治疗性触摸在痴呆患者反应行为管理中的作用

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Pub Date : 2022-03-25 DOI:10.1159/000523752
H. Senderovich, Sandra Gardner, A. Berall, R. Shultz, Brenda Grant, Vincent Santaguida
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引用次数: 3

摘要

本研究旨在探讨治疗性触摸(TT)在痴呆患者反应性行为管理中的应用。方法:采用随机双盲对照试验,分治疗前、治疗中和治疗后3个阶段,每个阶段持续5天,比较痴呆患者反应性行为人群对TT的反应。参与者被分为三组:实验组、安慰剂组和对照组。实验组给予常规TT治疗,安慰剂组给予模拟TT治疗,对照组给予常规护理。在每个阶段的研究期间,由训练有素的研究助理每20分钟观察和记录一次行为。在整个研究过程中,使用改进的激动行为评定量表(ABRS)和改进的记忆和行为检查(RMBC)评分来评估痴呆的行为症状。结果:预处理期间各组RMBC评分均有下降;实验TT组是唯一RMBC评分在治疗期间持续下降的组。所有组在15天内ABRS评分的变化率模式相似,与实验TT相关的结果没有差异模式。结论:尽管证据有限,但TT应该作为一种辅助治疗来减少痴呆患者的行为症状。需要进一步的研究来确定TT对痴呆患者反应性行为的影响。研究需要更大的样本量,各组之间参与者的均匀分布(就痴呆阶段而言),以及更长的研究后随访。
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Therapeutic Touch in the Management of Responsive Behaviors in Patients with Dementia
Introduction: This study aimed to investigate the use of therapeutic touch (TT) in the management of responsive behaviors in patients with dementia. Methods: A randomized, double-blinded control trial was used to compare response to TT in a population with responsive behaviors in dementia, in 3 phases, pretreatment, treatment, and posttreatment each lasting 5 days. The participants were divided into three groups: experimental, placebo, and control. The experimental group received regular TT, the placebo group received mimic TT, and the control group received regular routine care. Behavior was observed and recorded by trained research assistants every 20 min during the study time throughout each of the phases. Modified Agitated Behavior Rating Scale (ABRS) and Revised Memory and Behavior Check (RMBC) scores were used to assess the behavioral symptoms of dementia throughout the study. Results: All groups had decreasing RMBC scores during the pretreatment period, however; the experimental TT group was the only group whose RMBC scores continued to decrease during the treatment period. All groups had a similar pattern of rates of change in ABRS scores over the 15-day period, with no differential pattern of results related to experimental TT. Conclusion: Despite limited evidence, TT should be explored as an adjunctive therapy for reducing behavioral symptoms in individuals with dementia. Further research is needed to determine the effects of TT on responsive behaviors in dementia. There is a need for studies with larger sample sizes, equal distribution of participants between groups (in terms of dementia stages), and longer post study follow-ups.
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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
46
审稿时长
2 months
期刊介绍: As a unique forum devoted exclusively to the study of cognitive dysfunction, ''Dementia and Geriatric Cognitive Disorders'' concentrates on Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field.
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