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幽默干预对中国养老院老人的抑郁、焦虑、主观幸福感、认知功能和睡眠质量的影响
Author(s) -
Zhao Jinping,
Yin Huiru,
Wang Xinxin,
Zhang Guangwei,
Jia Yong,
Shang Binghan,
Zhao Jinyang,
Wang Chunyan,
Chen Li
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14472
Subject(s) - anxiety , repeated measures design , depression (economics) , intervention (counseling) , cognition , medicine , physical therapy , quality of life (healthcare) , randomized controlled trial , mental health , clinical psychology , psychiatry , nursing , statistics , mathematics , surgery , economics , macroeconomics
Aim To evaluate the effect of an 8‐week humour intervention programme on reducing depression and anxiety and improving subjective well‐being, cognitive function and sleep quality in nursing home residents. Design A single‐blinded and quasi‐experimental design with repeated measures. Methods Seventy‐four older adults were recruited from May 2018–September 2018, with 37 older adults in the humour group received humour intervention and 37 in the control group received no intervention. The intervention was an 8‐week humour intervention programme for older adults to learn to use humour and release their emotions. Primary outcomes include depression, anxiety and subjective well‐being and secondary outcomes were cognitive function and sleep quality. Two‐way repeated measures ANOVA was used to compare the differences of outcome measures between the two groups. Outcomes were measured at baseline, 8 and 16 weeks. Results There was no significant difference between the two groups at baseline. The adherence to the sessions of humour intervention over the 8‐weeks was 97.6%. Two‐way repeated measures ANOVA revealed significant improvement in depression, anxiety, subjective well‐being and sleep quality during the postintervention (8 weeks) and follow‐up (16 weeks) periods in the humour group versus the control group. However, a significant time × group interaction for cognitive function was only found during postintervention. Conclusion The humour intervention programme was effective in reducing depression and anxiety symptoms and increasing subjective well‐being, cognitive function and sleep quality in older adults. Impact Physical and mental health problems are common among older adults in nursing homes. The study demonstrated that humour intervention has feasibility and potential to be used as an effective non‐pharmacological intervention in improving well‐beings of Chinese nursing home residents. Trial Registration ChiCTR1800016148.