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Alzheimer Hastalarının Bilişsel ve Davranışsal Sorunları Üzerine Etkili Bir Yöntem: Anımsama Terapisi

Yıl 2015, Cilt: 2 Sayı: 3, 60 - 68, 22.03.2016

Öz

Alzheimer, bireylerde hem bilişsel hem de fiziksel fonksiyonlarda  yıkıma neden olmakta ve artan yıkım ile birlikte bireyler zamanla bakıma muhtaç hale gelmektedir. Alzheimer tedavisinde kullanılan farmakolojik yöntemler genellikle hastalığın semptomları üzerinde etkili olmaktadır. Bu nedenle Alzheimer hastalarında görülen semptomların yönetiminde farmakolojik olmayan uygulamalar önem kazanmaktadır. Bu uygulamalar arasında en yaygın kullanılan yöntemlerden birisi “Anımsama Terapisi” dir. Bağımsız bir hemşirelik müdahalesi olan anımsama terapisinde, yaşlı bireylerin geçmiş olumlu deneyimlerini anımsamaları sağlanarak, bu deneyimler üzerine konuşulmakta ve bireysel ya da grup içerisinde olumlu duyguların paylaşımı sağlanmaktadır. Genellikle anımsama terapisi, 2-5 kişilik gruplar ile haftada bir gün, 30-45 dakika süre ile toplam 12 hafta olarak yapılmaktadır. Araştırmalarda anımsama terapisinin Alzheimer hastalarının bilişsel ve davranışsal sorunları üzerinde etkili olduğu bildirilmektedir. Bu makalede anımsama terapisi uygulaması için bir bilgi birikiminin sağlanması ve ülkemizdeki hemşirelik uygulamaları arasında anımsama terapisinin kullanımının yaygınlaştırılması amaçlanmaktadır.

