Management of behavioural and psychological symptoms of dementia by an aroma-massage with acupressure treatment protocol: A randomised clinical trial
Management of behavioural and psychological symptoms of dementia by an aroma-massage with acupressure treatment protocol: A randomised clinical trial
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DOI：
10.1111/jocn.14101
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发表时间：
2018-05-01
影响因子：
4.2
通讯作者：
Tsang, Hector Wing-hong
中科院分区：
文献类型：
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作者：
Fung, Jo Kamen Ka-man;Tsang, Hector Wing-hong
目的和目的本研究评估多组分芳香按摩配合穴位按压治疗方案的临床效果，并将其与认知训练进行比较，以治疗痴呆的行为和心理症状。背景：在管理痴呆的行为和心理症状方面，药物干预并不令人满意；因此，补充和替代医学已被广泛研究，以确定一种辅助的安全和具有成本效益的干预措施。本随机临床试验采用三臂平行组设计。认知训练被用作控制痴呆症行为和心理症状的常规干预措施，而在本研究中，运动被视为常规治疗方法；两者都被用作与实验方案的比较。治疗组分为3组：1组：穴位按摩+运动；2组：认知训练+运动；3组：穴位按摩+认知训练。方法招募60名老年人，随机分为3组（每组20人）。采用29项中文版Cohen-Mansfield躁动量表、神经精神量表、迷你精神状态检查和Barthel指数-20进行干预前、干预后和随访3个月的结果测量，评估痴呆严重程度和痛苦的行为、日常生活活动、认知、行为和心理症状。分析通过重复测量进行的多重比较，以检测组间差异和受试者内差异，以及组间和时间间的相互作用效应。结果1组和3组参与者表现出痴呆行为和心理症状引起的严重程度和痛苦的显著减轻，而2组没有表现出类似的效果。结论芳香按摩配合穴位按摩与认知训练同样有效，并能增强认知训练，减轻痴呆行为和心理症状的严重程度和痛苦。与临床实践的相关性穴位按摩可以作为一种辅助治疗，以减少痴呆的行为和心理症状。这种疗法是安全的，具有成本效益的，可以由未经专业培训的护理人员和家庭成员实施。
Aims and objectivesThis study evaluates the clinical effectiveness of a multicomponent aroma-massage with an acupressure treatment protocol and compared it to cognitive training for the management of behavioural and psychological symptoms of dementia.BackgroundPharmacological interventions have been unsatisfactory in managing behavioural and psychological symptoms of dementia; thus, complementary and alternative medicine has been extensively researched to identify an adjunct safe and cost-effective intervention.DesignThis randomised clinical trial utilised a three-arm parallel group design. Cognitive training was used as a conventional intervention to manage behavioural and psychological symptoms of dementia, whereas exercise was considered treatment as usual in this study; both were used as comparisons with the experimental protocol. There were three treatment groups: Group 1: aroma-massage with acupressure+exercise, Group 2: cognitive training+exercise and Group 3: aroma-massage with acupressure+cognitive training.MethodSixty older adults were recruited and randomly assigned to the three groups (20 each). Using the 29-item Chinese Version of the Cohen-Mansfield Agitation Inventory, Neuropsychiatric Inventory, Mini-mental State Examination and Barthel Index-20, the outcome measures were assessed at preintervention, postintervention and the 3-month follow-up to assess behaviour, Activities of Daily Living, cognition, and behavioural and psychological symptoms of dementia severity and distress. Multiple comparisons performed through repeated measures were analysed to detect between-group differences and within-subject differences, as well as the interaction effects between groups and times.ResultsThe Group 1 and 3 participants showed a significant reduction in the severity and distress caused by behavioural and psychological symptoms of dementia, whereas Group 2 did not demonstrate similar effects.ConclusionsThis clinical study suggests that aroma-massage with acupressure is as effective as cognitive training and can enhance cognitive training in reducing the severity and distress of behavioural and psychological symptoms of dementia.Relevance to clinical practiceAroma-massage with acupressure may serve as an adjunct therapy to reduce behavioural and psychological symptoms of dementia. This therapy is safe, cost-effective and can be implemented by caregivers and family members who are not professionally trained.