[动物辅助疗法对阿尔茨海默病患者幸福感的影响(ELIAUT 研究)]。

IF 0.4 4区 医学 Q4 PSYCHIATRY Geriatrie et Psychologie Neuropsychiatrie De Vieillissement Pub Date : 2023-12-01 DOI:10.1684/pnv.2023.1134
Eline Thirion, Solveig Rouissi, Virginie Dauphinot, Antoine Garnier-Crussard, Marie-Hélène Coste, Pierre Krolak-Salmon
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引用次数: 0

摘要

开发包括动物辅助疗法(AAT)在内的非药物干预措施是治疗阿尔茨海默病(AD)患者的一种令人鼓舞的方法。我们建议进行一项单中心、随机、单盲、对照干预研究,以比较干预组(AAT 与认知刺激相结合)和对照组(仅认知刺激)之间的主要结果,即通过视觉模拟量表(EVIBE)测量的即时幸福感。研究还探讨了次要结果,如干预后的幸福感(也采用 EVIBE)、认知表现(采用阿尔茨海默病评估量表认知部分 GRECO 版本)、痴呆的行为和心理症状(采用神经精神量表行为量表-疗养院版本)、当前的抑郁症状(采用老年抑郁量表 [GDS 30] 30 个项目)和焦虑(采用状态-特质焦虑量表)。研究共纳入 42 名患者,其中干预组 22 人,对照组 20 人。对照组的平均年龄为 82.5 岁,平均 MMSE 得分为 19.2 分;TAA 组的平均年龄为 81.4 岁,平均 MMSE 得分为 18.4 分。结果显示,干预对四周后的幸福感有明显影响(p = 0.048),但对认知功能、痴呆症的行为和心理症状没有明显影响。这项研究表明,在干预结束四周后,TAA 对幸福感的影响较小。在今后的研究中,可以探索使用另一种测量工具对幸福感进行评估,并收集护理团队的观察结果,这可能需要更大的样本和更长的随访时间。
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[Impact of animal-assisted therapy on well-being in patients with Alzheimer's disease (ELIAUT study)].

The development of non-pharmacological interventions, including animal-assisted therapy (AAT), is an encouraging method for the care of people with Alzheimer's disease (AD). A single-center, randomized, single-blind, controlled intervention study was proposed to compare immediate well-being measured by a visual analog scale (EVIBE) as primary outcome between the intervention group (AAT combined with cognitive stimulation) and the control group (cognitive stimulation only) in AD patients. Secondary outcomes were explored, such as well-being after intervention (also with the EVIBE), cognitive performance (measured by Alzheimer's Disease Assessment Scale, cognitive part GRECO version), behavioral and psychological symptoms of dementia (with the Neuropsychiatric Inventory Behavioral Scale-Nursing Home Version), current depressive symptomatology (with the 30 items Geriatric Depression Scale [GDS 30]) and anxiety (by the State-Trait Anxiety Inventory). Forty-two patients were included, 22 in the intervention group and 20 in the control group. The mean age was 82.5 years and mean MMSE score 19.2 in the control group and 81.4 years and mean MMSE score 18.4 in the TAA group. The results show a significant effect of the intervention on well-being after four weeks (p = 0.048), but no significant effect on cognitive functioning, behavioral and psychological symptoms of dementia. This study shows a small effect of TAA on well-being four weeks after the end of the intervention. The assessment of well-being by another measurement tool and the collection of observations made by the care team could be explored in future studies, which could require a larger sample and a longer follow-up.

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来源期刊
CiteScore
0.70
自引率
16.70%
发文量
0
审稿时长
6-12 weeks
期刊介绍: D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.
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