基于无望自尊理论的护理干预对养老机构老年人抑郁的影响

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英文篇名：Effect of a nursing intervention program based on the hopelessness and self-esteem theories on depression for older adults in nursing home 作者：程澹澹 ; 孙建萍 ; 杨支兰 ; 宋丹 ; 牛桂芳 ; 常佳婧 ; 乔永丽 ; 贾敏敏 英文作者：Chen Dandan;Sun Jianping;Yang Zhilan;Song Dan;Niu Guifang;Chang Jiajing;Qiao Yongli;Jia Minmin;Nursing Department of Shangluo Central Hospital; 关键词：老年人 ; 养老机构 ; 无望自尊理论 ; 抑郁 ; 自尊 英文关键词：older adults;;nursing home;;the hopelessness and self-esteem theories;;depression;;self-esteem 中文刊名：HLXZ 英文刊名：Journal of Nursing Science 机构：商洛市中心医院护理部;山西中医药大学护理学院;邯郸市第一医院护理部; 出版日期：2019-04-25 出版单位：护理学杂志 年：2019 期：v.34 基金：山西省中医药管理局科研课题(2016ZYYC09);; 山西省软科学研究一般项目(2017041039-3) 语种：中文; 页：HLXZ201908003 页数：3 CN：08 ISSN：42-1154/R 分类号：8-10

摘要

目的探讨基于无望自尊理论的护理干预对养老机构老年人抑郁症状及自尊水平的效果。方法将太原市2所养老机构的99名抑郁老年人按所在机构分成干预组52名与对照组47名。对照组接受心理护理、健康宣教等常规护理,干预组在对照组基础上接受基于无望自尊理论的护理干预,干预4个月后评价效果。结果干预后,两组老年抑郁量表得分较干预前显著降低,且干预组显著低于对照组(均P<0.01);干预后,干预组自尊量表得分显著高于本组干预前及对照组干预后(P<0.05,P<0.01)。结论基于无望自尊理论的护理干预能够有效缓解机构老年人的抑郁症状,且可在一定程度上提高老年人的自尊水平。
        Objective To explore the effects of a nursing intervention program based on the hopelessness and self-esteem theories on depression and self-esteem of older adults in nursing home. Methods Totally 99 older adults from 2 nursing homes in Taiyuan were divided into an intervention group(n=52) and a control group(n=47) according to different nursing homes. The control group received routine nursing such as mental health nursing and health education, while the intervention group additionally received a nursing intervention program based on the hopelessness and self-esteem theories, and the intervention effect was evaluated after 4 months. Results After the intervention, the Geriatric Depression Scale-30(GDS-30) score of the two groups were significantly lower than those before the intervention, and the score of the intervention group was significantly lower than that of the control group(P<0.01 for all); and the Rosenberg′s Self-esteem Scale(RSES) score of the intervention group was significantly higher than that before the intervention and the score of the control group(P<0.05, P<0.01). Conclusion The nursing intervention program based on the hopelessness and self-esteem theories can effectively alleviate depressive symptom of older adults in nursing home, and enhance their self-esteem level to some extent.

引文

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