懷舊團體治療於護理之家老人對寂寞、生命意義、生活滿意之前驅性研究
| 論文名稱(中/英文) | 研究生 | 指導教授 |
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懷舊團體治療於護理之家老人對寂寞、生命意義、生活滿意之前驅性研究 and Life Satisfaction in Nursing Home Elderly |
魏雪卿 | 黃惠璣博士 |
| [ 摘要 ] | ||
| 文獻查證，「懷舊團體治療」活動，可促進老人「自我統整」、降低老人寂寞，促進生活滿意，進而促使老人晚年具有生命意義與價值。 自93年8月到94年1月，以台北市某護理之家；共91位住民，研究者以立意取樣選出22位參與者；條件為能坐約一小時的老人，其SPMSQ 得分8分以上，簽署同意書。給予實施每期十週，每週一次，每次50-60分的「懷舊團體治療」活動。內容有：自我介紹、談家及最想念的人、共唱老歌、看老電影、老照片說故事、談遺憾與得意的過往，分享參加團體的感想等。實施前後一週進行老人寂寞量表、老人生命意義量表及老人生活滿意量表的問卷訪談。再以SPSS 12.0統計軟體，進行無母數分析。 結果顯示：17位參與者平均為81歲，老人寂寞得分由44.9分，降至40.4分，p值0.002，治療前後達顯著差異。生活滿意得分由122.1分上昇至132,0分，p值0.004，亦達顯著水準。生命意義得分由22.3分上升至24.6分，p值0.127；治療前後未顯示差異。再以相關分析：老人寂寞與IADLs得分較低及非志願入住者相關。生活滿意得分，與入住月數越久相關。參與者並表示：參與懷舊治療可化解其負面想法，在團體中交到好朋友，遺憾得到紓解；認為參與了最有意義的活動。每位參與者獲得「紀念冊」一本；為活動精彩照片及個人發表意見之集錦。因而老人得隨時翻閱回味。進而覺得過去尚有許多值得回憶往事。增強人生意義。紀念冊也成為與家屬溝通工具。家屬由此更了解長者在護理之家的生活狀況及其懷舊的事蹟。護理之家醫護人員認為懷舊團體治療活動為研究者創意表現，值得學習仿效。 本研究發現；懷舊團體治療對於降低老人寂寞，提升生活滿意具有療效。建議未來列入護理之家工作常規；及工作人員在職教育之參考。並可推廣於具有老人之場所。 |
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| [ Abstract ] | ||
| Many studies show that Reminiscence therapy activity can improve the elderly self-integration. Loneliness feeling can be reduced and can be increased their satisfaction with lives and the meanings of life becomes more positive. In this study, reminiscence therapy as an intervention strategy. From August in 2004 to January in 2005, One nursing home in Taipei. There were 91 register. On purpose sampling, 22 elderly people, who could stay sitting for one hour, SPMSQ point over 8, were chosen to participate with their agreement. Those elderly people were divided into two groups and under took the ten-week curriculum one hour a week The therapy activity contents included self introduction, talking my family, singing old songs, watching old movies, looking old pictures and telling stories about them, talking about the greatest and the regrets that they had and talking about their feelings of participating in the curriculum. Finally, 17 participants completed over 8 times curriculum. The participants’ personal data, the point of their loneliness, their life satisfaction, and the point of their meanings of their life were collected both in the beginning and in the end of the curriculum. Study reported： The participates average age was 81.Analysis in feeling of loneliness, showed that was reduced significant, from 44.9 points to 40.4 p=0.002.Life satisfaction feeling was also promoted significantly from 122.1 points to 132.0 p=0.047. The meanings of their life, was not significant difference p=0.127, although the points were increased from 22.3 to 24.6. The participants thought the activity could help them promote their negative thinking, Felt very happy, because they could make good friends in group. Their regretful feelings could be relieved and that they thought it was very meaningful for them to participate in such activity. The data also showed that the participants’ loneliness was correlated with their IADLs point, and the motivations admitted nursing homes, while their life satisfaction was correlated with the stay length months they had in nursing homes The results showed that the Reminiscence therapy activity has several merits and can be regarded as a route caring model for the elderly. ’ The study also suggests that should in the long-term nursing care in servicing training courses. |
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