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首页> 外文期刊>Nursing research >Effects of a creative expression intervention on emotions, communication, and quality of life in persons with dementia.
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Effects of a creative expression intervention on emotions, communication, and quality of life in persons with dementia.

机译：创造性表达干预对痴呆症患者的情绪，交流和生活质量的影响。

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BACKGROUND: Effective nonpharmacological interventions are needed to treat neuropsychiatric symptoms and to improve quality of life for the 5.3 million Americans affected by dementia. OBJECTIVE: The purpose of this study was to test the effect of a storytelling program, TimeSlips, on communication, neuropsychiatric symptoms, and quality of life in long-term care residents with dementia. METHODS: A quasi-experimental, two-group, repeated measures design was used to compare persons with dementia who were assigned to the twice-weekly, 6-week TimeSlips intervention group (n = 28) or usual care group (n = 28) at baseline and postintervention at Weeks 7 and 10. Outcome measures included the Cornell Scale for Depression in Dementia, the Neuropsychiatric Inventory-Nursing Home Version, the Functional Assessment of Communication Skills, the Quality of Life-Alzheimer's Disease, and the Observed Emotion Rating Scale (this last measure was collected also at Weeks 3 and 6 during TimeSlips for the treatment group and during mealtime for the control group). RESULTS: Compared with the control group, the treatment group exhibited significantly higher pleasure at Week 3 (p < .001), Week 6 (p < .001), and Week 7 (p < .05). Small to moderate treatment effects were found for Week 7 social communication (d = .49) and basic needs communication (d = .43). A larger effect was found for pleasure at Week 7 (d = .58). DISCUSSION: As expected, given the engaging nature of the TimeSlips creative storytelling intervention, analyses revealed increased positive affect during and at 1 week postintervention. In addition, perhaps associated with the intervention's reliance on positive social interactions and verbal communication, participants evidenced improved communication skills. However, more frequent dosing and booster sessions of TimeSlips may be needed to show significant differences between treatment and control groups on long-term effects and other outcomes.
机译：背景：需要有效的非药物干预措施来治疗530万受痴呆症困扰的美国人的神经精神症状并改善其生活质量。目的：本研究的目的是测试故事计划，TimeSlips对痴呆症长期护理患者的交流，神经精神症状和生活质量的影响。方法：采用准实验的两组重复测量设计，比较了痴呆症患者，他们被分为每周两次，每周6次的TimeSlips干预组（n = 28）或常规护理组（n = 28）。在基线和干预后第7周和第10周进行评估。结果指标包括康奈尔抑郁症抑郁量表，神经精神病学量表-护理之家，沟通技巧的功能评估，生活阿尔茨海默氏病的质量以及观察到的情绪评分量表（最后一次测量也是在治疗组的TimeSlips的第3周和第6周以及对照组的就餐时间收集的）。结果：与对照组相比，治疗组在第3周（p <.001），第6周（p <.001）和第7周（p <.05）表现出明显更高的愉悦感。在第7周的社交交流（d = .49）和基本需求交流（d = .43）中发现了中度到中等程度的治疗效果。在第7周发现更大的愉悦感（d = .58）。讨论：正如预期的那样，考虑到TimeSlips创意故事讲述干预的吸引力，分析显示干预后和干预后1周的积极影响增加。此外，也许与干预措施依赖积极的社会互动和口头交流有关，参与者证明了交流技巧的提高。但是，可能需要更频繁地使用TimeSlips进行给药和加强治疗，以显示治疗组和对照组之间在长期效果和其他结果方面的显着差异。

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