KURUMDA KALAN HAFİF VE ORTA EVRE ALZHEİMER HASTALARININ ANIMSAMA TERAPİSİ İLE İLGİLİ GÖRÜŞLERİ

Öz ÖZETAmaç: Tanımlayıcı nitelikte olan bu araştırma, kurumda kalan hafif ve orta evre Alzheimer hastalarının anımsama terapisi ile ilgili görüşlerinin belirlenmesi amacıyla yapılmıştır.Yöntem: Araştırma 10 Temmuz-20 Aralık 2013 tarihleri arasında dört yaşlı bakım ve rehabilitasyon merkezinde kalan hafif ve orta evre Alzheimer’lı 31 birey ile yapılmıştır. Araştırmada “Tanıtıcı Bilgiler Formu”, “Standardize Mini Mental Test” ve “Anımsama Terapisi Değerlendirme Formu” kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler kullanılmıştır.Bulgular: Çalışmaya katılan bireylerin %67.7’sinin kadın ve %51.6’sının 6 yıl ve daha uzun süredir kurumda kaldığı saptanmıştır. Yaşlı bireylere anımsama terapisinin beğenilen yönleri sorulduğunda, ilk sırada konuşmak ve dinlenilmek, ikinci sırada ise eski günleri hatırlamak ve paylaşmak yer almaktadır. Sonuç: Çalışma sonucunda araştırma kapsamındaki bireylerin grup ile yapılan anımsama terapisi oturumları sırasında birbirlerini tanımaları, ortak sorunları ve farklı çözüm yollarını görmeleri ve ortak paylaşımda bulunmaları nedeni ile bireyleri olumlu etkilediği belirlenmiştir. Anahtar Kelimeler: Alzheimer hastalığı; Hemşirelik ABSTRACTThe Views of Institutionalized Mild and Moderate Alzheimer's Disease Patients on Reminiscence TherapyAim: The aim of this descriptive study was to determine the views of institutionalized mild and moderate Alzheimer's disease patients on reminiscence therapy.Method: The study was conducted on 31 patients with mild and moderate Alzheimer's disease staying at four care and rehabilitation centers between July 10 and December 20, 2013. We used the “Descriptive Information Form”, “Standardized Mini Mental Test” and “Reminiscence Therapy Evaluation Form” for the study. Descriptive statistical methods were used to evaluate the data.Results: Females made up 67.7% of the subjects and 51.6% of the group had stayed at the institution for 6 or more years. When asked what they liked about reminiscence therapy, the elderly subjects were most happy about being able to talk and be listened to, followed by reminiscing and sharing their memories. Conclusion: As a result of the study, we were able to determine that group reminiscence therapy had a positive effect on the subjects within the study sample as it enabled the subjects to know each other better, see that they had common problems but used different methods to solve them, and engage in sharing with the group. Keywords: Alzheimer disease; Nursing

