痴呆症初步证据 协作辅导教练
Natalie F Douglas1, Susan Browning2, Kathy Claypool3
1Department of Communication Sciences and Disorders, Central Michigan University, Mount Pleasant.
American journal of speech-language pathology
|July 12, 2023
概括
痴呆症协作辅导改善了护理助理的沟通技巧,并减少了痴呆症患者的焦虑. 这种干预对于常规护理提供者来说是可以接受的,适当的和可行的.
科学领域:
- 老年学是指老年学的学科.
- 通信科学 通信科学
- 临床心理学 临床心理学
背景情况:
- 有效的沟通策略对于管理痴呆症患者具有挑战性的行为至关重要.
- 现有的干预措施往往缺乏涉及护理人员和痴呆症患者的综合方法.
- 需要基于证据的沟通指导计划,适合熟练护理机构的设置.
研究的目的:
- 提供初步证据,证明一种新的沟通指导干预措施的有效性,即痴呆症协作指导.
- 评估常规护理提供者,包括认证护理助理 (CNA) 和语音语言病理学家 (SLP) 之间的痴呆协作辅导的可接受性,适当性和可行性.
主要方法:
- 在六个熟练护理设施中,在6周的时间内使用了测试前/测试后设计.
- 语音语言病理学家为CNA和痴呆症患者 (PLWD) 提供了痴呆症协作辅导.
- 这些措施包括CNA/SLP的自我认知知识和有效性,PLWD的Cohen-Mansfield激发库存,以及干预可接受性,适当性和可行性等级.
主要成果:
- CNA报告说,在使用记忆辅助工具与PLWD沟通时,自我感知知识和有效性增加 (p=.037).
- 在Cohen-Mansfield激发库存 (p=.01) 上,PLWD显示激发得分显著降低 (p=.01).
- 无论是CNA还是SLP,都认为这项干预是非常可接受的,适当的和可行的.
结论:
- 痴呆症协作辅导在改善沟通支持和减少熟练护理机构动荡方面取得了初步积极成果.
- 这项干预得到了很好的欢迎,并且是常规护理提供者实际实施的干预措施.
- 需要进一步的研究来探索痴呆症协作辅导的长期影响和更广泛的适用性.
相关概念视频
Dementia
141
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
141
Alzheimer's Disease: Overview
525
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
525
Alzheimer's Disease: Treatment
219
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
219
Cognitive Therapy
181
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
181
Cognitive Development During Adulthood
160
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
160
Role of Cerebellum and Prefrontal Cortex in Memory
495
The cerebellum, while traditionally associated with motor control, also plays a crucial role in memory, particularly in procedural memory, which involves learning motor tasks that become automatic through repetition. For example, studies have shown that when the cerebellum is damaged, individuals or animals lose the ability to learn conditioned motor responses, such as the conditioned eye-blink response in classical conditioning experiments with rabbits. This study demonstrates the...
495


