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Life review for Chinese older adults in nursing homes: cultural acceptance and its effects
Xiuyan Lan1, Huimin Xiao1, Ying Chen1
1School of Nursing,Fujian Medical University,Fuzhou,China.
Abstract:
ABSTRACTObjectives:To explore the acceptance and effects of life review on older adults.
Design:
A mixed-method study design was utilized in this study.
Setting:
Four nursing homes located in Fuzhou, China.
Participants:
Sixty-two older adults from four nursing homes were selected according to the criteria set for this study.
Method:
Sixty-two older adults were randomly assigned to either the life review group or the control group, and 55 of them completed the study. Twenty-four participants took part in qualitative interviews after the life review program concluded. The Geriatric Depression Scale-15, Rosenberg Self-Esteem Scale, and Purpose in Life Test were adopted to measure depression, self-esteem, and meaning in life, respectively.
Results:
The findings indicated that life review can reduce depressive symptoms and may be effective at improving self-esteem and meaning in life among Chinese elderly people. More importantly, it revealed that cultural factors such as values, beliefs, and attitudes could interfere with participation in a life review.
Conclusions:
A culturally sensitive life review program could be an alternative approach to psychotherapy for promoting mental health in older adults.
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