基于艺术的干预对老年痴呆症患者的影响:一个随机对照试验
Xuefang Zhuo1,2,3, Yuanjiao Yan4, Rong Lin5
1Department of Geriatric Medicine, Shengli Clinical College of Fujian Medical University, Fuzhou, China.
Scientific reports
|March 27, 2025
概括
基于艺术的创意表达式讲故事与护理人员计划显著减少了痴呆症的行为和心理症状以及护理人员负担. 这种艺术干预也改善了痴呆症患者的沟通和生活质量.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 创意艺术疗法 创意艺术疗法
背景情况:
- 痴呆症的行为和心理症状 (BPSD) 显著影响患者和护理人员.
- 护理人员的负担和痛苦是痴呆症护理中常见的挑战.
- 现有的干预措施往往侧重于药理学或一般支持方法.
研究的目的:
- 评估由护理人员 (CrEAS-AC) 计划陪同的基于艺术的创造性表达式讲故事的有效性.
- 评估该计划对减少老年痴呆症患者的BPSD和护理人员负担的影响.
- 将CREAS-AC与一般社会接触 (SC) 控制组进行比较.
主要方法:
- 一个双臂随机对照试验,涉及78个双臂 (痴呆症患者和护理人员).
- 参与者被分配到CREAS-AC或SC组,每周两次进行干预,持续12周.
- 主要结局包括BPSD (NPI,AES-I) 和护理人员痛苦;次要结局包括沟通和生活质量.
主要成果:
- 在干预后,CREAS-AC组的BPSD (NPI,AES-I),护理人员痛苦和护理人员负担 (CBI) 得分明显较低.
- 在CREAS-AC组的参与者表现出更好的沟通能力 (SFACS-S,SFACS-C) 和生活质量 (QOL-AD).
- 干预效应在24周的随访中保持不变,并没有根据基线特征进行修改.
结论:
- CrEAS-AC计划是一种潜在的有效的基于艺术的干预措施,用于管理痴呆症症状.
- 这项计划可以减少行为和心理症状,改善沟通,提高痴呆症患者的生活质量.
- CrEAS-AC还在减少护理人员的痛苦和负担方面提供了显著的好处.
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