A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia
A randomized controlled trial of a specific reminiscence approach to promote the well-being of nursing home residents with dementia
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DOI：
10.1017/s1041610204000055
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发表时间：
2004-03-01
影响因子：
7
通讯作者：
Kayser-Jones, J
中科院分区：
文献类型：
--
作者：
Lai, CKY;Chi, I;Kayser-Jones, J
背景：迄今为止，关于记忆对痴呆症的有效性还没有确切的结论。目的与方法：采用单盲、平行对照（一个干预组、一个对照组和一个非干预组）随机对照试验（RCT），探讨特定的回忆项目是否能提高养老院痴呆患者的心理社会幸福感。干预采用生活故事的方法，而对照组提供友好的讨论，以控制由于社会接触和关注而导致的结果的任何变化。社会参与量表（SES）和幸福感/III-被量表（WIB）的结果测量。参照基线（T-0）、干预后即刻（T-1）和干预后6周（T-2）检查各组的结局。最终样本有101例受试者（对照组：n = 30;比较组：n = 35;干预组：n = 36）。使用多变量分析和重复测量，在T-1或T-2组之间的结果没有显着差异。对每组进行Wilcoxon符号秩检验，比较T-1和T-0、T-2和T-1以及T-2和T-0之间的结局：当比较T-1和T-0 WIB时，在干预组中观察到显著差异（p = 0.014），但其他组无此现象。虽然随着时间的推移，干预并没有导致三组之间的显着差异，但干预组的心理社会健康有显着改善。
Background: To date, no firm conclusions can be reached regarding the effectiveness of reminiscence for dementia. Researchers have emphasized that there is an urgent need for more systematic research in the area.Objective and Method: A single-blinded, parallel-groups (one intervention, one comparison, and one no-intervention group) randomized controlled trial (RCT) was adopted to investigate whether a specific reminiscence program leads to higher levels of psychosocial well-being in nursing home residents with dementia. The intervention adopted a life-story approach, while the comparison group provided friendly discussions to control for any changes in outcome as a result of social contacts and attention. The Social Engagement Scale (SES) and Well-being/III-being Scale (WIB) were the outcome measures used. The outcomes of the groups were examined with reference to the baseline (T-0), immediately (T-1), and six weeks (T-2) after intervention. The final sample had 10 1 subjects (control group: n = 30; comparison group: n = 35; intervention group: n = 36). Using multivariate analysis with repeated measures, no significant differences in outcome were found between groups at either T-1 or T-2. Wilcoxon signed rank tests were performed for each group comparing outcomes between T-1 and T-0, T-2 and T-1, and T-2 and T-0: Significant differences were observed in the intervention group when comparing T-1 and T-0 WIB (p = .014), but not for the other groups.Conclusion: Although the intervention did not lead to significant differences between the three groups over time, there was a significant improvement in psychosocial well-being for the intervention group.