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痴呆症护理中的非药物干预:正在实施的内容
Sabrina D Ross1, Nadja Ziegert1, Francisca S Rodriguez1
1German Center for Neurodegenerative Diseases (DZNE),Greifswald, Germany.
非药物干预 (NPI) 在痴呆症症状管理方面表现有前途. 然而,它们的使用不同,痴呆症患者和他们的家庭照顾者使用的NPI较少,这表明需要更好的支持.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 非药物干预 (NPI) 越来越多地被认为是治疗痴呆症症状的治疗潜力.
- 有限的数据存在于不同护理环境和不同利益相关者群体中各种NPI的实际利用率.
研究的目的:
- 调查在痴呆症患者,家庭护理人员,专业护理人员和痴呆症护理协调员中使用14种不同的NPI的程度.
- 确定哪些NPI在痴呆症护理中最常和最不常被实施.
主要方法:
- 与50名痴呆患者及其家庭护理人员,42名专业护理人员和42名痴呆症护理协调员进行了结构化采访.
- 参与者被问及他们是否使用14个特定的NPI.
主要成果:
- 认知刺激/训练,体育活动和职业治疗是最常用的NPI.
- 神经反,戏剧治疗和光疗很少被使用.
- 与专业护理人员和护理协调员相比,痴呆症患者及其家庭护理人员报告使用的NPI显著减少 (P < 0.001).
- 大多数NPI都在每周实施.
- 参与者认为,他们使用的NPI中平均有90.3%的NPI产生了积极影响.
结论:
- 该研究强调了NPI利用的差异,痴呆症患者和他们的家庭护理人员使用的干预措施较少.
- 建议提供有针对性的支持和增加资金,以加强家庭护理人员和机构机构的NPI采用.
- 进一步的研究可能会探索针对特定人群使用NPI的障碍.
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