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Int Psychogeriatr. 2019 Apr;31(4):527-535. doi: 10.1017/S1041610218001084. Epub 2018 Oct 2.

Life review for Chinese older adults in nursing homes: cultural acceptance and its effects.

Author information

1
School of Nursing,Fujian Medical University,Fuzhou,China.

Abstract

ABSTRACTObjectives:To explore the acceptance and effects of life review on older adults.

DESIGN:

A mixed-method study design was utilized in this study.

SETTING:

Four nursing homes located in Fuzhou, China.

PARTICIPANTS:

Sixty-two older adults from four nursing homes were selected according to the criteria set for this study.

METHOD:

Sixty-two older adults were randomly assigned to either the life review group or the control group, and 55 of them completed the study. Twenty-four participants took part in qualitative interviews after the life review program concluded. The Geriatric Depression Scale-15, Rosenberg Self-Esteem Scale, and Purpose in Life Test were adopted to measure depression, self-esteem, and meaning in life, respectively.

RESULTS:

The findings indicated that life review can reduce depressive symptoms and may be effective at improving self-esteem and meaning in life among Chinese elderly people. More importantly, it revealed that cultural factors such as values, beliefs, and attitudes could interfere with participation in a life review.

CONCLUSIONS:

A culturally sensitive life review program could be an alternative approach to psychotherapy for promoting mental health in older adults.

KEYWORDS:

cultural acceptance; life review; mental health; mixed method

PMID:
30277193
DOI:
10.1017/S1041610218001084

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