The effect of participating in support groups on relocation stress syndrome in residents of a nursing home: A single-blind randomized clinical trial
,
Abstract
Background & Aim: Relocation stress syndrome is one of the consequences of moving someone to a nursing home; it causes unbearable feelings of loneliness, anxiety, and depression. However, it can be prevented by conducting proper and timely nursing interventions. The present study aimed to examine the effect of participation in support groups on relocation stress syndrome in residents of nursing homes.
Methods & Materials: In this single-blind randomized clinical trial, 32 elderly residents of Kahrizak nursing home were randomly assigned to control and intervention groups. The intervention included holding support groups. Demographic information questionnaires, the short form of Geriatric Depression Scale (15-GDS), Geriatric Anxiety Scale (GAS), and the short form of University of California, Los Angeles, UCLA loneliness scale (ULS-8) were used to collect data. The data were then analyzed using statistical tests in SPSS software version 16.
Results: There was no statistically significant difference between the mean scores of loneliness, depression, and anxiety between the two groups in the pre-test (p> 0.05). The results of the ANCOVA test to compare the mean scores of loneliness, depression, and anxiety in the post-test with controlling pre-test scores revealed that the intervention was effective on depression (p<0.001) and anxiety (p= 0.003), but it had no effects on loneliness (p= 0.156).
Conclusion: The development and implementation of support group programs for the elderly in a nursing home could improve the outcomes of relocation stress syndrome in terms of depression and anxiety. Nonetheless, it had no effects on the outcome of loneliness. Therefore, it is recommended to implement this intervention for the elderly in a nursing home if the cost-benefit analysis is positive.
2. Safarzadeh S. The effectiveness of group reminiscence on defeat, gratitude and optimism feelings in the elderly women in nursing homes. Aging Psychology. 2019 Oct 22;5(1):27-40.
3. Parvin S, Bagheri Pormehr S, Pagard Alishahi F. The effect of population aging on income inequality in Iran. Population Studies. 2019 May 22;5(1):103-25.
4. Iran Plan and Budget Organization, The results of general census of population and housing 2016. Available at: https://www.amar.org.ir/english/Population-and-Housing-Censuses
5. Ghazi K, Foroughan M, Hosseini M, Hosseinzadeh S, Askari M. The client satisfaction of delivered services in private nursing homes for elderly: A survey in the provinces of Golestan, Mazandaran, Semnan and Northern Khorasan in 2012. Journal of Sabzevar University of Medical Sciences. 2012; 20(3):320-30.
6. Zeinalhajlou AA, Amini A, Tabrizi JS. Consequences of population aging in Iran with emphasis on its increasing challenges on the health system (literature review). Depiction of Health. 2015 Jul 2;6(1):54-64.
7. Lee GE. Predictors of adjustment to nursing home life of elderly residents: A cross-sectional survey. International journal of nursing studies. 2010 Aug 1;47(8):957-64.
8. Wu CS, Rong JR. Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study. BMC Geriatrics. 2020 Dec;20(1):1-11.
9. Ellis JM, Rawson H. Nurses' and personal care assistants' role in improving the relocation of older people into nursing homes. Journal of Clinical Nursing. 2015 Jul;24(13-14):2005-13.
10. Smalbrugge M, Pot AM, Jongenelis K, Beekman AT, Eefsting JA. Prevalence and correlates of anxiety among nursing home patients. Journal of Affective Disorders. 2005 Oct 1;88(2):145-53.
11. Moatamedi A, Soltani MA, Hamedi A. Identification of symptoms and design of relocation stress syndrome model for Iranian elders. Clinical Psychology Studies. 2018 Oct 23;8(32):145-58.
12. Dochterman JM, Bulechek GM, Maas M, Moorhead S. Nursing diagnoses, outcomes, and interventions: NANDA, NOC, and NIC linkages. Mosby Incorporated; 2001.
13. Melrose S. Relocation stress in long term care: How staff can help. Sherri Melrose Publications: A Virtual Memory Box. 2019 Aug 7.
14. Zamanzadeh V, Rahmani A, Pakpour V, Chenoweth LL, Mohammadi E. Psychosocial changes following transition to an aged care home: Qualitative findings from Iran. International Journal of Older People Nursing. 2017 Jun;12(2):e12130.
