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首页> 外文期刊>Nursing research >Effects of behavioral interventions on disruptive behavior and affect in demented nursing home residents.
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Effects of behavioral interventions on disruptive behavior and affect in demented nursing home residents.

机译：行为干预对痴呆的疗养院居民的破坏性行为和影响的影响。

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BACKGROUND: Disruptive behaviors are prevalent in nursing home residents with dementia and often have negative consequences for the resident, caregiver, and others in the environment. Behavioral interventions might ameliorate them and have a positive effect on residents' mood (affect). OBJECTIVES: This study tested two interventions-an activities of daily living and a psychosocial activity intervention-and a combination of the two to determine their efficacy in reducing disruptive behaviors and improving affect in nursing home residents with dementia. METHODS: The study had three treatment groups (activities of daily living, psychosocial activity, and a combination) and two control groups (placebo and no intervention). Nursing assistants hired specifically for this study enacted the interventions under the direction of a master's prepared gerontological clinical nurse specialist. Nursing assistants employed at the nursing homes recorded the occurrence of disruptive behaviors. Raters analyzed videotapes filmed during the study to determine the interventions' influence on affect. RESULTS: Findings indicated significantly more positive affect but not reduced disruptive behaviors in treatment groups compared to control groups. CONCLUSIONS: The treatments did not specifically address the factors that may have been triggering disruptive behaviors. Interventions much more precisely designed than those employed in this study require development to quell disruptive behaviors. Nontargeted interventions might increase positive affect. Treatments that produce even a brief improvement in affect indicate improved quality of mental health as mandated by federal law.
机译：背景：破坏性行为在患有痴呆症的疗养院居民中普遍存在，并且通常会对环境中的居民，护理人员和其他人产生负面影响。行为干预可能会改善他们，并对居民的情绪产生积极影响（影响）。目的：本研究测试了两种干预措施（一种日常生活活动和一种心理社会活动干预措施），以及两种措施的组合，以确定它们在减少破坏性行为和改善痴呆症疗养院居民影响方面的功效。方法：该研究分为三个治疗组（日常生活活动，社会心理活动及其组合）和两个对照组（安慰剂和无干预组）。专为这项研究而聘用的护理助手在硕士生准备的老年病临床护士专家的指导下制定了干预措施。在疗养院雇用的护理助手记录了破坏行为的发生。评分者分析了研究期间拍摄的录像带，以确定干预措施对情感的影响。结果：研究结果表明，与对照组相比，治疗组的积极影响明显增加，但破坏行为并未减少。结论：这些治疗并未具体解决可能引发破坏性行为的因素。比本研究中所采用的干预措施设计得更为精确的干预措施需要发展以平息破坏性行为。非针对性的干预措施可能会增加积极的影响。产生甚至短暂的情感改善的治疗方法，表明联邦法律规定的精神卫生质量得到改善。

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