基于正念的方法对压力,抑郁症和血清皮质醇的有效性,在养老院的老年人中
Jayalakshmi Lakshmanan1, Bhuvaneswari Gopalakrishnan2, Shankar Shanmugam Rajendran3
1Department of Psychiatric Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
正念干预措施显著减少了老年人的压力和抑郁. 然而,这种方法并没有影响血清皮质醇水平. 建议对老年人的心理健康进行进一步的研究.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 健康心理学 心理健康心理学
背景情况:
- 老年人,特别是养老院的老年人,经历了高水平的压力和抑郁症.
- 血清皮质醇水平升高与慢性压力和抑郁症有关,加剧了老年人的健康问题.
- 这项研究调查了一种基于正念的干预措施,以改善机构住院老年人群的心理健康结果.
研究的目的:
- 评估基于正念的干预措施在老年人院的老年居民中减少压力和抑郁症的有效性.
- 评估正念对血清皮质醇水平的影响.
- 探索正念作为老年精神卫生保健中的补充方法的潜力.
主要方法:
- 一个准实验性的设计被用于两个奈的养老院.
- 48名老年参与者 (60-80岁) 被分配到12周的正念干预组或接受常规护理的对照组.
- 数据收集涉及感知压力量表 (PSS),老年抑郁量表-短形式 (GDS-SF) 和血清皮质醇水平在基线和干预后的测量.
主要成果:
- 正念组的感知压力显著降低 (83.33%的人报告压力低,对照组的12.50%,P=0.001).
- 在实验组中观察到抑郁症的显著改善 (41.67%达到预期水平,对照组中70.83%中度抑郁,P=0.001).
- 血清皮质醇水平在干预组没有显示出统计学上显著的下降 (P=0.21).
结论:
- 基于正念的干预措施是有效的减轻压力和抑郁症在老年人居住在机构环境中.
- 干预没有产生血清皮质醇水平的显著变化,这表明需要进一步调查.
- 护士在实施正念实践中发挥着至关重要的作用,以提高老年人的心理健康.
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