15. Brandburg GL. Making the transition to nursing home life: A framework to help older adults adapt to the long-term care environment. Journal of Gerontological Nursing. 2007 Jun 1;33(6):50.
16. Sullivan GJ, Williams C. Older adult transitions into long-term care: a meta-synthesis. Journal of Gerontological Nursing. 2017;43(3):41-9.
17. Scocco P, Nassuato M. The role of social relationships among elderly community‐dwelling and nursing‐home residents: Findings from a quality of life study. Psychogeriatrics. 2017 Jul;17(4):231-7.
18. Jadid Milani M, Amiri P. The effects of peer support groups on mental health of hemodialysis patients. Iran Journal of Nursing. 2015 Oct;28(96):40-9.
19. Alzheimer's Association. 2014 Alzheimer's disease facts and figures. Alzheimer's & Dementia. 2014 Mar 1;10(2):e47-92.
20. Morrow-Odom KL, Robbins SM. A speech-language pathologist’s guide to creating a support group for caregivers of persons with dementia. Communication Disorders Quarterly. 2012 Feb;33(2):78-83.
21. Theurer K, Wister A, Sixsmith A, Chaudhury H, Lovegreen L. The development and evaluation of mutual support groups in long-term care homes. Journal of Applied Gerontology. 2014 Jun;33(4):387-415.
22. Petty BJ, Moeller TP, Campbell RZ. Support groups for elderly persons in the community. The Gerontologist. 1976 Dec 1;16(6):522-8.
23. Malakouti SK, Fatollahi P, Mirabzadeh A, Salavati M, Zandi T. Reliability, validity and factor structure of the GDS‐15 in Iranian elderly. International Journal of Geriatric Psychiatry: A Journal of the Psychiatry of Late Life and Allied Sciences. 2006 Jun;21(6):588-93.
24. Kosugi K, Nishiguchi Y, Miura T, Fujisawa D, Kawaguchi T, Izumi K, Takehana J, Uehara Y, Usui Y, Terada T, Inoue Y. Association Between Loneliness and the Frequency of Using Online Peer Support Groups Among Cancer Patients With Minor Children: A Cross-Sectional Web-Based Study. Journal of Pain and Symptom Management. 2021 May 1;61(5):955-62.
25. Leavitt VM, Riley CS, De Jager PL, Bloom S. eSupport: feasibility trial of telehealth support group participation to reduce loneliness in multiple sclerosis. Multiple Sclerosis Journal. 2020 Nov;26(13):1797-800.
26. Elias SM, Neville C, Scott T. The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing. 2015 Sep 1;36(5):372-80.
27. Mostafapour V, Motamedi A, Farrokhi H. The effectiveness of group logo-therapy on the sense of loneliness and death anxiety in elderly women. Scientific Research Quarterly of Woman and Culture. 2018 Aug 23;10(36):23-36.
28. Shen Z, Zheng F, Zhong Z, Ding S, Wang L. Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial. Nursing & Health Sciences. 2019 Jun;21(2):269-77.
29. Prevatt BS, Lowder EM, Desmarais SL. Peer-support intervention for postpartum depression: Participant satisfaction and program effectiveness. Midwifery. 2018 Sep 1;64:38-47.
30. Fessman N, Lester D. Loneliness and depression among elderly nursing home patients. The International Journal of Aging and Human Development. 2000 Sep;51(2):137-41.
31. Taati F, Bahramnezhad F, Seyedfatemi N, Sharifi F, Navab E. The Effect of Participation in Support Groups on Depression, Anxiety and Stress in Family Caregivers of People with Alzheimer’s: Randomized clinical trial. International Journal of Medical Research & Health Sciences. 2016 Jan 1;5(7):256-62.
32. Fogarty C, Hevey D, McCarthy O. Effectiveness of cognitive behavioural group therapy for social anxiety disorder: Long-term benefits and aftercare. Behavioural and Cognitive Psychotherapy. 2019 Sep;47(5):501-13.
| Files | ||
| Issue | Vol 9 No 2 (2022): Spring | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v9i2.8895 | |
| Keywords | ||
| support group relocation stress syndrome elderly nursing home | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
