Music and other strategies to improve the care of agitated patients with dementia. Interviews with experienced staff.

Music and other strategies to improve the care of agitated patients with dementia. Interviews with experienced staff.
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音乐和其他策略可以改善躁动的痴呆症患者的护理。

DOI:
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发表时间:
1997
影响因子:
1.9
通讯作者:
M. Kihlgren
M. Kihlgren
中科院分区:
医学3区
文献类型:
--
作者:
H. Ragneskog;M. Kihlgren

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许多患有痴呆症症状的患者表现出各种形式的躁动,如重复说话、烦躁不安和攻击性。这些形式的行为可能会对共同病人和护理人员造成压力。在本研究中,我们采访了来自养老院和集体住宅单位的17名有经验的正式护理人员,了解他们对躁动痴呆患者的护理经验和改善护理的策略。除了关于声音、音乐和对药物治疗的看法的特定问题外,问题是开放的。平静的气氛和缓慢的节奏成为控制骚乱的重要策略。固定的日常生活可能会导致这种情况。清醒型痴呆患者和躁动型痴呆患者的混合出现了一个主要问题,因为当痴呆患者表现出躁动时,一些清醒型痴呆患者会变得愤怒。一名患者的易怒可能引发其他患者的躁动,但有可能在早期阶段停止。一些急救人员已经成功地用音乐来安抚个别激动的病人。音乐在日常生活中控制躁动的护理干预作用似乎被低估了,但不受控制的声音可能会引起患者的躁动和护理人员的压力。
Many patients with dementia symptoms display forms of agitation such as the repeating of words, restlessness and aggression. These forms of behaviour may inflict strain on the co-patients and the caregivers. In this study, 17 experienced formal caregivers from nursing homes and collective residential units were interviewed about their experiences of agitated patients with dementia and strategies to improve their care. The questions were open except for specific questions about sound, music, and opinions about pharmacological treatment. A calm atmosphere and a slow pace emerged as important strategies to control agitation. Fixed routines could develop this. The mixing of lucid and agitated dementia patients appeared as a major problem, because some lucid patients became angry when patients with dementia displayed agitation. Irritability in one patient could trigger agitation in other patients but was possible to stop at an early stage. Several responders had successfully used music to calm individual agitated patients. Music seemed to be an underestimated nursing intervention to control agitation in daily life, but uncontrolled sound could cause agitation in the patients and stress in the nursing staff.
卡马西平治疗与痴呆相关的躁动。
DOI: 10.1177/089198878800100208
发表时间: 1988
影响因子: 2.6
作者:
Leibovici,A;Tariot,PN
通讯作者: Tariot,PN