Kaynakça

  • 1. Karaman Y. Alzheimer hastalığı ve diğer demanslar. Kayseri: Lebib Yalkın Matbaası; 2002. s. 151-59.
  • 2. Selekler K. Alzheimer ve diğer demanslar (Modern tıp seminerleri:26).Ankara: Güneş Kitapevi Yayınları; 2003. s. 9-13.
  • 3. SeleklerK. Alzheimer orta yaşta başlar. İstanbul: Alfa Yayınları; 2012. s. 45-48.
  • 4. Cankurtaran M, Şahin Cankurtaran E. Demansa bağlı davranış bozuklukları ve deliryum. İç Hastalikları Dergisi 2008;15:33-43.
  • 5. Cankurtaran M, Arıoğlu S. Demans ve Alzheimer hastalığı.URL: http://eski.teb.org.tr/images/upld2/ eczaakademi/makale/20110113040255demans_alzheime.pdf.28 Şubat 2014.
  • 6. Olazarán J, Reisberg B, Clare L, Cruz I, Peña-Casanova J, Ser T, et al. Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy. Dement Geriatr Cogn Disord 2010;30(2):161-78.
  • 7. Herholz SC, Herholz RS, Herholz K. Non-pharmacological interventions and neuroplasticity in early stage Alzheimer’s Disease. Expert Rev Neurother 2013;13(11):1235–45.
  • 8. Akyar İ. Demanslı hasta bakımı ve bakım modelleri. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2011;18(2):79-88.
  • 9. Dementia Services Development Centre (DSDC)-Wales: Services for people with dementia in Wales. (2002). (Report No.1: Residential and nursing home care in Wales).URL:http://dsdc.bangor.ac.uk/ documents/serviceevaluations/DSDC%20Report
  • 10. %20No.%201_Residential%20and %20nursing%20home%20care.pdf.02.03.2014.
  • 11. Backhose T, Killett A, Penhale B, Burns D, Gray R. Behavioural and psychological symptoms of dementia and their management in care homes within the east of England: a postal survey. Aging&Mental Health 2014;18(2):187-93.
  • 12. Chiang KJ, Chu H, Chang HJ, Chung MH, Chen CH, Chiou HY, et al. The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. Int J Geriat Psychiatry 2010;25(4):380-88.
  • 13. Lin YC, Dai YT, Hwang SL. Reminiscence effect for elderly. Public Health Nurs 2003;20(4):297-306.
  • 14. Schweitzer P, Bruce E. Remembering yesterday, caring today reminiscence in dementia care: a guide to good practice. London: Jessica Kingsley Publishers; 2008.s. 19-35.
  • 15. Woods B, Spector A, Jones C, Orrell M, Davies S. Reminiscence therapy for Dementia. Cochrane Database, 2005, 2, CD001120.
  • 16. Burnside I, Haight BK. Reminiscence and life review: analysing each concept. J Adv Nurs 1992;17(7):855-62.
  • 17. Stinson KC. Structured group reminiscence: an intervention for older adults. J Contin Educ Nurs 2009;40(11):521-28.
  • 18. Siviş R, Demir A. The efficacy of reminiscence therapy on the life satisfaction of Turkish older adults: a preliminary study. Turkish Journal of Geriatrics 2007;10(3):131-37.
  • 19. Onur B. Gelişim psikolojisi. 3. Baskı. Ankara: İmge Kitapevi Yayınları; 2006. s. 333-39.
  • 20. Parker RG. Reminiscence: a continuity theory framework. Gerontologist 1995;35(4):515-25.
  • 21. Pasupathi M, Carstensen LL. Age and emotional experience during mutual reminiscing. Psychol Aging 2003;18(3):430-42.
  • 22. Wong PT, Watt LM. What types of reminiscence are associated with successful aging? Psychol Aging 1991;6(2):272-79.
  • 23. Parker RG. Reminiscence as continuity: comparison of young and older adults. J Clin Geropsychol 1999;5(2):147-55.
  • 24. Youssef FA. The impact of group reminiscence counseling on a depressed elderly population. Nurse Pract 1999;15(4):32-8.
  • 25. Harrand AG, Bollstetter JJ. Developing a community-based reminiscence group for the elderly. Clin Nurse Spec 2000;14(1):17-22.
  • 26. Chao SY, Liu HY, Wu CY, Jin SF, Chu TL, Huang TS, et al. The effects of group reminiscence therapy on depression, self esteem, and lifesatisfaction on elderly nursing home residents. J Nurs Res 2006;14(1):3644.
  • 27. Jones ED. Reminiscence therapy for older women with depression. effects of nursing intervention classification in assisted-living long-term care. J Gerontol Nurs 2003;29(7):26-33.
  • 28. Stinson KC, Kirk E. Structured reminiscence: an intervention to decrease depression and increase selftranscendece in older women. J Clin Nurs 2006;15(2):208-18.
  • 29. Wu LF. Group integrative reminiscence therapy on self -esteem, life satisfaction and depressive symptoms in institutionalised older veterans. J Clin Nurs 2011;20(15-16):2195-203.
  • 30. Chueh KH, Chang TY. Effectiveness of group reminiscence therapy for depressive symptoms in male veterans: 6 month follow-up. Int J Geriat Psychiatry 2014;29(4):377-83.
  • 31. Meléndez-Moral JC, Charco-Ruiz L, Mayordomo-Rodríguez T, Sales-Galán A. Effects of a reminiscence program among institutionalized elderly adults. Psicothema 2013;25(3):319-23.
  • 32. Jonsdottir H, Jonsdottir G, Steingrimsdottir E, Tryggvadottir B. Group reminiscence among people with end-stage chronic lung diseases. J Adv Nurs 2001;35(1):79-87.
  • 33. Van Bogaert P, Van Grinsven R, Tolson D, Wouters K, Engelborghs S, Van der Mussele S. Effects of solcos model-based individual reminiscence on older adults with mild to moderate dementia due to Alzheimer disease: a pilot study. J Am Med Dir Assoc 2013;14(7):9-13.
  • 34. Thorgrimsen L, SchweitzerP, Orrell M. Evaluating reminiscence for people with dementia: a pilot study. Am J Art Ther 2002;29(2):93-7.
  • 35. Lai CKY, Chi I, Kayser-Jones J. A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia. Int Psychogeriatr 2004;16(1):33-49.
  • 36. Serrani Azcurra DJL.A reminiscence program ıntervention to ımprove the quality of life of longterm care residents with Alzheimer’s disease. a randomized controlled trial. Rev Bras Psiquiatr 2012;34(4):422-33.
  • 37. Siviş R. Anımsama terapisi ve ileri yaştaki yetişkinlerle grupla psikolojik danışmadaki yeri. Türk Psikolojik Danısma ve Rehberlik Dergisi 2007;28(3):129-38.
  • 38. Shellman J. The effects of a reminiscence education program on baccalaureate nursing students’ cultural self-efficacy in caring for elders. Nurse Educ Today 2007;27(1):43–51.
  • 39. Gregory H. Using poetry to improve the quality of life and care for people withdementia: A qualitative analysis of the Try to Remember programme. Arts & Health 2011;3(2):160-72.

