The Effect of Using Life Story Drawing on Dementia Elderly in Long-Term Care Institution

• Main Authors: TSAI,CHIA-WEN, 蔡嘉紋
• Other Authors: SHIH,WHEI-MEI
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/656aey

碩士 === 長庚科技大學 === 高齡暨健康照護管理系(所) === 107 === As ageing population grows rapidly, the number of people with dementia rise. The prevalence of dementia in Taiwan is about 8%, with an increase of every 5 years of age over 65 years, the prevalence rate doubles. Live review, one of the reminiscence therapies, becomes popular to treat patients with mild and severe dementia. It is a structural guidance for participants to record their past life events and experiences. Through the help of the therapist, the participants evaluate their life stories to promote self-life value and self-affirmation as well as to achieve their self-consolidation as their final stage of life. This is a quasi-experimental research design. The participants were dementia elderly recruited from long-term care institutions registered at the New Taipei City. After consent form was obtained, patients were divided into control group and experimental group. The experimental group received painting life stories intervention As a result, 29 participants were in experimental group and 16 people in the control group. Both groups were mostly female (55.2% and 62.5%, respectively). The average age was 78.2 years old and 80.3 years old. The painting group accepted 8 consecutive weeks of painting life story activities, and the control group did not conduct any intervention activities. MMSE and Cornell's Wisdom Depression Scale for the Elderly were administered for three times which included pre-test, the 8th week after the intervention, and the 12th week. A statistical software package spss18.0 was used to analyze the data including the mean, standard deviation, percentage, t-test and generalized estimation equation (GEE) to explore the cognitive and depression improvement of the elderly with mental health. The results of the study showed that the dementia elderly in the line institutions were mostly moderately demented and depressed. After 8 weeks of intervention, the experimental group had significant effects on cognitive and depression improvement. After 12 weeks, the experimental group still showed significant improvement both in cognition and depression. The findings suggest that the painting of life stories can be promoted in the institutions of the dementia elderly to slow down the cognitive degeneration as well as to improve their depression.