Abstract：
The transition from the family home to a nursing home can be an emotionally stressful experience for older adults. This study aimed to examine the feasibility and effects of a narrative therapy combined with a solution focus (NTCSF) program on the psychological adjustment, depression, and self-efficacy of nursing home residents. A non-random concurrent controlled trial was conducted in Fujian, China that involved 81 participants (intervention = 41, comparison = 40) from four separate nursing homes. The control group received routine institutional care, while the intervention group underwent a three-week NTCSF program in addition to receiving routine care. In the variance analyses, significant differences were found in \"psychological adjustment\" (T = 4.007, P < 0.001) and \"self-efficacy\" (T = 3.204, P = 0.002), compared to the control group. There was no significant difference in \"depression\" (t = -1.550, P = 0.125) between the groups at the baseline, but the experimental group showed a significant decrease in depression (t = -2.204, P = 0.033) after the intervention. The NTCSF program was found to be effective in improving the psychological adjustment of nursing home residents. Trial registration This study was registered on the Chinese Clinical Trial Registry (Registration No: ChiCTR-2100042767).
摘要：
从家庭住宅到疗养院的过渡对老年人来说可能是一种情绪紧张的经历。本研究旨在研究叙事疗法结合解决焦点（NTCSF）计划对心理调节的可行性和效果，抑郁症,疗养院居民的自我效能感。在福建省开展非随机并行对照试验,中国涉及来自四个独立疗养院的81名参与者（干预=41，比较=40）。对照组接受常规机构护理,而干预组除了接受常规护理外，还接受了为期3周的NTCSF计划。在方差分析中，在“心理调节”（T=4.007，P<0.001）和“自我效能感”（T=3.204，P=0.002）方面存在显着差异，与对照组相比。在基线时，两组之间的“抑郁”没有显着差异（t=-1.550，P=0.125），但实验组干预后抑郁显著降低(t=-2.204,P=0.033)。发现NTCSF计划可有效改善养老院居民的心理调节。试验注册本研究在中国临床试验注册中心注册(注册号:ChiCTR-2100042767)。
