Comparação de Intervenções de Enfermagem para Função Cognitiva em Idosos Hipertensos: Arte e Reminiscência
Resumo
Introdução: Idosos hipertensos são vulneráveis à diminuição da função cognitiva. Este estudo tem como objetivo determinar a diferença entre a terapia de reminiscência e a terapia de desenho artístico na função cognitiva de pacientes idosos hipertensos.
Métodos: Este estudo utilizou uma abordagem quantitativa quase-experimental, com um delineamento de comparação de grupos estáticos, um grupo pré-teste e um grupo pós-teste. Havia dois grupos de amostra neste estudo, terapia de reminiscência e terapia de desenho artístico (32 pessoas por grupo). O instrumento Mini Exame do Estado Mental (MEEM) foi utilizado para medir a função cognitiva. Os testes de Wilcoxon e Mann-Whitney foram utilizados para o processamento dos dados, uma vez que nem todos os dados apresentaram distribuição normal.
Resultados: Os resultados deste estudo indicam que há diferença significativa na função cognitiva de idosos hipertensos antes (20; 16-27) e após (21; 20-30) a intervenção da terapia do desenho artístico (valor de p = 0,001). Há diferença significativa na função cognitiva de idosos hipertensos antes (20; 16-27) e depois (26; 20-30) da administração da intervenção de terapia de reminiscência (valor de p = 0,001). Entretanto, não houve diferenças significativas na função cognitiva entre os grupos de Desenho Artístico e Terapia de Reminiscência (valor de p = 0,056).
Conclusão: Os resultados deste estudo podem ser utilizados como referência na prestação de cuidados de enfermagem a idosos hipertensos para melhorar a função cognitiva com desenho artístico e terapia de reminiscência.
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Referências
Pranata L, Indaryati S, Fari AI. Assistance for the Elderly in Improving Cognitive Function with the Brain Gymnastics Method. J madaniyah [Internet]. 2020;1(4):172–6. Available from: https://madaniya.pustaka.my.id/journals/contents/article/view/33.
Wijaya DA, Tadjudin NS. The Relationship Between Smoking and Cognitive Function in The Elderly at The Tresna Wreda Budhi Mulia 2 Social Home, West Jakarta. Tarumanagara Med J [Internet]. 2020;2(1):35–40. Available from: https://lintar.untar.ac.id/repository/penelitian/buktipenelitian_10405006_5A011705.pdf.
Lee CJ, Lee J yeon, Han K, Kim DH, Cho H, Kim KJ, et al. Blood Pressure Levels and Risks of Dementia: a Nationwide Study of 4.5 Million People. Hypertension [Internet]. 2021;79(January):218–29. Available from: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.121.17283.
Jung H, Yang PS, Kim D, Jang E, Yu HT, Kim TH, et al. Associations of Hypertension Burden on Subsequent Dementia: A Population ‑ Based Cohort Study. Sci Rep [Internet]. 2021;11(2291):1–10. Available from: https://www.nature.com/articles/s41598-021-91923-8.
Naing HL, Teo SP. Impact of Hypertension on Cognitive Decline and Dementia. Ann Geriatr Med Res [Internet]. 2020;24(1):15–9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7370774/.
Nabila BI, Kurniawan WE, Maryoto M. An Overview of Dementia Levels in Elderly People at Rojinhome Ikedaen Okinawa Japan. J Stud Keperawatan [Internet]. 2022;3(2):1–8. Available from: https://ejournal.poltekkes-smg.ac.id/ojs/index.php/J-SiKep/article/view/8410.
Pradana AA, Rohayati R. Effect of Physical Exercise on Health of Informal Caregivers of Elderly with Dementia: A Meta-Analysis. J Kesehat Vokasional [Internet]. 2022;7(3):176. Available from: https://jurnal.ugm.ac.id/jkesvo/article/view/70080/34736.
Widiastuti RH. Burden and Coping of Caregivers of Elderly with Dementia in Nursing Homes. J Ilmu Keperawatan Komunitas [Internet]. 2019;2(1):8. Available from: https://core.ac.uk/download/pdf/235170651.pdf.
Demirel Ö, Orak OS. The Effect of Art Therapy on Cognitive Status and Psychological Well-Being In Ederly People in Institutional Care. Psychogeriatrics [Internet]. 2025;25(1):23–5. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/psyg.13246.
Nurbaiti AT. The Effect of Art Therapy Techniques on Anger Emotion Management in Class XI Students of SMA Negeri 3 Bantul. J Ris Mhs Bimbing dan Konseling [Internet]. 2019;5(1):91–102. Available from: https://journal.student.uny.ac.id/index.php/fipbk/article/view/15901.
Apryanggun D, Satiadarma MP, Basaria D. Art Therapy as Art-Based Assessment for Oppositional Defiant Disorder (ODD) Children in X and Y Orphanages. Psibernetika [Internet]. 2018;11(1):47–56. Available from: https://journal.ubm.ac.id/index.php/psibernetika/article/view/1159.
Susanto TI, Soetjiningsih CH, Samiyono D. Reminiscence Therapy: Empowering the Elderly to Achieve Successful Aging. Bul Psikol [Internet]. 2020;28(1):72–84. Available from: https://journal.ugm.ac.id/buletinpsikologi/article/view/49339.
Shin E, Kim M, Kim S, Sok S. Effects of Reminiscence Therapy on Quality of Life and Life Satisfaction of The Elderly In The Community: A Systematic Review. BMC Geriatr [Internet]. 2023;23(1):1–9. Available from: https://link.springer.com/article/10.1186/s12877-023-04001-1.
