基于视频的多种培训模式在社区服务中心痴呆症的有效性:一个集群随机对照研究
Sun-Gen Yang1, Wen-Fu Wang2, Yu-Chun Tung3
1Department of Medical Education, Changhua Christian Hospital, Changhua, Taiwan.
Frontiers in medicine
|June 26, 2025
概括
一个为期16周的基于视频的多重训练模式 (MTM) 计划显著减少了痴呆症患者的食欲/饮食困扰. 虽然护理人员负担呈现下降趋势,但建议在台湾社区痴呆服务中心 (CSCD) 进行更广泛的实施.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 痴呆症护理给患者和护理人员带来了挑战.
- 社区痴呆服务中心 (CSCDs) 提供重要支持.
- 需要创新的计划来管理痴呆症 (BPSD) 的行为和心理症状.
研究的目的:
- 评估为期16周的基于视频的多重训练模式 (MTM) 计划对痴呆症患者的有效性.
- 评估该计划对痴呆症 (BPSD) 的行为和心理症状以及护理人员负担的影响.
- 探索在台湾的CSCD中实施MTM计划的可行性.
主要方法:
- 一个集群随机对照试验与207名痴呆症患者和护理人员在台湾16个CSCD进行.
- 干预组接受了为期16周的基于视频的MTM计划 (动态练习,创意活动).
- 对照组接受了定期的CSCD活动. 结果包括BPSD (NPI-Q),护理人员负担 (ZBI) 和抑郁症 (CES-D).
主要成果:
- 干预组表现出食欲/饮食困扰的显著减少 (NPI得分: -0.2比0,p=0.026).
- 观察到减少护理人员负担的趋势,但不具有统计学意义 (ZBI分数: -3.1 与 -1.2,p=0.306).
- 在整体BPSD严重程度或护理人员抑郁症方面没有发现显著变化.
结论:
- 基于视频的MTM程序显示了改善痴呆症患者特定神经心理症状的希望,特别是食欲/饮食困扰.
- 该计划的实施方便表明,在台湾的CSCD中可能会得到更广泛的采用.
- 建议改进计划,以提高护理人员的支持和整体有效性.
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