The Promotion of Well-Being in Aging Individuals Living in Nursing Homes: A Controlled Pilot Intervention with Narrative Strategies

被引:25
|
作者
Cesetti, Giulia [1 ]
Vescovelli, Francesca [1 ]
Ruini, Chiara [1 ]
机构
[1] Univ Bologna, Bologna, Italy
关键词
Depression; nursing home; older adults; positive narrative intervention; satisfaction with life; well-being; LONG-TERM-CARE; OLDER-ADULTS; LIFE; REMINISCENCE; DEPRESSION; THERAPY; PEOPLE; SATISFACTION; DISORDERS; BENEFITS;
D O I
10.1080/07317115.2017.1292979
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
Objectives: The study aimed: (1) to compare levels of well-being and distress in older adults living in nursing homes with those living in community; and (2) to test the feasibility of a positive narrative intervention for improving well-being versus a control art-and-craft intervention in a nursing home setting.Methods: Sixty older adults participated in the study (M=77.37; SD=5.00), Male=20 (33.3%). In Study 1, 30 adults living in nursing homes were compared with 30 community-dwellers using the following measures: Satisfaction with Life Scale, Psychological Well-being Scale, Social Well-being Scale, Geriatric Depression Scale, and sleep quality. In Study 2, the same 30 adults living in nursing homes were allocated to a positive narrative intervention group (N=20) or to a control group (N=10) and assessed at post-intervention.Results: In Study 1, older adults in nursing homes presented more depression and impairments in well-being, compared to community-dwellers. In Study 2, at post-treatment, individuals assigned to the narrative intervention reported significantly increased well-being and sleep quality.Conclusions: Although preliminary, results showed that older adults living in nursing homes are more vulnerable than community-dwellers. These patients experienced improvement when given a short group positive narrative intervention applicable in nursing homes.Clinical Implications: A brief group intervention based on fairy tales yielded improvements in well-being and sleep quality in nursing home residents, who enjoyed and appreciated its content. These promising results need to be confirmed by future randomized controlled trials.
引用
收藏
页码:380 / 391
页数:12
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