一个嵌入式实用临床试验的个性化积极的心理社会互动 (IPPI) 程序
Katherine M Abbott1, Allison R Heid2, Molly Noble3
1Scripps Gerontology Center, Miami University, Oxford, OH, USA; Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
概括
个性化积极心理社会互动 (IPPI) 计划改善了痴呆症的养老院居民的情绪和减少了痛苦. 这种以人为中心的方法可以整合到护理中,通过现有临床数据跟踪结果.
科学领域:
- 老年学是一门学科.
- 心理社会干预 心理社会干预
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症的养老院居民经常经历情绪障碍和痛苦.
- 个性化积极心理社会互动 (IPPI) 计划是一种以证据为基础的干预,旨在应对这些挑战.
- 将有效的心理社会计划整合到日常护理中,对于改善痴呆症患者 (PLWD) 的生活质量至关重要.
研究的目的:
- 评估由养老院工作人员在六个月内持续提供IPPI计划的可行性.
- 评估IPPI完成对居民情绪的直接影响.
- 确定IPPI完成是否影响在最低数据集 (MDS) 中记录的长期 (3个月和6个月) 痛苦症状 3.0.0.
主要方法:
- 试点嵌入实用临床试验在七个养老院中进行,共有130名住户.
- 工作人员接受了以情感为中心的沟通和IPPI交付的在线培训,目标是每周每位居民进行两次10分钟的会议.
- 在IPPI前后评估情绪,并收集MDS 3.0数据来跟踪痛苦症状.
主要成果:
- 参与者在六个月内平均完成了45个IPPI.
- 在59%的IPPI患者中观察到立即的情绪改善,在42%的IPPI患者中观察到情绪稳定.
- 从基线到3个月和6个月,MDS 3.0数据表明痛苦症状有所改善.
结论:
- 该IPPI计划是一个有效的,以人为中心的干预,用于在养老院生活的人痴呆症.
- IPPI可以成功地集成到现有的护理实践中.
- 使用现有的临床数据,可以有效地监测居民情绪和痛苦症状.
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