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首页> 外文期刊>Journal of advanced nursing >Effects of multi-sensory stimulation for people with dementia.
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Effects of multi-sensory stimulation for people with dementia.

机译：多感官刺激对痴呆症患者的影响。

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BACKGROUND: Over recent years multi-sensory stimulation (MSS) has become an increasingly popular approach to care and is used in several centres throughout Europe. This popularity could be explained by the limited alternatives available to staff and a widely held belief that MSS is a friendly and highly humane approach. A randomized controlled trial was therefore essential to evaluate the effectiveness and extent of the benefits of MSS. AIM: To assess whether MSS is more effective in changing the behaviour, mood and cognition of older adults with dementia than a control of activity (playing card games, looking at photographs, doing quizzes, etc.). METHODS: A total of 136 patients from three countries [United Kingdom (UK), the Netherlands and Sweden] were randomized to MSS or activity groups. Patients participated in eight 30-minute sessions over 4 weeks. Ratings of behaviour and mood were taken before, during and after sessions to investigate immediate effects. Pre-, mid-, post-trial and follow-up assessments were taken to investigate any generalization of effects to cognition and behaviour and mood at home/on the ward or at the day hospital. RESULTS: There were limited short-term improvements for both the MSS and activity groups immediately after sessions, and limited short-term improvements between the groups during sessions. There were no significant differences between the groups when assessing change in behaviour, mood or cognition at home/on the ward or at the day hospital. In the UK, however, behaviour at the day hospital for both groups remained stable during the trial but deteriorated once the sessions had stopped, and active/disturbed behaviour at home improved but likewise deteriorated once sessions had stopped. CONCLUSIONS: Overall, MSS was found to be no more effective than an activity in changing the behaviour, mood or cognition of patients with dementia in the short- or long-term.
机译：背景：近年来，多感觉刺激（MSS）已成为一种越来越流行的护理方法，并在欧洲的多个中心得到使用。可以通过员工可用的替代方案有限以及人们普遍认为MSS是一种友好且高度人道的方法来解释这种受欢迎程度。因此，随机对照试验对于评估MSS的有效性和获益程度至关重要。目的：评估MSS在控制老年痴呆症患者的行为，情绪和认知方面是否比控制活动（打牌游戏，看照片，进行测验等）更有效。方法：将来自三个国家（英国（UK），荷兰和瑞典）的136名患者随机分为MSS或活动组。患者在4周内参加了8次30分钟的疗程。在治疗前，治疗中和治疗后对行为和情绪进行评估，以调查即时影响。在试验前，试验中，试验后和随访中进行评估，以调查对家庭/病房或日间医院的认知，行为和情绪的影响的一般化情况。结果：MSS和活动组在会议结束后的短期改善有限，而会议期间各小组之间的短期改善也有限。在评估在家/病房或日间医院的行为，情绪或认知变化时，两组之间无显着差异。然而，在英国，两组的日间医院的行为在试验期间均保持稳定，但一旦停课就恶化了，在家中的主动/受干扰行为有所改善，但停课后同样恶化了。结论：总的来说，在短期或长期内，MSS在改变痴呆症患者的行为，情绪或认知方面并不比一项活动更有效。

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