为痴呆症患者提供集体回忆疗法,以改善身心健康并减轻行为症状。

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Geriatrics Pub Date : 2024-08-28 DOI:10.3390/geriatrics9050109
Nobuhiko Yanagida, Takumi Yamaguchi, Yuko Matsunari
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引用次数: 0

摘要

全球痴呆症病例的增加凸显了对有效治疗和护理策略的迫切需求。本研究旨在评估集体回忆疗法对中重度痴呆症老年人的认知功能、主观幸福感以及痴呆症的行为和心理症状(BPSD)的影响。该研究采用了前后比较设计,49 名参与者在 4 周内接受了 8 次集体回忆疗法。使用长谷川痴呆量表-修订版(HDS-R)、神经精神病学量表-疗养院版(NPI-NH)和费城老年医学中心士气量表(PGC士气量表)对干预后的基线、一周和一个月进行评估。结果显示,HDS-R 评分没有明显改善,但 PGC 士气量表(p = 0.0417)和 NPI-NH 评分(p = 0.00226)有明显改善,表明幸福感有所提高,BPSD 有所减少。这些研究结果表明,集体回忆疗法能有效改善 BPSD。未来的研究应侧重于延长干预时间、纳入不同人群以及将集体回忆疗法与其他治疗方法相结合,以全面确定其长期益处和机制。对其成本效益和文化适用性的研究可以进一步验证和改进团体回忆疗法在不同护理环境中的应用。
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Group Reminiscence Therapy for Dementia to Improve Well-Being and Reduce Behavioral Symptoms.

The global increase in dementia cases highlights the urgent need for effective treatment and care strategies. The aim of this study was to evaluate the effects of group reminiscence therapy on cognitive function, subjective well-being, and behavioral and psychological symptoms of dementia (BPSD) in older adults with moderate to severe dementia. A pre-post comparative design was used, with 49 participants receiving eight group reminiscence therapy sessions over 4 weeks. Baseline, one-week, and one-month postintervention assessments were conducted using the Hasegawa Dementia Scale-Revised (HDS-R), the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH), and the Philadelphia Geriatric Center Morale Scale (PGC Morale Scale). The results showed no significant improvement in HDS-R scores, but significant improvements in PGC Morale Scale (p = 0.0417) and NPI-NH scores (p = 0.00226), indicating improved well-being and reduced BPSD. These findings suggest that group reminiscence therapy is effective in improving BPSD. Future research should focus on extending the duration of the intervention, including different populations, and combining group reminiscence therapy with other therapeutic approaches to fully determine its long-term benefits and mechanisms. Research on its cost-effectiveness and cultural applicability could further validate and improve the use of group reminiscence therapy in diverse care settings.

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来源期刊
Geriatrics
Geriatrics 医学-老年医学
CiteScore
3.30
自引率
0.00%
发文量
115
审稿时长
20.03 days
期刊介绍: • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation
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