痴呆症护理研究和心理社会因素
Prachi Shah1, Fabiana Goodman2, Kristen Taruc3
1The University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
概括
对于痴呆症患者 (PWD) 和护理人员来说,远程治疗艺术项目是可行的. 该干预措施显示,在一些PWD患者中,攻击性行为减少,当儿童是护理人员时,护理人员的成就得到改善.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 创意艺术疗法 创意艺术疗法
背景情况:
- 对于痴呆症患者 (PWD) 和他们的护理人员来说,对痴呆症友好的治疗艺术计划的可访问性是一个重要的障碍.
- 由于COVID-19大流行,需要将面对面的节目调整为远程格式.
研究的目的:
- 将面对面的治疗艺术课程调整为为期8周的双向,完全远程的课程.
- 测量这种远程程序对患者行为,护理人员负担和患者护理人员关系的影响.
主要方法:
- 采用双交叉设计,与参与者二合一 (一个PWD和他们的护理人员).
- 在8周的干预期内,每周邮寄艺术套件,与标准护理的8周对照期形成对比.
- 患者症状严重程度,关系质量和护理人员负担的评估在入学,第8周和第16周进行. 混合效应回归模型分析了差异.
主要成果:
- 远程治疗艺术程序的交付是可行的,尽管发生了33%的消耗,主要是由于评估的可用性.
- 在初级结果中没有发现总体显著差异.
- 相互作用分析显示,轻度认知障碍或非典型痴呆症患者的口头攻击性显著下降 (p=0.01,p=0.02).
- 当一个孩子是护理人员时,观察到护理人员成就的显著改善 (p=0.05) 和患者口头攻击性的减少 (p=0.04).
结论:
- 在家治疗艺术项目为痴呆症患者提供了传统的面对面设置的可行替代方案.
- 需要更强大的研究来证实远程治疗艺术干预对情绪,行为,护理人员负担和患者护理人员关系的有效性.
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