A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia.
A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia.
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DOI：
10.1016/j.jamda.2020.12.020
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发表时间：
2021-07
影响因子：
7.6
通讯作者：
Barr E
中科院分区：
文献类型：
--
作者：
Galik EM;Resnick B;Holmes SD;Vigne E;Lynch K;Ellis J;Zhu S;Barr E
本研究旨在探讨认知功能与行为聚焦照护（FBFC-CI）对老人院失智症患者的功能、体力活动及行为症状的干预效果，并探讨其在机构层面的应用。本研究是一项具有重复测量设计的群集随机对照试验，在12家养老院中实施，随机分配至治疗（功能和行为集中护理认知障碍干预（FBFC-CI））或教育对照（功能和行为集中护理教育（FBFC-ED））。12个疗养院（6个治疗组和6个对照组）和336名中度至重度认知障碍的居民（173个治疗组和163个对照组）。结果包括功能能力（Barthel指数）、体力活动（活动记录仪和调查）、行为症状（护理抵抗力量表、Cohen曼斯菲尔德激越量表、康奈尔痴呆抑郁量表）和精神药物使用。参与者年龄为82.6岁（SD=10.1），大多数为女性，中度至重度认知障碍（MMSE为7.8，SD=5.1）。在4个月时，治疗组与对照组相比，总活动（p=0.004）、中度活动（p = 0.012）、轻度活动（p=0.002）所花费的时间显著增加，护理时间减少（p=0.004）。情绪、激动和精神药物的使用没有变化。有一些证据表明，在治疗地点采取了干预措施。这项研究提供了一些支持FBFC-CI干预的使用，以增加身体活动的时间和减少阻力行为在护理过程中常见的中度至重度认知障碍的养老院居民。
The purpose of this study was to test the effectiveness of the Function and Behavior Focused Care for the Cognitively Impaired (FBFC-CI) intervention on function, physical activity and behavioral symptoms among nursing home residents with dementia, and to explore the adoption of the intervention at the facility level. This study was a clustered, randomized controlled trial with a repeated measures design that was implemented in 12 nursing homes randomized to either treatment (Function and Behavior Focused Care for the Cognitively Impaired Intervention (FBFC-CI) or educational control (Function and Behavior Focused Care Education (FBFC-ED). 12 nursing homes (6 treatment and 6 control) and 336 residents (173 treatment and 163 control) with moderate to severe cognitive impairment. Outcomes included functional ability (Barthel Index), physical activity (actigraphy and survey), behavioral symptoms (Resistiveness to Care Scale, Cohen Mansfield Agitation Inventory, Cornell Scale for Depression in Dementia) and psychotropic medication use. The participants 82.6 (SD=10.1) years of age, mostly female and were moderate to severely cognitively impaired (MMSE of 7.8, SD=5.1). There was a significantly greater increase in time spent in total activity (p=0.004), moderate activity (p=0.012) light activity (p=0.002), and a decrease in resistivenes to care (p=0.004) in the treatment versus control group at 4 months. There was no change in mood, agitation, and the use of psychotropic medications. There was some evidence of adoption of the intervention in treatment sites. This study provides some support for the use of the FBFC-CI intervention to increase time spent in physical activity and decrease resistive behaviors during care commonly noted among nursing home residents with moderate to severe cognitive impairment.
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影响因子：
--
作者：
Lee HY;Kim SW;Lee GH;Choi MK;Jung HW;Kim YJ;Kwon HJ;Chae HJ
通讯作者：
Chae HJ
DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J
影响因子：
7
作者：
Jessop, Tiffany;Harrison, Fleur;Brodaty, Henry
通讯作者：
Brodaty, Henry
影响因子：
5.3
作者：
Cohen-Mansfield, Jiska;Thein, Khin;Freedman, Laurence
通讯作者：
Freedman, Laurence
影响因子：
10.6
作者：
ALEXOPOULOS, GS;ABRAMS, RC;SHAMOIAN, CA
通讯作者：
SHAMOIAN, CA