Mental Health Promotion of the Elderly in Nursing Homes: A Social-Cognitive Intervention

IF 0.3 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Gerontology Pub Date : 2021-07-01 DOI:10.6890/IJGE.202107_15(3).0007

Aida Abusalehi, Mohammad Vahedian-Shahroodi, H. Esmaily, A. Jafari, Hadi Tehrani

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引用次数: 4

Abstract

Background: In Iranian culture, transferring old parents to a nursing home is considered unacceptable and a sign of cruelty and heartless of children. This study was conducted to investigate the effect of the educational intervention based on Social Cognitive Theory (SCT) on mental health of the elderly in nursing homes. Methods: This quasi-experimental study was implemented to determine the effect of the educational intervention using social-cognitive theory. The mental health promotion educational program was designed in 8 sessions of 45 min. Data were collected by demographic information questionnaire, mental health questionnaire based on SCT and general health questionnaire (GHQ-28). Data were analyzed by SPSS19, descriptive statistics, chi-square tests, t-test, Mann-Whitney, duplicate data variance, Friedman and general linear model. Results: The result showed that educational intervention in the experiment group led to lower GHQ scores and therefore enhanced mental health (p ＜ 0001). The variance analysis of duplicate data showed a significant difference between mean scores of mental health during the study (p ＜ 0.03) and the effect of educational groups was also significant (p ＜ 0001). Conclusion: As a general conclusion, designing and implementing educational interventions by employing SCT based on individual, environmental and behavioral factors can significantly improve mental health of the elderly.

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养老院老年人心理健康促进:一种社会认知干预

背景:在伊朗文化中，把年迈的父母送到养老院被认为是不可接受的，是孩子残忍和无情的标志。本研究旨在探讨基于社会认知理论的教育干预对养老院老年人心理健康的影响。方法:运用社会认知理论进行准实验研究，以确定教育干预的效果。采用人口统计信息问卷、基于SCT的心理健康问卷和一般健康问卷(GHQ-28)收集数据，共8次，每次45分钟。采用SPSS19、描述性统计、卡方检验、t检验、Mann-Whitney、重复数据方差、Friedman和一般线性模型对数据进行分析。结果:实验组的教育干预导致GHQ得分降低，从而改善了心理健康状况(p < 0001)。重复资料方差分析显示，研究期间心理健康均分差异有统计学意义(p < 0.03)，教育组的影响也有统计学意义(p < 0001)。结论:基于个体因素、环境因素和行为因素设计和实施SCT教育干预，可以显著改善老年人的心理健康状况。

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来源期刊

International Journal of Gerontology 医学-老年医学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine. The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia. Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.