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Non-pharmacological therapies in dementia最新文献

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Feasibility of providing computer activities for nursing home residents with dementia. 为老年痴呆症老人提供电脑活动的可行性。
Sunghee H Tak, Cornelia Beck, Song Hee Hong

Introduction: Nursing home residents with dementia need cognitively stimulating and enjoyable activities, and computer technology offers them a means of engaging in such activities. This study therefore examined the feasibility of providing a 12-week computer activity program (CAP) for nursing homes residents with dementia.

Methods: Fourteen participants completed the CAP, and 462 observational logs of CAP sessions were analyzed.

Results: On average, participants completed 33 sessions amounting to 936.5 minutes over 12 weeks. Participants with mild and moderate dementia preferred playing a cognitively challenging game such as solitaire, while those with severe dementia enjoyed watching slideshows with music.

Conclusion: The findings suggest that it is important to match computer activities to interests and cognitive ability in order to increase participation and satisfaction of NH residents with dementia.

导读:老年痴呆症患者需要认知刺激和愉快的活动,而计算机技术为他们提供了参与这些活动的手段。因此,本研究考察了为老年痴呆症患者提供为期12周的计算机活动计划(CAP)的可行性。方法:14名参与者完成了CAP,并分析了462次CAP的观察日志。结果:参与者在12周内平均完成了33个疗程,总计96.5分钟。患有轻度和中度痴呆症的参与者更喜欢玩具有认知挑战性的游戏,比如接龙,而患有严重痴呆症的参与者则喜欢看带有音乐的幻灯片。结论:将计算机活动与兴趣和认知能力相匹配,是提高老年痴呆症患者参与和满意度的重要途径。
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引用次数: 0
Practical Protocol for Implementing Cognitive Stimulation in Persons with Delirium Superimposed on Dementia. 对谵妄合并痴呆患者实施认知刺激的实用方案。
Ann M Kolanowski, Nikki Hill, Linda Clare, Patricia Marx

Delirium is common in persons with dementia and often accompanies acute medical or surgical conditions. These individuals are at risk for an accelerated decline in their cognitive and physical function. For this reason, interventions that help resolve delirium are critically needed. We have developed a non-pharmacological intervention for delirium in persons with dementia based on our prior interdisciplinary work on delirium, dementia and cognitive stimulation. The intervention uses recreational activities that are alerting, capture attention, and provide cognitive stimulation that encourages cognitive processing in support of cognitive function. In this paper we describe the practical protocol we have developed for implementing these activities, and present a video that will enhance treatment fidelity for studies that replicate the approach.

谵妄在痴呆症患者中很常见,通常伴随急性内科或外科手术条件。这些人有认知和身体功能加速衰退的风险。因此,帮助消除谵妄的干预措施是迫切需要的。基于我们之前在谵妄、痴呆和认知刺激方面的跨学科工作,我们开发了一种治疗痴呆症患者谵妄的非药物干预方法。干预使用娱乐活动,这些活动可以引起注意,吸引注意力,并提供认知刺激,鼓励认知加工,以支持认知功能。在本文中,我们描述了我们为实施这些活动而制定的实用方案,并提供了一个视频,该视频将提高复制该方法的研究的治疗保真度。
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引用次数: 0
Origins of Montessori Programming for Dementia. 蒙台梭利痴呆症计划的起源。
Cameron J Camp

The focus of this article is on the evolution of the use of Montessori educational methods as the basis for creating interventions for persons with dementia. The account of this evolution is autobiographical, as the development of Montessori Programming for Dementia (MPD) initially was through the efforts of myself and my research associates. My initial exposure to Maria Montessori's work came as a result of my involvement with my own children's education. This exposure influenced ongoing research on development of cognitive interventions for persons with dementia. A brief description of Montessori's work with children and the educational methods she developed is followed by a description of how this approach can be translated into development of activities for persons with dementia. Assessment tools to document effects of MPD were created, focusing on observational tools to measure engagement and affect during individual and group activities programming for persons with dementia. Examples of the use of MPD by researchers, staff members, and family members are given, as well as examples of how persons with dementia can provide MPD to other persons with dementia or to children. Finally, examples of MPD's dissemination internationally and future directions for research are presented.

本文的重点是使用蒙台梭利教育方法的演变,作为为痴呆症患者创造干预措施的基础。这种演变的描述是自传式的,因为蒙台梭利痴呆症计划(MPD)的发展最初是通过我和我的研究伙伴的努力。我最初接触到玛丽亚·蒙台梭利的作品是因为我参与了自己孩子的教育。这种暴露影响了正在进行的关于痴呆症患者认知干预发展的研究。简要介绍蒙台梭利在儿童方面的工作和她开发的教育方法,然后描述如何将这种方法转化为痴呆症患者的活动发展。创建了记录MPD效果的评估工具,重点是观察工具,以衡量痴呆症患者在个人和团体活动规划中的参与度和影响。给出了研究人员、工作人员和家庭成员使用MPD的例子,以及痴呆症患者如何向其他痴呆症患者或儿童提供MPD的例子。最后,提出了MPD在国际上的传播实例和未来的研究方向。
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引用次数: 0
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Non-pharmacological therapies in dementia
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