Huzurevinde Yaşayan Yaşlılar İçin Bir Hemşirelik Girişimi: Anımsama Terapisi

Yaşlanma, yaşam kalitesinde büyük bir öneme sahiptir ve bu nedenle ileri yaşlarda iyi yaşam kalitesinin geliştirilmesi ve sürdürülmesi önemlidir. Yaşlılar, yaşlanma sürecinde psikolojik uyumda zorluklarla karşılaşabilir ve yalnızlık, depresyon ve özgüven kaybı yaşayabilirler. Huzurevinde yaşayan yaşlılarda bu süreç daha zorlu geçmektedir. Bu nedenle yaşlanma sürecine uyumu kolaylaştıracak uygun psikolojik yaklaşımlara ihtiyaç vardır. Anımsama terapisi yaşlılar için uygun psikolojik yaklaşımlardan birisidir. Anımsama terapisi, yaşlıların ruhsal sağlığını korumak ve yaşam kalitesini geliştirmek için anıların kullanıldığı bir hemşirelik girişimidir. Bu derlemede anımsama terapisinin kuramsal boyutu, uygulaması, yaşlılar üzerine etkisi ve hemşirelik girişimi olarak önemi ele alınmıştır

A Nursing Intervention for Nursing Home Residents: Reminiscence Therapy

Aging has major importance in the quality of life, and for this reason, enhancing and maintaining a high quality of life is important in old age. Throughout the aging process, the elderly may have difŞ culties in psychological adaptation and they can experience feelings of loneliness, depression, and loss of self-conŞ dence. This process is especially difŞ cult among elderly residents in nursing homes. Therefore, an appropriate psychosocial approach is needed to ease the adaptation of the ageing process. Reminiscence therapy is one psychosocial approach which uses the memory to protect mental health and improves the quality of life. In this review, the theoretical dimension, implementation, effects on older adults, and importance of reminiscence therapy as a nursing intervention are discussed

