Study on effects of life review activities on the quality of life of the elderly: A randomized controlled trial
Study on effects of life review activities on the quality of life of the elderly: A randomized controlled trial
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DOI：
10.1159/000078847
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发表时间：
2004-01-01
影响因子：
22.8
通讯作者：
Okamura, H
中科院分区：
文献类型：
--
作者：
Hanaoka, H;Okamura, H
背景资料：本研究的目的是通过随机对照试验，评估生活回顾活动对老年人生活质量（QOL）的中期疗效，并确定进行生活回顾活动时应考虑的因素。方法：97名符合条件的老年人中有80名获得了书面同意。将他们随机分为干预组和对照组两组，干预组进行集体生活回顾活动，对照组进行健康讨论活动。在干预组和对照组，生活满意度，自尊，抑郁和绝望进行了评估，使用自评量表在三个点：在基线，完成8周的会议后立即，3个月后完成的干预。结果如下：重复测量的协方差分析显示，两组之间的抑郁（p = 0.04）和绝望（p = 0.04）评分的变化有显着差异。关于与抑郁和绝望相关的因素，在完成干预3个月后，通过多元回归分析提取基线时性质更严重且过去有更多未解决冲突的抑郁和绝望。结论：结果表明，团体生活回顾活动具有辅助老年发展阶段和支持心理健康的作用，对维持和提高老年人生活质量具有中长期效果。版权所有（C）2004 S. Karger AG，巴塞尔。
Background: The objective of this study was to evaluate the mid-term efficacy of life review activities on the quality of life (QOL) of the elderly by conducting a randomized controlled trial, and to identify the factors that should be taken into consideration when conducting life review activities. Methods: Written consent was obtained from 80 of the 97 eligible elderly persons. After randomly assigning them to two groups, an intervention group and a control group, group life review activities were conducted in the intervention group and discussion activities about health were conducted in the control group. In both the intervention group and the control group, life satisfaction, self-esteem, depression, and hopelessness were evaluated using self-rating scales at three points: at baseline, immediately after completion of the 8 weeks of sessions, and 3 months after completion of the intervention. Results: Repeated measures analysis of covariance showed significant differences between the two groups in the changes in scores for depression (p = 0.04) and hopelessness (p = 0.04). Regarding the factors that were associated with depression and hopelessness, 3 months after completion of the intervention, depression and hopelessness of a more severe nature at baseline and having greater unresolved conflicts in the past were extracted by multiple regression analysis. Conclusions: The results suggested that group life review activities have a role in assisting the developmental stage of old age and supporting mental health, and have mid- to long-term effectiveness in maintaining and improving the QOL of the elderly. Copyright (C) 2004 S. Karger AG, Basel.