The aim of this study was to analyse the effect of group narrative reminiscence therapy on cognition, quality of life, attitudes towards ageing, and depressive symptoms in a group of older adults with cognitive impairment in institutional care. A quasi-experimental pretest/post-test control group design was employed. Interventions involving reminiscence therapy with a narrative approach were included in the care plan and implemented in groups of between five and ten respondents once a week for 8 weeks (total 59 participants). The members of the control group (n = 57) received standard care. A study questionnaire was designed to measure demographic characteristics, quality of life (WOHQOL-BREF, WHOQOL-OLD), depressive symptoms (GDS), cognition (MMSE), and attitudes towards ageing (AAQ). Reminiscence therapy positively affected older adults' quality of life (mostly the areas of mental health and social participation), and also their attitudes to ageing and old age. It reduced symptoms of depression, but had no discernible effect on cognitive function. Reminiscence therapy can positively affect selected aspects of quality of life, attitudes towards old age, and symptoms of depression in the elderly in long-term healthcare facilities. Group reminiscence therapy can be used as a nursing intervention.
Neurological conditions are associated with a high level of disability, which affects the overall quality of life of patients and their integration in society. As the disease progresses, self-sufficiency and mobility gradually deteriorate. These limitations are made easier by the use of appropriate compensatory aids and the modification of the environment. The sample included a total of 56 patients with neurological diseases—Multiple Sclerosis (41), Parkinson’s disease (14), and Amyotrophic Lateral Sclerosis (1). Women prevailed in the sample, accounting for 73%. The average age of the patients in the sample was 59.4, ranging from 38 to 81 years. Clinical forms of the ICF classification (International Classification of Functioning, Disability and Health) were used to record the information on the functional state of the patients. The most information was obtained from the ICF classification component Restrictions on Activities and Participation. The qualifiers of performance and capacity point out the supportive use of assistance (e.g. adjustment of the environment, compensatory aids) to improve the participation in patient’s life. Through a comprehensive evaluation of the patient's functional health using the ICF classification, we can obtain his/her functional profile. This information can be used when planning the nursing and rehabilitation care.
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