PDF

___

Phillips DK. Creativity in older adults: A plethora of possibilities. Ment. Health Nurs 2007; 28:389-411.
Bowling, A. Quality of life in older age: What older people say. In: Quality of life in old age: International and multidisciplinary perspectives, edited by Mollenkopf H., Walker A. Dordrecht, The Netherlands: Springer; 2007. p 15-30.
Türkiye Devlet Planlama Teşkilatı. Türkiye'de yaşlıların durumu ve yaşlı ulusal eylem planı.http://ekutup. dpt.gov.tr/nufus/yaslilik/eylempla.pdf. (Erişim tarihi 17.01. 2015)
Wagner C, Groenewegen PP, Bakker DH. The effectiveness of quality systems in nursing homes: A Review. Qual Health Care 2001; 10: 211- 217.
Glass A. Nursing home quality: A framework for analysis. J. Appl. Gerontol 1991; 10(1): 5-18.
Borowiak E, Kostka T. Predictors of quality of life in older people living at home and in institutions. Aging Clin Exp Res 2004; 16: 212-220.
Drageset J, Natving GK, Eide GE, Clipp EC, Bondevik M, Nortvedt MW, Nygaard HA. Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway. J Clin Nurs 2008; 17: 1227-1236.
Karakaya ME, Çuvalcı Bilgin S, Ekici G, Köse N, Otman AS. Functional mobility, depressive symptoms, level of independence, and quality of life of the elderly living at home and in the nursing home. J Am Med Dir Assoc 2009; 10(9):662-666.
Kim SY, Jeon EY, Sok SR, Kim KB. Comparison of health-promoting behaviors of noninstitutionalized and institutionalized older adults in Korea. Clinic. Scholarship 2006; 38(1): 31-35.
Lee WT, Ko S, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. Int J Nurs Stud 2006;43: 293-300.
Beliran SP, Legaspi MS. Health-promoting behaviors and quality of life of Filipino older persons. Asia Pac J of Edu Arts & Sci 2014;1(5):11-20
Bloom H. Preventive Medicine: When to screen for disease in older patients. Geriatrics 2001; 56(4):41-45.
Şenol V, Ünalan D, Soyuer F, Argün M. The relationship between health promoting behaviors and quality of life in nursing home residents in Kayseri. J Geriatr 2014; 2014: 1-8.
Morley EJ, Philpot CD, Gill D, Berg Weger M. Meaningful activities in the nursing home. JAMDA 2014; 15: 79-81.
Coleman PG. Uses of reminiscence: Functions and beneŞ ts. Aging Ment Health 2005; 9(4):291-294.
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. Mi- Taiwan J of Med 2007; 12: 133-142.
Wong P, Watt L. What types of reminiscence are associated with successful aging. Psychol Aging 1991; 6(2): 272-279.
Lin Y, Dai Y, Hwang S. The effect of reminiscence on the elderly population: A systematic review. PHN 2003: 20; 297-306.
McCloskey J, Bulechek G. Nursing Interventions ClassiŞ cation (NIC), 3rd edn. Mosby, St Louis, MO. 2000. Aktaran. Wu, L-F. Group integrative reminiscence therapy on self-esteem, life satisfaction and depressive symptoms in institutionalised older veterans. JCN 2011;20:2195-2203.
Chin A. Clinical effects of reminiscence therapy in older adults: A Meta- analysıs of control trials. HKJOT 2007; 17(1): 10-2.
Butler R. The life-review: an interpretation of reminiscence in the aged. Psychiatry 1963: 26(1); 65-76. Aktaran. Westerhof GJ, Bohlmeihjer E, Webster JF. Reminiscence and mental health: a review of recent progress in theory, research and interventions. Ageing & Society, 2010; 30: 697- 721.
Ebersole P, Hess P, Thouhy T, Jett K, Luggen AS. Reminiscence and life review. Toward Healty Aging 2008; 624-625.
Butler R. The life review: An interpretation of reminiscence in the aged. Psychiatry 1963; 26(1): 65-76. Aktaran Cully JA, LaVoie D, Gfeller JD. Reminiscence, personality, and psychological functioning in older adults. The Gerontologist 2001; 41(1): 89-95.
Erikson EH. Identity: Youth and crisis. NY: W. Norton. 1968. Aktaran, Siviş R., Anımsama Terapisi ve İleri Yaştaki Yetişikinlerle Grupla Psikolojik Danışmadaki Yeri. Türk Psikolojik Danısma ve Rehberlik Dergisi 2007; 3(28): 129-138.
Woods B, Spector A, Jones C, Orrell M, Davies S. Reminiscence therapy for dementia. Cochrane Database of Syst Rev 2005; 1: 1-36.
Chen Tj, Li Hj, Li J. The effects of reminiscence therapy on depressive symptoms of Chinese elderly: Studyprotocol of a randomized controlled trial. BMC Psychiatry, 2012; 12(5): 189.
Bluck S, Levine LJ. Reminiscence as autobiographical memory: a catalyst for reminiscence theory development. Ageing & Society 1998; 18( 2): 185-208.
Westerhof GJ. Bohlmeihjer E, Webster JF. Reminiscence and mental health: a review of recent progress in theory, research and interventions. Ageing & Society 2010; 30: 697-721.
Webster JD. Construction and validation of the reminiscence functions scale. J Gerontol 1993; 48: 256-262.
Webster JD. The reminiscence functions scale: A replication. Int J Aging Hum Dev 1997; 44: 137-148.
Cappeliez P, Guindon M, Robaitalle A. Functions of reminiscence and emotional regulation among older adults. Journal of Aging Studies 2008; 22: 266-272.
Hsieh HF, Wang JJ. Effect of reminiscence therapy on depression in older adults a systematic review. Int J Nurs Stud 2003; 40: 335-345.
Bohlmeijer E, Smit F, Cuijpers P. Effects of reminiscence and life review on late life depression: A Meta-Analysis. Int J Geriatr Psychiatry 2003; 18:1088-1094.
