回忆对老年自杀意念患者抑郁的影响:一项随机对照试验

Mohammad-Rafi Bazrafshan, Zohreh Faramarzian, Mozhgan Jokar, Hamed Delam, A. Mansouri, O. Soufi, Esmaeil Kavi
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摘要

背景:考虑到老年人精神障碍所引起的问题、多重疾病、残疾以及自杀意念的可能性增加,本研究旨在研究回忆对生活在养老院的有自杀意念的老年人抑郁的影响。方法:临床试验研究。根据纳入标准,选取30名老年人,采用简单随机法分为干预组(n = 15)和对照组(n = 15)。纪念礼仪教育活动分8期举行。参与者被要求在干预前、干预后和干预后一个月分别填写自杀意念、抑郁和精神状态问卷。采用卡方检验、Mann-Whitney检验和Friedman检验,采用SPSS软件25版对数据进行分析。结果:实验组与对照组在婚姻状况、年龄、性别、心理状态、自杀意念、文化程度等方面均无统计学差异(P > 0.05)。干预后即刻(P = 0.037)和干预后1个月(P = 0.030),实验组与对照组抑郁均分比较差异有统计学意义。结论:根据本研究结果,回忆作为一种护理干预可以改善有自杀意念老年人的抑郁。因此,在养老院等场所举行集体回忆会,可以有效地减轻老年人的抑郁症状,防止自杀意念。
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The Effect of Reminiscence on Depression in Elderly People with Suicidal Ideation: A Randomized Controlled Trial
Background: Considering the problems, multiple diseases, disabilities, and the increased likelihood of suicidal ideation aroused by mental disorders among the elderly, the present study aimed to study the effects of reminiscence on depression in elderly people with suicidal ideation living in a nursing home. Methods: This is a clinical trial study. Considering the inclusion criteria, 30 elderly persons were selected regarding the inclusion criteria and then assigned to two intervention (n = 15) and control (n = 15) groups using the simple random method. An educational program on reminiscence protocol was held in eight sessions. The participants were asked to complete the suicidal ideation, depression, and mental status questionnaires before, immediately after, and one month after the intervention. chi-squared, Mann-Whitney, and Friedman tests were used to analyze the data with SPSS software version 25. Results: The experimental and control groups were homogenous in terms of marital status, age, gender, psychological status, suicidal ideation, and level of education (P > 0.05). Comparison of the mean scores of depression showed a significant difference between the experimental and control groups immediately after (P = 0.037) and one month after the intervention (P = 0.030). However, before the intervention, no significant difference was observed between the two groups (P = 0.899) Conclusions: According to the findings of this study, reminiscence as a nursing intervention can improve depression in the elderly with suicidal ideation. Accordingly, holding group reminiscing sessions in places such as nursing homes can be effective in reducing depression symptoms and preventing suicidal ideation in the elderly.
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