PDF

___

Bahar A, Tutkun H, Sertbaş G. Huzurevinde Yaşayan Yaşlıların Anksiyete ve Depresyon Düzeylerinin Belirlenmesi. Anadolu Psikiyatri Dergisi 2005;6 (4): 227-39.
Burnside I, Haight BK. Reminiscence and Life Review: Analysing Each Concept. Journal of Advanced Nursing 1992; 17 (7): 855-62.
Burnside I. Themes in Reminiscence Groups with Older Women. International Journal of Aging and Human Development 1993;37(3): 177-89.
Chueh KH, Chang TY. Effectiveness of Group Reminiscence Therapy for Depressive Symptoms in Male Veterans: 6-Month Follow-Up. International Journal of Geriatric Psychiatry 2014;29 (4): 377-83.
Dolu İÇ, Bilgili N. Ankara'da Yaşayan Bir Grup Yaşlı Bireyde İlaç Kullanım Uygulamaları ve İlaç Bilgi Düzeylerinin Belirlenmesi. TSK Koruyucu Hekimlik Bülteni 2010; 9 (1): 37-44.
Harrand AG, Bollstetter JJ. Developing A Community-Based Reminiscence Group for The Elderly. Clinical Nurse Specialist 2000;14 (1): 17-22.
Husaini BA, Cummings S, Kilbourne B, Roback H, Sherkat D, Levine R, Cain VA. Group Therapy For Depressed Elderly Women. International Journal of Group Psychotherapy 2004;54 (3): 295-319.
Jones ED. Reminiscence Therapy For Older Women With Depression. Effects Of Nursing İntervention Classification İn Assisted-Living Long-Term Care. Journal of Gerontological Nursing 2003;29 (7) :26-33.
Jonsdottir H, Jonsdottir G, Steingrimsdottir E, Tryggvadottir B. Group Reminiscence Among People with End-Stage Chronic Lung Diseases. Journal of Advanced Nursing 2001; 35 (1): 79-87.
Karakuş A, Süzek H, Atay ME. Muğla Huzurevinde Kalan Yaşlıların Depresyon Düzeylerinin İncelenmesi. Muğla Üniversitesi Sağlık ve Beşeri Bilimler Araştırmaları Dergisi 2003;11 (1): 39-50.
Lalova M, Baylé F, Grillona ML, Houet L, Moreaud E, Rouam F, et al. Mechanisms of Insight in Schizophrenia And Impact of Cognitive Remediation Therapy. Comprehensive Psychiatry 2013;54 (4): 369-80.
Lin YC, Dai YT, Hwang SL. Reminiscence Effect for Elderly. Public Health Nursing 2003;20 (4): 297- 306.
Liu SJ, Lin CJ, Chen YM, Huang XY. The Effects of Reminiscence Therapy on Self-Esteem, Depression, Loneliness and Life Satisfaction of Elderly People Living Alone. Mid-Taiwan Journal of Medicine 2007;12 (3): 133-42.
Mele´ndez JC, Fortuna FB, Sales A, Mayordomo T. The Effects of Instrumental Reminiscence on Resilience and Coping in Elderly. Archives of Gerontology and Geriatrics 2015; 60 (2): 294-98.
Meléndez-Moral JC, Charco-Ruiz L, MayordomoRodríguez T, Sales-Galán A. Effects of A Reminiscence Program Among Institutionalized Elderly Adults. Psicothema 2013; 25(3), 319-23.
Olazarán J, Reisberg B, Clare L, Cruz I, PeñaCasanova J, Ser T, et al. Nonpharmacological Therapies In Alzheimer's Disease: A Systematic Review Of Efficacy. Dementia and Geriatric Cognitive Disorders 2010;30 (2): 161-78.
Schweitzer P, Bruce E. Remembering Yesterday, Caring Today Reminiscence In Dementia Care: A Guide To Good Practice. 1 st ed. London: Jessica Kingsley Publishers: 2008. p.19-35.
Selekler K. Alzheimer ve Diğer Demanslar (Modern Tıp Seminerleri:26). 1. Baskı. Ankara: Güneş Kitapevi Yayınları, 2003. p. 9-13.
Serrani Azcurra DJL. A Reminiscence Program Intervention To Improve The Quality Of Life Of Long-Term Care Residents With Alzheimer's Disease. A Randomized Controlled Trial. The Revista Brasileira de Psiquiatria 2012;34 (4): 422-33.
Siviş R, Demir A. The Efficacy of Reminiscence Therapy on the Life Satisfaction of Turkish Older Adults: A Preliminary Study. Turkish Journal of Geriatrics 2007;10 (3): 131-37.
Soyuer F, Şenol V, Elmalı F. Huzurevinde Kalan 65 Yaş ve Üstündeki Bireylerin, Fiziksel Aktivite, Denge ve Mobilite Fonksiyonları. Van Tıp Dergisi 2012;19 (3): 116-21.
Steiner KL, Pillemer DB, Thomsen DK, Minigan AP. The Reminiscence Bump in Older Adults' Life Story Transitions. Memory 2014;22 (8): 1002-9.
Stinson KC, Kirk E. Structured Reminiscence: An Intervention to Decrease Depression and Increase Self-Transcendece in Older Women. Journal of Clinical Nursing 2006; 15 (2): 208-18.
Stinson KC. Structured Group Reminiscence: An Intervention For Older Adults. The Journal of Continuing Education in Nursing 2009; 40 (11): 521- 28.
Thorgrimsen L, Schweitzer P, Orrell M. Evaluating Reminiscence For People With Dementia: A Pilot Study. American Journal of Art Therapy 2002;29(2) :93-7.
Ünsal A, Demir G, Çoban Özkan A, Gürol Arslan G. Huzurevindeki Yaşlılarda Kronik Hastalık Sıklığı ve İlaç Kullanımı. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi 2011;12 (3): 5-10.
Van Bogaert P, Van Grinsven R, Tolson D, Wouters K, Engelborghs S, Van der Mussele S. Effects of SolCos Model-Based Individual Reminiscence on Older Adults with Mild to Moderate Dementia Due to Alzheimer Disease: A Pilot Study. Journal of the American Medical Directors Association 2013; 14 (7): 9-13.
Wang JJ. The Effects of Reminiscence on Depressive Symptoms and Mood Status of Older Institutionalized Adults in Taiwan. International Journal of Geriatric Psychiatry 2005;20 (1): 57-62.
Willemse BM, Depla MF, Bohlmeijer ET. A Creative Reminiscence Program for Older Adults With Severe Mental Disorders: Results of A Pilot Evaluation. Aging Mental Health 2009;13 (5): 736- 43.
Wu LF, Koo M. Randomized Controlled Trial Of A Six-Week Spiritual Reminiscence Intervention On Hope, Life Satisfaction, And Spiritual Well-Being in Elderly With Mild And Moderate Dementia. International Journal of Geriatric Psychiatry 2015 doi: 10.1002/gps.4300.
Youssef FA. The Impact Of Group Reminiscence Counseling On A Depressed Elderly Population. Nurse practitioner 1999;15 (4): 32-8.