부산대학교 도서관

Purposes: Residents of long-term care institutions are generally the older people and people with disabilities. Their health status is gradually declining, and interpersonal alienation leads to emptiness and loneliness, easily resulting in psychological disorders such as depression. Pleasant events can help residents improve their health status. Therefore, this study aimed to develop the Chinese version of the Pleasant Events Schedule (PES-CH), and verify its reliability and validity in residents of long-term care institutions in Taiwan. Methods: The Short Portable Mental Status Questionnaire (SPMSQ) was used to screen 60 suitable residents of a long-term care institution in Central Taiwan. The PES-CH drew references from the English version of the PES developed by Meeks et al. Through the intervention of cognitive behavioral therapy, pre-testing and post-testing were used to determine its test-retest reliability. The measures of criterion-related validity of the PES-CH include Quality of Life (QoL), Geriatric Depression Scale (GDS), Positive and Negative Affect Schedule (PANAS), and Activities of Daily Living (ADL).Results: The content validity index of the PES-CH was above 0.8. Cronbach's α of the three indices, utilization, pleasure, and frequency of PES-CH were 0.72, 0.84 and 0.79, respectively. Moreover, the test-retest reliability was significant, which indicated that PES-CH has reliable internal consistency and stability. In terms of criterion-related validity, the three indices of the PES-CH were significantly negatively correlated with geriatric depression, however, significantly positively correlated with QoL. The pairwise correlation of these three indices was significantly positively correlated. This indicated that the residents have participated in pleasant events, and the higher the frequency, the greater the pleasure, and the higher the pleasure, the better the QoL, and the lower the depression. Conclusions: PES-CH is a reliable and effective cognitive behavioral therapy tool for long-term care institutions, employed by medical personnel to efficiently assess and improve the mental health of the residents.