痴呆症群体回忆疗法,以改善福祉和减少行为症状
Nobuhiko Yanagida1, Takumi Yamaguchi2, Yuko Matsunari1
1School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan.
Geriatrics (Basel, Switzerland)
|September 23, 2024
概括
群体回忆疗法有效地减少了痴呆症 (BPSD) 的行为和心理症状,并改善了老年人的幸福感. 认知功能没有显著变化,这表明BPSD管理有针对性的好处.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 全球痴呆症患病率上升需要创新的护理策略.
- 痴呆症的行为和心理症状 (BPSD) 显著影响患者的生活质量和护理人员的负担.
- 群体回忆疗法为痴呆症护理提供了潜在的非药物干预.
研究的目的:
- 评估群体回忆疗法对中度至重度痴呆症老年人的认知功能,主观福祉和BPSD的影响.
- 为了评估一个为期4周的团体回忆疗法计划的疗效.
- 为提醒疗法在痴呆症护理环境中的有用性提供证据.
主要方法:
- 采用了前后比较研究设计.
- 49名患有中度至重度痴呆症的参与者在4周内接受了8次团体回忆疗法.
- 评估包括Hasegawa痴呆症尺度修订 (HDS-R),神经精神病学库存-养老院版本 (NPI-NH) 和费城老年中心道德尺度 (PGC道德尺度) 在基线,1周和干预后1个月.
主要成果:
- 通过HDS-R测量认知功能的显著变化没有观察到.
- 在主观幸福感 (PGC道德量表,p = 0.0417) 中发现了显著的改善.
- 观察到BPSD的显著减少 (NPI-NH,p = 0.00226).
结论:
- 群体回忆疗法在减少BPSD和提高老年痴呆症患者的主观福祉方面表现出有效性.
- 虽然认知功能没有显著改善,但治疗对管理行为症状有希望.
- 建议进行进一步的研究,以探索长期影响,最佳干预持续时间,多样化的群体和与其他疗法的整合.
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