An Effective Method on Cognitive and Behavioral Problems of Alzheimer Patients: Reminiscence Therapy

Yıl 2015, Cilt: 2 Sayı: 3, 60 - 68, 22.03.2016

Öz

Alzheimer’s disease causes deteriorations in both cognitive and physical functions and patients gradually require more care with these increasing deteriorations. Pharmacologic agents used in the treatment of Alzheimer’s are usually effective on symptoms of the disease. Therefore, non-pharmacological therapies are gaining importance in management of the symptoms that are experienced by Alzheimer patients. Among those non-pharmacologic therapies, “Reminiscence Therapy” is one of the most common methods. In reminiscence therapy, which is an independent nursing intervention, older adults are encouraged to recall and discuss their positive past experiences, and share their positive emotions in individual or group sessions. Usually, reminiscence therapy is administered for consecutive 12 weeks with 30-45 minute duration sessions within groups consisting 2-5 people. Recent studies showed the effectiveness of reminiscence therapy in management of cognitive and behavioral problems of Alzheimer patients. This article aims to provide basic information on reminiscence therapy and increase the use of reminiscence therapy among nursing interventions in our country.

Kaynakça

  • 1. Karaman Y. Alzheimer hastalığı ve diğer demanslar. Kayseri: Lebib Yalkın Matbaası; 2002. s. 151-59.
  • 2. Selekler K. Alzheimer ve diğer demanslar (Modern tıp seminerleri:26).Ankara: Güneş Kitapevi Yayınları; 2003. s. 9-13.
  • 3. SeleklerK. Alzheimer orta yaşta başlar. İstanbul: Alfa Yayınları; 2012. s. 45-48.
  • 4. Cankurtaran M, Şahin Cankurtaran E. Demansa bağlı davranış bozuklukları ve deliryum. İç Hastalikları Dergisi 2008;15:33-43.
  • 5. Cankurtaran M, Arıoğlu S. Demans ve Alzheimer hastalığı.URL: http://eski.teb.org.tr/images/upld2/ eczaakademi/makale/20110113040255demans_alzheime.pdf.28 Şubat 2014.
  • 6. Olazarán J, Reisberg B, Clare L, Cruz I, Peña-Casanova J, Ser T, et al. Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy. Dement Geriatr Cogn Disord 2010;30(2):161-78.
  • 7. Herholz SC, Herholz RS, Herholz K. Non-pharmacological interventions and neuroplasticity in early stage Alzheimer’s Disease. Expert Rev Neurother 2013;13(11):1235–45.
  • 8. Akyar İ. Demanslı hasta bakımı ve bakım modelleri. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2011;18(2):79-88.
  • 9. Dementia Services Development Centre (DSDC)-Wales: Services for people with dementia in Wales. (2002). (Report No.1: Residential and nursing home care in Wales).URL:http://dsdc.bangor.ac.uk/ documents/serviceevaluations/DSDC%20Report
  • 10. %20No.%201_Residential%20and %20nursing%20home%20care.pdf.02.03.2014.
  • 11. Backhose T, Killett A, Penhale B, Burns D, Gray R. Behavioural and psychological symptoms of dementia and their management in care homes within the east of England: a postal survey. Aging&Mental Health 2014;18(2):187-93.
  • 12. Chiang KJ, Chu H, Chang HJ, Chung MH, Chen CH, Chiou HY, et al. The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. Int J Geriat Psychiatry 2010;25(4):380-88.
  • 13. Lin YC, Dai YT, Hwang SL. Reminiscence effect for elderly. Public Health Nurs 2003;20(4):297-306.
  • 14. Schweitzer P, Bruce E. Remembering yesterday, caring today reminiscence in dementia care: a guide to good practice. London: Jessica Kingsley Publishers; 2008.s. 19-35.
  • 15. Woods B, Spector A, Jones C, Orrell M, Davies S. Reminiscence therapy for Dementia. Cochrane Database, 2005, 2, CD001120.
  • 16. Burnside I, Haight BK. Reminiscence and life review: analysing each concept. J Adv Nurs 1992;17(7):855-62.
  • 17. Stinson KC. Structured group reminiscence: an intervention for older adults. J Contin Educ Nurs 2009;40(11):521-28.
  • 18. Siviş R, Demir A. The efficacy of reminiscence therapy on the life satisfaction of Turkish older adults: a preliminary study. Turkish Journal of Geriatrics 2007;10(3):131-37.