Gallegos M, Morgan ML, Cervigni M, Martino P, Murray J, Calandra M, et al. 45 Years of the Mini-Mental State Examination (MMSE): A Perspective From Ibero-America. Dement e Neuropsychol [Internet]. 2022;16(4):384–7. Available from: https://www.scielo.br/j/dn/a/LQ8ftRMwxMXBXTqG45VCqys/
Komala DW, Novitasari D, Sugiharti RK, Awaludin S. Mini-Mental State Examination to Assess Cognitive Function of the Elderly. J Keperawatan Malang [Internet]. 2021;6(2):95–107. Available from: https://jurnal.stikespantiwaluya.ac.id/.
Sari NW, Margiyati, Rahmanti A. Effectiveness of Self-Help Group (SHG) Method on Blood Pressure In Elderly Hypertension. J Keperawatan [Internet]. 2020;03(03):10–6. Available from: https://jurnal.karyakesehatan.ac.id/JK/article/view/240.
Erwanto R, Kurniasih DE. Differences in the Effectiveness of Art therapy and Brain gym on Cognitive and Intellectual Functions in Elderly Dementia at BPSTW Yogyakarta. Str J Ilm Kesehat [Internet]. 2018 Nov;7(2):34–41. Available from: https://sjik.org/index.php/sjik/article/view/165.
Shang X, Hill E, Zhu Z, Liu J, Ge BZ, Wang W, et al. The Association of Age at Diagnosis of Hypertension With Brain Structure and Incident Dementia in the UK Biobank. Hypertension [Internet]. 2021;78(5):1463–74. Available from: https://www.ahajournals.org/doi/full/10.1161/HYPERTENSIONAHA.121.17608.
Wang J, Xi YX, Li JQ, Zhu WW. Gender Difference In Association Between H-Type Hypertension and Subcortical Ischemic Vascular Disease. Front Aging Neurosci [Internet]. 2022;14(September):1–13. Available from: https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2022.998268/full.
Fitriana LA, Ufamy N, Anggadiredja K, Amalia L, Setiawan S, Adnyana IK. Demographic Factors and Disease History Associated with Dementia among Elderly in Nursing Homes. J Keperawatan Padjadjaran [Internet]. 2020;8(2):120–8. Available from: https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/1361.
Lee R, Wong J, Lit Shoon W, Gandhi M, Lei F, EH K, et al. Art Therapy for The Prevention of Cognitive Decline. Arts Psychother [Internet]. 2019;64:20–5. Available from: https://doi.org/10.1016/j.aip.2018.12.003.
Masika GM, Yu DSF, Li PWC, Lee DTF, Nyundo A. Visual Art Therapy and Cognition: Effects on People with Mild Cognitive Impairment and Low Education Level. Journals Gerontol - Ser B Psychol Sci Soc Sci [Internet]. 2022;77(6):1051–62. Available from: https://academic.oup.com/psychsocgerontology/article/77/6/1051/6372246.
Yan Y jiao, Lin R, Zhou Y, Luo Y ting, Cai Z zhen, Zhu K yan, et al. Effects of Expressive Arts Therapy in Older Adults With Mild Cognitive Impairment: A Pilot Study. Geriatr Nurs (Minneap) [Internet]. 2021;42(1):129–36. Available from: https://doi.org/10.1016/j.gerinurse.2020.11.011.
Masika GM, Yu DSF, Li PWC. Can Visual Art Therapy Be Implemented With Illiterate Older Adults With Mild Cognitive Impairment? A Pilot Mixed-Method Randomized Controlled Trial. J Geriatr Psychiatry Neurol [Internet]. 2021;34(1):76–86. Available from: https://journals.sagepub.com/doi/abs/10.1177/0891988720901789.
Pérez-Sáez E, Justo-Henriques SI, Alves Apóstolo JL. Multicenter Randomized Controlled Trial Of The Effects of Individual Reminiscence Therapy on Cognition, Depression and Quality of Life: Analysis of A Sample of Older Adults With Alzheimer’s Disease And Vascular Dementia. Clin Neuropsychol [Internet]. 2022;36(7):1975–96. Available from: https://doi.org/10.1080/13854046.2021.1871962.
Cammisuli DM, Cipriani G, Giusti EM, Castelnuovo G. Effects of Reminiscence Therapy on Cognition, Depression and Quality of Life in Elderly People with Alzheimer’s Disease: A Systematic Review of Randomized Controlled Trials. J Clin Med [Internet]. 2022;11(19). Available from: https://www.mdpi.com/2077-0383/11/19/5752.
Tominari M, Uozumi R, Becker C, Kinoshita A. Reminiscence therapy Using Virtual Reality Technology Affects Cognitive Function and Subjective Well-Being In Older Adults With Dementia. Cogent Psychol [Internet]. 2021;8(1). Available from: https://doi.org/10.1080/23311908.2021.1968991.
Cuevas PEG, Davidson PM, Mejilla JL, Rodney TW. Reminiscence Therapy For Older Adults With Alzheimer’s Disease: A Literature Review. Int J Ment Health Nurs [Internet]. 2020;29(3):364–71. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12692.
Hsiao CY, Chen SL, Hsiao YS, Huang HY, Yeh SH. Effects of Art and Reminiscence Therapy on Agitated Behaviors among Older Adults with Dementia. J Nurs Res [Internet]. 2020;28(4). Available from: https://journals.lww.com/jnr-twna/fulltext/2020/08000/Effects_of_Art_and_Reminiscence_Therapy_on.3.aspx.
Liu Q, Wang F, Tan L, Liu L, Cheng H, Hu X. Comparative Efficacy of Various Art Therapies For Patients With Dementia: A Network Meta-Analysis of Randomized Controlled Trials. Front Psychiatry [Internet]. 2023;14(January):1–8. Available from: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2023.1072066/full.
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