个体怀旧治疗与团体怀旧治疗对养老机构老年人抑郁情绪的影响

Effect of individual reminiscence therapy and group reminiscence therapy on the depression of elderly people in pension institutions

摘要:

目的：比较个体怀旧治疗与团体怀旧治疗对养老机构老年人抑郁情绪的应用效果。方法：将纳入的98例有轻中度抑郁症状的老年人，随机分为个体怀旧治疗组（n=49）和团体怀旧治疗组（n=49），并分别给予为期8周的个体与团体怀旧治疗，并在干预前后应用老年抑郁量表、生活满意度量表对老年人抑郁情绪及生活满意度进行评定。结果：干预前2组抑郁得分比较差异无统计学意义（t=-0.894，P=0.374），生活满意度得分比较差异无统计学意义（t=-1.647，P=0.103）；干预后2组抑郁得分比较差异有统计学意义（t=-3.672，P=0.000），生活满意度得分比较差异有统计学意义（t=3.735，P=0.000）；2组患者组内干预前后抑郁得分、生活满意度得分比较差异均有统计学意义（P=0.000）。结论：个体怀旧治疗与团体怀旧治疗均可以明显缓解老年抑郁情绪并提高老年人生活满意度；团体怀旧治疗对有轻、中度抑郁情绪的老年人均有效，而个体怀旧较适用于缓解有轻度抑郁情绪的老年人。本研究可为后续怀旧疗法的应用作参考。

Abstract:

Objective：To compare the individual reminiscence therapy and application effect of group reminiscence therapy for emo－tional depression in the elderly in pension institutions. Methods：Totally 98 elderly patients with mild to moderate depressive symptoms were randomly divided into individual reminiscence therapy group（n=49） and group reminiscence therapy group（n=49）. They were given 8 weeks of individual and group reminiscence treatment. The geriatric depression scale，life satisfaction scale were used to assess depression and life satisfaction of the elderly before and after intervention. Results：There was no significant difference in depression scores and satisfaction score between the two groups before intervention（t=-0.894，P=0.374；t=-1.647，P=0.103）. There were significant differences in depression scores and life satisfaction score between the two groups after intervention（t=-3.672，P=0.000；t=3.735，P=0.000）. There were significant differences in scores of depression and life satisfaction between the two groups before and after in－tervention（P=0.000）. Conclusion：The individual reminiscence therapy and group reminiscence therapy can significantly alleviate the elderly depression and improve the life satisfaction of the elderly. Group reminiscence therapy is effective for elderly people with mild or moderate depression，while individual reminiscence is more suitable for relieving the elderly with mild depression. This study can be used as a reference for the application of reminiscence therapy.