  • 19. Onur B. Gelişim psikolojisi. 3. Baskı. Ankara: İmge Kitapevi Yayınları; 2006. s. 333-39.
  • 20. Parker RG. Reminiscence: a continuity theory framework. Gerontologist 1995;35(4):515-25.
  • 21. Pasupathi M, Carstensen LL. Age and emotional experience during mutual reminiscing. Psychol Aging 2003;18(3):430-42.
  • 22. Wong PT, Watt LM. What types of reminiscence are associated with successful aging? Psychol Aging 1991;6(2):272-79.
  • 23. Parker RG. Reminiscence as continuity: comparison of young and older adults. J Clin Geropsychol 1999;5(2):147-55.
  • 24. Youssef FA. The impact of group reminiscence counseling on a depressed elderly population. Nurse Pract 1999;15(4):32-8.
  • 25. Harrand AG, Bollstetter JJ. Developing a community-based reminiscence group for the elderly. Clin Nurse Spec 2000;14(1):17-22.
  • 26. Chao SY, Liu HY, Wu CY, Jin SF, Chu TL, Huang TS, et al. The effects of group reminiscence therapy on depression, self esteem, and lifesatisfaction on elderly nursing home residents. J Nurs Res 2006;14(1):3644.
  • 27. Jones ED. Reminiscence therapy for older women with depression. effects of nursing intervention classification in assisted-living long-term care. J Gerontol Nurs 2003;29(7):26-33.
  • 28. Stinson KC, Kirk E. Structured reminiscence: an intervention to decrease depression and increase selftranscendece in older women. J Clin Nurs 2006;15(2):208-18.
  • 29. Wu LF. Group integrative reminiscence therapy on self -esteem, life satisfaction and depressive symptoms in institutionalised older veterans. J Clin Nurs 2011;20(15-16):2195-203.
  • 30. Chueh KH, Chang TY. Effectiveness of group reminiscence therapy for depressive symptoms in male veterans: 6 month follow-up. Int J Geriat Psychiatry 2014;29(4):377-83.
  • 31. Meléndez-Moral JC, Charco-Ruiz L, Mayordomo-Rodríguez T, Sales-Galán A. Effects of a reminiscence program among institutionalized elderly adults. Psicothema 2013;25(3):319-23.
  • 32. Jonsdottir H, Jonsdottir G, Steingrimsdottir E, Tryggvadottir B. Group reminiscence among people with end-stage chronic lung diseases. J Adv Nurs 2001;35(1):79-87.
  • 33. Van Bogaert P, Van Grinsven R, Tolson D, Wouters K, Engelborghs S, Van der Mussele S. Effects of solcos model-based individual reminiscence on older adults with mild to moderate dementia due to Alzheimer disease: a pilot study. J Am Med Dir Assoc 2013;14(7):9-13.
  • 34. Thorgrimsen L, SchweitzerP, Orrell M. Evaluating reminiscence for people with dementia: a pilot study. Am J Art Ther 2002;29(2):93-7.
  • 35. Lai CKY, Chi I, Kayser-Jones J. A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia. Int Psychogeriatr 2004;16(1):33-49.
  • 36. Serrani Azcurra DJL.A reminiscence program ıntervention to ımprove the quality of life of longterm care residents with Alzheimer’s disease. a randomized controlled trial. Rev Bras Psiquiatr 2012;34(4):422-33.
  • 37. Siviş R. Anımsama terapisi ve ileri yaştaki yetişkinlerle grupla psikolojik danışmadaki yeri. Türk Psikolojik Danısma ve Rehberlik Dergisi 2007;28(3):129-38.
  • 38. Shellman J. The effects of a reminiscence education program on baccalaureate nursing students’ cultural self-efficacy in caring for elders. Nurse Educ Today 2007;27(1):43–51.
  • 39. Gregory H. Using poetry to improve the quality of life and care for people withdementia: A qualitative analysis of the Try to Remember programme. Arts & Health 2011;3(2):160-72.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Bölüm Makaleler
Yazarlar

Güler Duru Aşiret

Sevgisun Kapucu

Yayımlanma Tarihi 22 Mart 2016
Gönderilme Tarihi 1 Ağustos 2017
Yayımlandığı Sayı Yıl 2015 Cilt: 2 Sayı: 3

Kaynak Göster

Vancouver Duru Aşiret G, Kapucu S. Alzheimer Hastalarının Bilişsel ve Davranışsal Sorunları Üzerine Etkili Bir Yöntem: Anımsama Terapisi. HUHEMFAD. 2016;2(3):60-8.