懷舊治療於改善老年人憂鬱、身心健康及孤寂感之成效探討－文獻回顧

The Effects of Reminiscence Therapy on Depression, Physical and Mental Health, and Loneliness among Elderly People: A Literature Review

馮瓊儀(Chiueng-Yi Feng) ； 朱信(Hsin Chu) ； 張秀如(Hsiu-Ju Chang) ； 梁嘉慧(Chia-Hui Liang) ； 黃維仲(Wei-Chung Huang) ； 周桂如(Kuei-Ru Chou)

《精神衛生護理雜誌》 5卷1期 (2010/10) Pp. 13-20

https://doi.org/10.6847/TJPMHN.201010_5(1).0002

摘要

人口高齡化已成為世界性的現象，老年人在老化過程中於生理、心理、社會方面皆須做調適，因此如何協助老年人達到自我統整、提高心理健康與生活品質已成為護理人員照護老年人的重要議題。懷舊治療是一項獨立且有正向效果的護理措施，可分為個別懷舊治療及團體懷舊治療。個別懷舊治療依個別需要，運用治療性諮商技巧協助老年人個案藉由回憶與經驗中來達到治療目標；團體懷舊治療則藉由成員彼此間的經驗分享，讓成員學習如何與團體溝通，可增加與團體互動的經驗，有益於社會化並提高生活品質。而近年來有相當多的文獻證實懷舊治療對老年人的生活適應有相當大的幫助。其能使老年人明顯降低憂鬱症狀、提升身心健康、改善孤寂感，且1年後追蹤懷舊治療仍對憂鬱及身心健康有正向效果，其亦能改善負向情緒、提升自尊、增加生活滿意度、減少心理及社會問題。本文主旨在於對懷舊治療的理論、功能、種類及相關實證應用做文獻回顧統整，期能作為臨床實務應用的參考。

關鍵字

懷舊治療 ； 憂鬱 ； 身心健康 ； 孤寂感

並列摘要

The ageing population is a world wide phenomenon. In the process of ageing, the elderly need to adapt to physical, psychological, and social changes. For this reason, how to help the elderly to increase their capacity for self-transcendence, and to improve their mental health and quality of life is already an important issue for nursing staff. Recently, numerous studies have verified that reminiscence therapy resulted in obviously decreasing depression symptoms, improving mental health and reduced loneliness. Reminiscence therapy also resulted in the relief of negative emotions, improved self-esteem, increased satisfaction with life, and decreasing mental and social problems. Reminiscence therapy should be considered as an independent nursing intervention with positive results in the care of the elderly. The purpose of this systematic literature review is to provide an overall review of the theory, function, patterns and evidence base of reminiscence therapy. This article may serve as a point of reference for nurses in clinical practice.

並列關鍵字

reminiscence therapy ； depression ； physical-mental health ； loneliness