combined with entertainment therapy.According to the living habits of elderly people in nursing homes,training was carried out for three times a week,every 45min^60min,lasting for three months.The patients' depression and anxiety were assessed by using the Geriatric Depression Scale(GDS)and self rating Anxiety Scale(SAS)in both groups of older people before intervention and in 3months after the intervention;the profile of mood states(POMS)was used to evaluate the patients' emotional state;the Newfoundland subjective happiness scale was used to evaluate the patients' subjective well-being.Results:Before the intervention,there was not statistically significant difference in scores of POMS,GDS,SAS and subjective well-being between two patients(P>0.05);after 3months of the intervention,there was statistically significant difference in tension-anxiety,depression-depression,fatigue-inert,vitality-agood move scores of POMS score in intervention group between before and after 3months of the intervention,GDS,SAS and subjective happiness scores in intervention group were better than that in control group(P<0.05).Conclusion:The overall physical and mental adjustment combined with entertainment treatment contributes to the mood improvement of elderly people in nursing homes and improve their subjective well-being.
出处
《护理研究（中旬版）》
2014年第9期3213-3216,共4页
Chinese Nursing Researsh
基金
大学生创新项目
河北省科技支撑课题
编号:09276103D-3
关键词
养老院
老年人
抑郁
整体身心调节
娱乐疗法
主观幸福感
nursing homes
the aged
depression
overall physical and mental adjustment
recreational therapy
subjective well-being
