Effects of Mindfulness-Based Elder Care (MBEC) on symptoms of depression and anxiety and spiritual well-being of institutionalized seniors with disabilities: a randomized controlled trial

被引:2
作者
Hsiung, Yvonne [1 ]
Chen, Yi-Heng [2 ,3 ]
Lin, Li-Chan [4 ]
Wang, Yu-Han [5 ]
机构
[1] Mackay Med Coll, Dept Nursing, New Taipei City, Taiwan
[2] Mackay Med Coll, Dept Nursing, 46,Sec 3,Zhongzheng Rd, New Taipei City, Taiwan
[3] Mackay Med Coll, Inst Geriatr Welf Technol & Sci, 46,Sec 3,Zhongzheng Rd, New Taipei City, Taiwan
[4] Asia Univ, Dept Nursing, Taichung, Taiwan
[5] Minist Hlth & Welf, Sr Welf Grp Social & Family Affairs Adm, Taipei City, Taiwan
关键词
Disabilities; Residential care facility; Mental health; Spiritual well-being; Mindfulness mediation; Seniors; STRESS REDUCTION MBSR; OLDER-ADULTS; INTERVENTIONS; RESIDENTS; HOME;
D O I
10.1186/s12877-023-04220-6
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundDespite the need to incorporate seniors from various settings into mindfulness-based empirical research, issues of geriatric frailties and non-compliance remain. This study aimed to evaluate the effects of a mindfulness-based elder care (MBEC) program on mental health and spiritual well-being among seniors with disabilities in long-term care residential settings.MethodsThis single-blind, randomized controlled trial (RCT) randomly assigned seventy-seven participants into an MBEC group or control group of an eight-week MBEC program. Participants were assessed every four weeks at baseline (T-0), mid-intervention (T-1), post-intervention (T-2) and follow-up (T-3) using the Geriatric Depression Scale Short Form (GDS-SF), the State-Trait Anxiety Inventory (STAI) and the Spiritual Well-Being Scale (SWBS), respectively.ResultsLinear mixed model (LMM) showed that MBEC participants' mental health improved significantly after completing the intervention; compared with controls, the MBEC group exhibited significantly lower anxiety (state-anxiety at T-2; trait-anxiety at T-2 and T-3) and fewer depressive symptoms. Spiritual well-being was also significantly enhanced compared to that in the control group.ConclusionsMBEC has positive effects on both mental health and spiritual well-being outcomes among seniors with disabilities. In long-term care facilities, seniors with abilities have the potential to adhere to and engage in activities of a mindfulness-based intervention. This low risk, easily accessible, and effective 8-week program is recommended to be integrated into regular long-term care institutional routines.
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页数:12
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