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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study
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The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study

机译：痴呆行为症状的特定非药物干预的使用和效用：一项探索性研究。

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This study compares different nonpharmacological interventions for persons with behavioral symptoms and dementia on frequency of use and perceived efficacy in terms of change in behavior and interest. Methods: Participants were 89 nursing home residents from six Maryland nursing homes with a mean age of 85.9 years (SD: 8.6 years). Research assistants presented interventions tailored to the participants' needs and preferences in a pre-intervention trial phase and in an intervention phase. The impact of each intervention on behavioral symptoms and on the person's interest was rated immediately after the intervention by a research assistant. Results: The most utilized interventions in both trial and treatment phases were the social intervention of one-on-one interaction, simulated social interventions such as a lifelike doll and respite video, the theme intervention of magazine, and the sensory stimulation intervention of music. In contrast, the least utilized interventions in both phases were sewing, fabric book, and flower arrangement. Interventions with the highest impact on behavioral symptoms included one-on-one social interaction, hand massage, music, video, care, and folding towels. Other high impact interventions included walking, going outside, flower arranging, food or drink, sewing, group activity, book presentation, ball toss, coloring or painting, walking, and family video. Conclusions: The results provide initial directions for choosing specific interventions for persons with dementia and also demonstrate a methodology for increasing knowledge through ongoing monitoring of practice.
机译：这项研究比较了行为症状和痴呆症患者在行为频率和兴趣变化方面使用频率和感知功效的不同非药物干预措施。方法：参与者是来自马里兰州六个养老院的89个养老院居民，平均年龄为85.9岁（标准差：8.6岁）。研究助理在干预前的试验阶段和干预阶段介绍了针对参与者需求和偏好的干预措施。在研究助理干预后，立即评估每种干预对行为症状和对人的兴趣的影响。结果：在试验和治疗阶段，最常用的干预措施是一对一互动的社会干预，模拟的社会干预，例如逼真的玩偶和喘息视频，杂志的主题干预以及音乐的感官刺激干预。相反，在这两个阶段使用最少的干预措施是缝纫，布书和插花。对行为症状影响最大的干预措施包括一对一的社交互动，手部按摩，音乐，视频，护理和折叠毛巾。其他高影响力的干预措施包括散步，出门，插花，饮食，缝纫，小组活动，书籍介绍，抛球，着色或绘画，散步以及家庭录像。结论：研究结果为痴呆症患者选择具体的干预措施提供了初步的指导，并展示了通过不断监测实践来增加知识的方法。

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