背景:尽管需要将来自各种环境的老年人纳入基于正念的实证研究,老年人虚弱和不合规的问题仍然存在。这项研究旨在评估基于正念的老年人护理(MBEC)计划对长期护理住宿环境中残疾老年人的心理健康和精神福祉的影响。
方法:这种单盲,随机对照试验(RCT)将77名参与者随机分为MBEC组或对照组,接受为期8周的MBEC项目.参与者在基线(T0)每四周进行一次评估,中期干预(T1),使用老年抑郁量表简表(GDS-SF)进行干预(T2)和随访(T3),状态特质焦虑量表(STAI)和精神幸福感量表(SWBS),分别。
结果:线性混合模型(LMM)表明,MBEC参与者完成干预后,心理健康显着改善;与对照组相比,MBEC组的焦虑(T2时的状态焦虑;T2和T3时的特质焦虑)和抑郁症状较少.与对照组相比,精神幸福感也显着增强。
结论:MBEC对残疾老年人的心理健康和精神幸福感都有积极影响。在长期护理机构中,有能力的老年人有可能坚持并参与基于正念的干预活动。这种低风险,容易接近,建议将有效的8周计划纳入定期的长期护理机构程序。
背景:本研究已在临床试验注册中心(ClinicalTrials.gov-U.S.NationalLibraryofMedicine#NCT05123261)注册。2021年4月7日回顾性注册。).本研究使用CONSORT2010指南,以正确报告如何进行随机试验。
Despite the need to incorporate seniors from various settings into mindfulness-based empirical research, issues of geriatric frailties and non-compliance remain. This study aimed to evaluate the effects of a mindfulness-based elder care (MBEC) program on mental health and spiritual well-being among seniors with disabilities in long-term care residential settings.
This single-blind, randomized controlled trial (RCT) randomly assigned seventy-seven participants into an MBEC group or control group of an eight-week MBEC program. Participants were assessed every four weeks at baseline (T0), mid-intervention (T1), post-intervention (T2) and follow-up (T3) using the Geriatric Depression Scale Short Form (GDS-SF), the State-Trait Anxiety Inventory (STAI) and the Spiritual Well-Being Scale (SWBS), respectively.
Linear mixed model (LMM) showed that MBEC participants\' mental health improved significantly after completing the intervention; compared with controls, the MBEC group exhibited significantly lower anxiety (state-anxiety at T2; trait-anxiety at T2 and T3) and fewer depressive symptoms. Spiritual well-being was also significantly enhanced compared to that in the control group.
MBEC has positive effects on both mental health and spiritual well-being outcomes among seniors with disabilities. In long-term care facilities, seniors with abilities have the potential to adhere to and engage in activities of a mindfulness-based intervention. This low risk, easily accessible, and effective 8-week program is recommended to be integrated into regular long-term care institutional routines.
This study was registered with Clinical Trial Registry (ClinicalTrials.gov - U.S. National Library of Medicine #NCT05123261. Retrospectively registered on 07/04/2021.). The CONSORT 2010 guidelines were used in this study for properly reporting how the randomized trial was conducted.