在社区居住的痴呆症患者中以人为中心的多维跨学科康复计划的可行性:一个随机对照试验试验
Låtta Hasselgren1, Mia Conradsson2, Josefine Lampinen2,3
1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden. latta.hasselgren@umu.se.
BMC geriatrics
|September 28, 2024
概括
这项试点试验发现,以人为中心的康复计划对社区居住的老年痴呆症患者是可行的. 进一步的研究是有必要的,以探索其影响和成本效益.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 痴呆症护理需要针对复杂需求的个性化,以团队为基础的方法.
- 这项研究试行了一项以人为中心,多维,跨学科的康复计划,用于社区居住的老年痴呆患者及其照顾者.
研究的目的:
- 评估一种新型康复计划的可行性,用于痴呆症的老年人.
- 评估该计划对各种健康和功能结果的影响.
主要方法:
- 一个随机控制的试验试验,涉及61名患有痴呆症的参与者.
- 干预组接受了为期20周的项目,包括评估,设定目标,运动和社交互动;对照组接受了通常的护理.
- 包括身体功能,活动,认知和神经精神症状在内的结果被测量了36个月.
主要成果:
- 干预组从多学科团队获得的干预次数显著增加 (70.7 vs 5.8).
- 参加小组活动的比例很高 (74.8%),没有严重的不良事件.
- 一个不显著的趋势有利于干预组减少养老院安置或死亡率,并显示出步态,身体活动和神经心理症状的潜在临床上有意义的改善.
结论:
- 以人为中心的康复计划对于社区居住的痴呆症老年人来说是可行的.
- 结果支持未来的最终随机对照试验,以探索疗效和成本效益.
- 建议考虑早期的计划实施,认知训练和注意力控制活动.
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