Wang JJ. The effects of reminiscence on depressive symptoms and mood status of older institutionalized adults in Taiwan. Int J Geriatr Psychiatry 2005; 20:57-62.
Wang JJ, Hsu YC, Cheng FS. The effects of reminiscence in promoting mental health of Taiwanese elderly. Int J Nurs Stud 2005; 42: 31-36.
Pinquart M, Duberstein PR, Lyness JM. Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: A meta-analysis. Aging and Ment Health 2007; 11: 645-657.
Wang JJ. Group reminiscence therapy for cognitive and affective function of demented elderly in Taiwan. Int J Geriatr Psychiatry 2007; 22: 1235-1240.
Hsieh CJ, Chang C, Su SF, Hsiao YL, Shih YW, Han WH, Lin CC. Reminiscence group therapy on depression and apathy in nursing home residents with mild-to-moderate dementia. J Exp Clin Med 2010; 2(2):72-78.
Chiang K, Chu H, Chang HJ, Chung MH., Chen, CH., Chiou HY, Chou KR. The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. Int J Geriatr Psychiatry 2010; 25:380-388.
Chueh KH, Chang TY. Effectiveness of group reminiscence therapy for depressive symptoms in male veterans: 6-month follow-up. Int J Geriatr Psychiatry 2014; 29(4): 377-383.
Wang CC, Tzeng DS, Chung WC. The effect of early group psychotherapy on depressive symptoms and quality of life among residents of an apartment building. Psychogeriatrics 2014; 2014: 1-7.
Cook EA. Effects of reminiscence on life satisfaction of elderly female nursing home residents. Health Care Women Int. 1998; 19(2): 109-118.
Chao SY, Liu HY, Wu CY, Jin SF, Chu TL, Huang TS, Clark MJ. ve ark. The effects of group reminiscence therapy on depression, self esteem, and life satisfaction of elderly nursing home residents. J Nurs Res 2006; 14:36-45.
McKee KJ, Wilson F, Chung MC, Hinchliff S, Goudie F, Elford H. ve ark. Reminiscence, regrets and activity in older people in residential care: associations with psychological health. Br J Clin Psychol 2005; 44:543-61.
Afonso RM, Bueno B, Loureiro MJ, Peraira H. Reminiscence, psychological well-being, and ego integrity in Portuguese elderly people. Educational Gerontology, 2011; 37:1063-1080.
Tatchell T, Jordan TR, Waite PJ, Tatchell RH. Transmissive reminiscence therapy with college students. Journal of Intergenerationalm Relationship 2004; 1(49):35-52.
Stinson CK, Kirk E. Structured reminiscence: an intervention to decrease depression and increase self-transcendence in older women. J Clin Nurs 2006; 15: 208-218.
Stinson KC. Structured group reminiscence: an intervention for older adults. J Contin Educ Nurs 2009; 40(11): 521-28.
Schweitzer P, Bruce E. Remembering yesterday, caring today reminiscence in dementia care: a guide to good practice. London: Jessica Kingsley Publishers; 2008.s.127.
Swann J. Preserving memories using reminiscence techniques. Nursing & Residential Care 2008; 10(12): 611-613.
Jones ED. Reminiscence therapy for older women with depression: Effects of nursing intervention classiŞ cation. J Gerontol Nurs 2003; 29(7): 26-33.
Jones E, Beck-Little R. The use of reminiscence therapy for the treatment of depression in rural dwelling older adults. Issues in Mental Health Nursing 2002; 23: 279-290.
Harrand A, Bollstetter J. Developing a community-based reminiscence group for the elderly. Clinical Nurse Specialist 2000; 14(1):17-22.
Low G, Molzahn AE. Predictors of quality of life in old age: A cross- validation study. Research in Nursing & Health 2007; 30:141-150.
Demir F. Yaşlılık ve geriatri hemşireliği. Düzce Tıp Fakültesi Dergisi 2002; 4(1):48-51.
American Nurses Association Standards of Psychiatric - Mental Health Clinical Practice. American Nurses Publishing, Washington, DC. 1994. Aktaran. Stinson CK, Kirk E. Structured reminiscence: an intervention to decrease depression and increase self-transcendence in older women. JCN 2006; 15:208-218.
American Nurses Association. Scope and standards of gerontological nursing practice. American Nurses Publishing, Washington, DC 1995. Aktaran Stinson CK, Kirk E. Structured reminiscence: an intervention to decrease depression and increase self-transcendence in older women. JCN 2006; 15:208-218.
Burnside I. Reminiscence an independent nursing intervention for the elderly. Mental Health Nursing 1990; 11(1): 33-48.
Wu LF. Group integrative reminiscence therapy on self-esteem, life satisfaction and depressive symptoms in institutionalised older veterans. JCN 2011; 20:2195-2203.
Kwon M, Cho B, Lee J. Reminiscence therapy for dementia - Meta Analysis. Healthcare and Nursing Science 2013; 40:10-15.
Gudex C, Charlotte H, Jensen AM, Kjer M, Sİrensen J. Consequences from use of reminiscence - a randomised intervention study in ten Danish nursing homes. BMC Geriatrics 2010; 10: 2-15.
Siviş R, Demir A. The efŞ cacy of reminiscence therapy on the life satisfaction of Turkish older adults: A preliminary study.Turk J Geriatrics 2007; 10(3):31-37.
Duru Aşiret G. Anımsama terapisinin alzheimer hastalarının bilişsel durumu, depresyon ve günlük yaşam faaliyetlerine etkisi. H.Ü. Sağlık Bilimleri Enstitüsü Doktora Tezi. Ankara: 2014.
Ercan Şahin N. Huzurevinde Yaşayan Yaşlılara Uygulanan Anımsama Terapisinin Yaşlıların Yaşam Kalitesine Etkisi. H.Ü. Sağlık Bilimleri Enstitüsü, Doktora Tezi. Ankara: 2015.