Consequences from use of reminiscence - a randomised intervention study in ten Danish nursing homes

BMC Geriatrics

Research Article

Claire Gudex¹  Charlotte Horsted¹  Jan Sørensen¹  Marianne Kjer²  Anders Møller Jensen³ 

[1] CAST - Centre for Applied Health Services Research & Technology Assessment, University of Southern Denmark, J.B. Winsløws Vej 9B, 5000, Odense C, Denmark;Occupational Therapist and Dementia Coordinator, Rødovre Municipality, Rødovre Parkvej 150, 2610, Rødovre, Denmark;Research and Development Division, VIOLA - Centre for the Life and Care of Elders, VIA University College, Campus Holstebro, Gl. Struervej 1, 7500, Holstebro, Denmark;

关键词: Nursing Home;    Nursing Staff;    Nursing Home Resident;    Emotional Exhaustion;    Nursing Home Staff;   

DOI  :  10.1186/1471-2318-10-33

 received in 2009-09-01, accepted in 2010-06-06,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundReminiscence is the systematic use of memories and recollections to strengthen self-identity and self-worth. The study aim was to investigate the consequences for nursing home residents and staff of integrating reminiscence into daily nursing care.MethodsIn this randomised study, ten nursing homes were matched into two groups on the basis of location, type and size. In the period August 2006 - August 2007, staff in the Intervention Group were trained and supported in the use of reminiscence, involving individual and group sessions with residents as well as reminiscence boxes, posters and exhibitions. At baseline and again 6 and 12 months after the intervention start, data were collected on residents' cognitive level, agitated behaviour, general functioning and proxy-assessed quality of life, as well as on staff well-being and job satisfaction. Mixed linear modelling was used to analyse differences in outcome between the intervention and control groups.ResultsProject drop-out rates were 32% for residents and 38% for nursing staff. Most staff in the Intervention Group considered reminiscence a useful tool that improved their communication with residents, and that they would recommend to other nursing homes. There were no significant differences between residents in the Intervention and the Control Group in cognitive level, agitated behaviour or general functioning. Residents in the Intervention Group showed significant higher score at 6 months in quality of life subscale 'Response to surroundings', but there was no significant difference at 12 months.Positive effects of reminiscence were observed for all staff outcome measures, the only exception being SF-12 self-rated physical health. At 6 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Personal accomplishment, Emotional exhaustion, Depersonalisation, 'Attitude towards individual contact with residents' and SF-12 self-rated mental health. At 12 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Emotional exhaustion and 'Professional role and development'.ConclusionsThe use of reminiscence appeared to have little long-term effect on the nursing home residents. Nursing staff in the Intervention Group experienced greater satisfaction with professional roles and developed a more positive view of the residents.International Standard Randomised Controlled Trial Number Register: ISRCTN90253170.

【 授权许可】

CC BY   
© Gudex et al; licensee BioMed Central Ltd. 2010