Objective To explore the effects of a nursing intervention program based on the hopelessness and self-esteem theories on depression and self-esteem of older adults in nursing home.Methods Totally 99 older adults from 2 nursing homes in Taiyuan were divided into an intervention group(n=52)and a control group(n=47)according to different nursing homes.The control group received routine nursing such as mental health nursing and health education,while the intervention group additionally received a nursing intervention program based on the hopelessness and self-esteem theories,and the intervention effect was evaluated after 4 months.Results After the intervention,the Geriatric Depression Scale-30(GDS-30)score of the two groups were significantly lower than those before the intervention,and the score of the intervention group was significantly lower than that of the control group(P<0.01 for all);and the Rosenberg's Self-esteem Scale(RSES)score of the intervention group was significantly higher than that before the intervention and the score of the control group(P<0.05,P<0.01).Conclusion The nursing intervention program based on the hopelessness and self-esteem theories can effectively alleviate depressive symptom of older adults in nursing home,and enhance their self-esteem level to some extent.%目的 探讨基于无望自尊理论的护理干预对养老机构老年人抑郁症状及自尊水平的效果.方法 将太原市2所养老机构的99名抑郁老年人按所在机构分成干预组52名与对照组47名.对照组接受心理护理、健康宣教等常规护理,干预组在对照组基础上接受基于无望自尊理论的护理干预,干预4个月后评价效果.结果 干预后,两组老年抑郁量表得分较干预前显著降低,且干预组显著低于对照组(均P<0.01);干预后,干预组自尊量表得分显著高于本组干预前及对照组干预后(P<0.05,P<0.01).结论 基于无望自尊理论的护理干预能够有效缓解机构老年人的抑郁症状,且可在一定程度上提高老年人的自尊水平.
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